Online Form - Expression of Interest for Council Vacancy - Closing 15 April 2021

Full Name*

Contact Number*

Email Address

Are you eligible under section 46 of the Local Government Act?*

YesNo

Are you enrolled in the relevant ward (Municipality of Katherine)?*

YesNo

Please provide a statement outlining why you want to be a Council Member and the qualities you would contribute to the Council*

Supporting Documents (If applicable)*

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