NOMINATION PAPER
2015 Triennial Election of Trustees
Each Nomination Paper must be in the hands of the Returning Officer by: 5pm 9th March 2015
A - CANDIDATE to fill out after reading important information on reverse.
I,
being eligible for election in terms of the requirements listed on the reverse side of this form, consent to the above nomination. I believe to the best of
my knowledge that I am not, and will not on Election Day being Wednesday 8 April 2015, be disqualified from holding office as a Trustee. In particular, I am
enrolled as a parliamentary elector in New Zealand and I am a customer of Scanpower Customer Trust.
Address:
Home phone:
Mobile phone:
Work phone:
Occupation:
Email:
ICP/Power
Account No:
Power retailer:
I submit with this nomination (please tick appropriate boxes):
A copy of a recent power account.
A candidate profile statement (maximum of 200 words).
A recent (less than 1 year old) photo of the candidate, head and shoulders only.
A statement by the candidate that the candidate is not, and to the best of the candidate’s knowledge and belief will not be on Election Date, be
disqualified from holding office as a Trustee by reason of any of the matters set out in Rule 2.2 (see reverse).
I understand that, in not providing a profile or photo, the words “Profile/Photo not supplied” will appear below my name in the Profile Sheet.
I wish my name to be shown on the voting document as (eg BLOGGS, Joe):
Signature of
Candidate:
Date:
D D M M Y Y
Profiles, photos, power account copy and eligibility statement should be supplied together electronically to [email protected]
B - NOMINATOR. To be filled out by one customer.
I, the undersigned customer, hereby nominate (please print Candidate’s name):
as a candidate for the position of Trustee for the Scanpower Customer Trust.
Full name of
Nominator:
Address:
Contact phone
number:
Occupation:
Email:
ICP/Power
Account No:
Power retailer:
Signature of
Nominator:
Date:
0508 666 336
D D M M Y Y
Scanpower Customer Trust Trustee Eligibility Rules
2.2 Eligibility: The following persons shall not be eligible for election or appointment as a Trustee and may not hold office as a Trustee:
(a) Bankrupt: a bankrupt who has not obtained a final order of discharge or whose order of discharge has been suspended for a term not yet expired,
or is subject to a condition not yet fulfilled, or to any order under Section 111 of the Insolvency Act 1967;
(b) Conviction: a person who has been convicted of any offence punishable by a term of imprisonment of two or more years unless that person has
obtained a pardon or has served the sentence or otherwise suffered the sentence imposed upon that person;
(c) Imprisonment: a person who has been sentenced to imprisonment for any offence unless that person has obtained a pardon or has served the
sentence;
(d) Restraining Order: a person to whom an order made under Sections 382, 383 or 385 of the Companies Act 1993 applies;
(e) Mentally Disordered: a person who is mentally disordered within the meaning of the Mental Health (Compulsory Assessment and Treatment) Act
1992;
(f) Property Order: a person who is subject to a property order made under Section 30 or Section 31 of the Protection of Personal and Property Rights
Act 1989;
(g) Director or Employee of Company/Subsidiary: a person who currently holds office as a director of the Company or any subsidiary or is employed
by the Company or any subsidiary;
(h) Member of Parliament, Tararua District Council or Community Board: A Member of Parliament or a member of the Tararua District Council or of a
Community Board of that Council.
(i) Not a Customer: a person who is not a Customer or spouse of a Customer.
Each Nomination Paper must be in the hands of the Returning Officer by: 5pm 9th March 2015
Return by FAX to:
03 377 1474
OR
Return by EMAIL to:
[email protected]