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BOARD NOMINATION FORM
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Board Nomination Form
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CCA supports its shareholders in nominating a person for a Board position.  The Nomination Committee will consider all nominations sent in good faith.  Please complete the Board nomination form and submit to the Company Secretary.
* Denotes mandatory field

Nominator Details

Name *


Address *


SRN/HIN *

As a shareholder, you either have a shareholder reference number (SRN) which begins with an X or a holder identification number (HIN) which begins with an I. Both have a maximum number of 11 digits.

Nominee Details


Name *


Address *


Telephone *


Current Occupation


Qualifications


Experience


Reason For Nomination


Brief Description of skills nominee will bring to the board. *

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