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You are now taking the responsibility of being the main proxy, meaning you will nominate and vote as a main proxy of the institution
!
Proxy Registration Form
Title
*
First Name
Last Name
Username
*
Gender
Male
Female
Genderqueer/Non-binary
Choose not to Disclose
Institution
*
Title at Institution
Are you main proxy holder or assigned
*
Main Proxy
Assigned Proxy
E-mail Address
*
Cellhone Number (Whatsapp Active)
*
Password
*
Confirm Password
*
Only fill in if you are not human
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