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CAMS STATE FUTURE STAR AWARD NOMINATION FORM 1. NOMINEE INFORMATION Name of nominee: Club name: CAMS license no.: (if applicable) (if applicable) NSW/ ACT State: QLD SA/ NT TAS VIC WA 2. CONTACT DETAILS
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2015 1859 NSW QLD au BC v1 Caulfield PROPOSER Osborne awardscams SIGNEDDATE Silverwater TAS applicable CAMS SA Nominations RT NOMINEE affiliated NT determining recipient documentation perpetual CRITERIA

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