Name of Position:        President:                           (        )

                                   Vice President:                   (        )

                                   Secretary:                           (        )

                                   Treasurer:                           (        )

                                    Managing Committee:        (        ) Name the Committee:________________________________

Name of Nominee:___________________________________________________________________________

Address:______________________________________________________________________________________

Phone Number:________________________    Date:______________________
 

Proposed (Nominated) By: (Should be a Brahmin Samaj Member in Good Standing.)

Name:________________________________________________________________________________________

Address:_______________________________________________________________________________________

Phone Number:_______________________    Date:_______________________    Signature:_____________________
 

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

Name:_________________________________________________________________________________________

Address:_______________________________________________________________________________________

Phone Number:______________________    Date:________________________    Signature:_____________________
 

Please mail or Fax Completed Forms to:

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

    Fax Number:  770-662-8628