Name of the Position:

1. President                               (    )
2. Vice President                       (    )
3. Secretary                              (    )
4. Joint Secretary                       (    )
5. Treasurer                               (    )
6. Managing ___________Committee     (     )

Name of Nominee:_____________________________________________________________________

Address:__________________________________________________________________ ___________

Phone #__________________________ Date:____________________ Signature:___________________

Proposed by: (Should be a Brahmin Samaj Member in Good Standing)

Name:_______________________________________________________________________________

Address:_____________________________________________________________________________

Phone #_________________________ Date:____________________ Signature:____________________

Seconded By: (Should be a Brahmin Samaj Member in Good Standing)

Name:_______________________________________________________________________________

Address:______________________________________________________________________________

Phone #_________________________ Date:____________________ Signature:_____________________

Please mail completed form to:

The Chairperson, Nominating Committee
Brahmin Samaj of GA, Inc.
P.O. Box 80162
Atlanta, GA  30366

This form should be recieved latest by postmark date of October 20, 2002