(All Fields MUST be Completed)
School Name: Roll No. Diocese Kerry Killaloe Limerick Parish Name of Nominee for Role of Chairperson Address of Nominee for Role of Chairperson Tel./Mobile No. of Nominee for Role of Chairperson Email of Nominee for Role of Chairperson Name of Nominee for Role of (2nd) Patron's Representative Address of Nominee for Role of (2nd) Patron's Representative Tel./Mobile of Nominee for Role of (2nd) Patron's Representative Email of Nominee for Role of (2nd) Patron's Representative Nominations Submitted by: Tel. No. of person submitting Nominations: Email Address of person submitting Nominations: