APPLICATION
2012 President and Vice President Candidate Team 
Presidential Candidate (Name and UCO): ______________________________________
Vice Presidential Candidate (Name and UCO): ______________________________________
 
As per Title IV of the MIMSA Constitution, three weeks of campaigning begins November 7th, 2011. 
The election for 2012 President and Vice President will occur on Monday, November 28th from 
10:00‐19:00.  
ny questions with regards to the electoral process can be directed to the Election Committee at A
mimsa‐info@mimsa.cz. Please note “ELECTION COMMITTEE:” in subject line.  
 
By signing below, candidates certify that they have read and understand the requirements for 
andidacy, especially noting that candidates may not be at risk of expulsion from the Faculty of 
edicine at Masaryk University for the duration of their 1‐year term starting December 2012. 
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____________________________________                                 _______
residential Candidate                                                    Date 
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P
 
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____________________________________                                 _______
ice Presidential Candidate                                           Date 
_
V
 
 
 
 
 
 
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Application Received by: _______________________________     _______
                                                  Name                                              Date