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Nominee Branch Address NI Number Employer Grade Location Constituency Home Tel Membership No Mobile Email Work Tel If the nominee requires TUC Health Safety stages 1 or 2 training please indicate by placing a tick in the box provided. If the box is ticked a course application form and TUC Course booklet will be sent to the nominee s home address. Branch Secretary Name BRANCH STAMP Branch Name I certify that the above nominee has been nominated by this branch to be the Health and Safety...
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