Candidate Form

	[Name of candidate]

I seek election to the position of [name of position].

I am a Registered Owner.

I have no interest in any commercial undertaking involved with the IOM Class.  If I obtain an interest in any commercial undertaking involved with the IOM Class I shall immediately declare such interest in writing.

OR

My interest(s) in commercial undertaking(s) involved with the IOM Class are as follows: [provide details].

I confirm my ability to participate in meetings conducted by Electronic communication.

I am not an officer of my DM.

OR

If elected, I undertake to resign [my position within my DM, NCA, or as NCS] (delete as necessary) within four months of election.

As of this date, I intend / do not intend (delete as necessary) to be present at the balloting.

(IF you do not intend to be present at the balloting, add the following)

I appoint and authorise [name of personal representative] who will, in the event of my absence, attend the balloting to withdraw my name for any position if necessary.

The following two World Council Members nominate me:
1  [name] and [country if applicable]
2  [name] and [country if applicable]

I have asked each of my nominators to e-mail you, independently confirming their nomination of me for the position specified.

The completed form should be e-mailed to either chairman@iomclass.org or secretary@iomclass.org as plain message text or as an attachment by 9 July 2005.