NOMINATION FORM

Australian Rail, Tram and Bus Industry Union

Nominees should verify their financial status and any other qualifications required by the Organisation's Rules prior to lodging a nomination.

I,............................(Please print full name)
being a financial member of the Organisation, hereby nominate for the office of:
........................(Please insert name of position, in full, as shown on the Election Notice)

Please complete your details below:

Please print your name as you wish it to appear on the Ballot Paper:

Signature:...............................

Date:....................................

Nominations may be made after 9:00am on 8 October 2004, and must be received by Lee Jones, Returning Officer, up to, but not later than 5:00pm on Friday 29 October 2004. Nominations may not be withdrawn after 5:00pm on Monday 8 November 2004.

HOW TO LODGE NOMINATIONS

By Post:...P O Box 529, Haymarket NSW 1239
By Fax:.........02 9212 7336
By Hand:........Level 3, 24 Campbell Street, Sydney, NSW

Lee Jones, Returning Officer