INDIAN ASSOCIATION OF CONSERVATIVE DENTISTRY AND ENDODONTICS ELECTION NOTICE FOR OFFICE BEARERS : 2016 —17 Election for the post of President Elect - 1 Vice — President — 3 Editor -1 EC Member - 15 + All members are requested to read the guidelines carefully + For eligibility criteria please check the constitution. IMPORTANT DATES TO REMEMBER > Notice from Head Office — 1 September 2016 > Last date for filling nomination - 20" September 2016 > Last date of withdrawal — 30" September 2016 > Scrutiny of application — 10" October 2016 > Final list announcement — 15" October 2016 » Election date : 11" November 2016 ~ 10am to 5pm — by electronic method GUIDELINES : . The proposer and seconder should necessarily be life members of |ACDE . The nomination forms should be legibly filled up without any over writing. . The last date for nomination to reach the Head Office mail box is midnight of 20-09-2016 (info@iacde. in). Any proposal which violates the eligibility criteria or guidelines will be wen s rejected 5. Nominations forms sent by post will not be accepted.INDIAN ASSOCIATION OF CONSERVATIVE DENTISTRY AND ENDODONTICS NOMINATION FORM 2016 - 2017 NOMINATION FOR THE POST OF... NAME OF THE CANDIDATE : MEMBERSHIP NO : EMAIL: PREVIOUS POST/S HELD IN IACDE : No. __ POST HELD - | YEAR’ 1 as el PREVIOUS GENERAL BODY MEETING ATTENDED: [_No. YEAR "PLACE PROPOSED BY : Ir... ssn{Membership no. Here by propose Dr. the post Of.nm. Name & Signature of the proposer with date.SECONDED BY: PDE. ses .. (Membership 0. Here by second the nomination of Dr. the post Of suns Name & Signature of seconder with date. CONSENT OF THE CANDIDATE: Dr, here by giving the consent for contesting for the post of The above furnished details of mine are true to the best of my knowledge. | hereby promise faithfully to maintain and defend all the rights, liberties and privileges of IACDE and promote the interests thereof to the utmost of my power. Name & Signature of candidate with date. Note : Please read all the instructions carefully. All duly filled scanned forms should reach the HO mail box on or before midnight of 20-09-2016 (info@iacde.in). You will receive a confirmation from the Head Office on receipt of your nomination. FOR OFFICE USE ONLY Verified by .. Remarks.