ࡱ> {Gbjbj 8`ff (h h (" BBBVVV8< V7   {7}7}7}7}7}7}7$9<7B     7BB47 dBB6 {7I0D23V@1&67071b=b=L22"b=B2       77p0   7    b=         h X :For a translation of the form see below Instemmingsverklaring Solis-IDAchternaamVoorlettersE-mailadresIk verklaar in te stemmen met mijn onherroepelijke kandidaatstellingvoorde verkiezingen voor de personeelsgeleding/studentengeleding van de universiteitsraad Universiteit UtrechtNaam kandidatenlijstPlaats op de kandidatenlijstDatum ondertekening  Handtekening Door kiescommissie aan te passen voor verspreiding naar lijstindieners  Door de lijstindiener in te vullen met gegevens van de kandidaat voor het uitsturen naar de kandidaat Door de kandidaat bij ontvangst in te vullen, te dateren en te ondertekenen Declaration of Consent Solis IDSurnameInitialsEmail addressI hereby declare that I consent to my irrevocable candidacyforthe elections of the staff/student section of the ľϸӰ Council of Utrecht ľϸӰ Name of List of CandidatesPlace on the List of CandidatesDate signed  Signature To be adapted by the Electoral Committee for distribution to list submitters  To be completed by the list submitter with candidate details for communication to the candidate To be completed, dated and signed by the candidate upon receipt  Vermelden indien zij benaderd wensen te worden op een mailadres dat afwijkt van het mailadres zoals bekend in de universitaire administratieve systemen.  Kandidaten kunnen zich na ondertekening niet meer terugtrekken.  Verwijderen wat niet van toepassing is.  Please list if he or she wishes to be contacted on an alternative email address from the one registered in the administrative systems of the university.  Candidates will not be able to withdraw after placing their signature.  Delete if not applicable.     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