CXSA Director Self-nomination Form

I confirm my eligibility for election as a Director of the Non-Profit Company

(Election will be at the CXSA AGM in June 2022)

Email*

First name*

Last name*

LinkedIn profile*

Do you reside in South Africa?*

Yes

No

Company name

I am willing to serve as a Director of the non-profit company, in compliance with the duties, responsibilities, risks and liabilities that accompany the role of a Director*

I am not willing to serve as a Director of the non-profit company

I am willing to serve as a Director of the non-profit company