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) *