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PRSAP Stakeholders Group Nomination Form

This nomination form is for an organization to nominate representatives to join the Philippine Road Safety Action Plan Stakeholders Group. The form requests the name and contact details of the nominating organization as well as the primary and alternate representatives. The nominee must declare their willingness to serve, confirm the accuracy of the provided information, acknowledge their understanding of the group's role, and commit to working as part of the group for the benefit of road users.

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Enzo Emmanuel Toledo
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43 views1 page

PRSAP Stakeholders Group Nomination Form

This nomination form is for an organization to nominate representatives to join the Philippine Road Safety Action Plan Stakeholders Group. The form requests the name and contact details of the nominating organization as well as the primary and alternate representatives. The nominee must declare their willingness to serve, confirm the accuracy of the provided information, acknowledge their understanding of the group's role, and commit to working as part of the group for the benefit of road users.

Uploaded by

Enzo Emmanuel Toledo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Nomination Form

Philippine Road Safety Action Plan (PRSAP) Stakeholders Group

Name of Organization
Head of the
Organization
Contact Number

Contact Details of the Organization


These will not be made publicly available
Complete Address
Telephone Number

Nominee Declaration
I certify the following. That I am willing to stand to be part of the PRSAP Stakeholders
Group. The information I have provided above is true to the best of my knowledge. I
have read and understood the paper outlining the role of the group and of those
appointed in the group. I am prepared to work as part of the PRSAP Stakeholders
Group to the best of my ability for the benefit of the Road Users.

Printed Name over signature:


Date:

Nominating Organization
Any individual may stand as a representative but they must be nominated by the
PRSAP Organization
Primary
Representative
Alternate
Representative

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