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APPLICATION TO ADDRESS A COUNCIL MEETING
(Clause 5.7 - Council's Code of meeting Practice)

Details of Applicant:

Name (required):
Address (required):
Phone (required):
Mobile:
Email:
Date of Council Meeting (required):
Are you a resident/ratepayer of Kempsey Shire? Yes No

 

Details of Application:

I apply to address Council in respect of the following:-

An Item on Council's Meeting Agenda                  

Item No:

Subject Matter:

Please indicate whether you are For or Against

OR

I apply to address Council in respect of the following:-

An Issue that is NOT on Council's Meeting Agenda

Brief summary of your presentation:

Acknowledgement by Applicant:

I declare that the above information is true and correct in every detail and I have read and understood all the ‘Guidelines for Addressing Council’.

I agree to comply with the Council’s Code of Meeting Practice in relation to order at meetings and to comply with the directions of the Mayor/Chairperson in this regard and will refrain from making any insult, allegation or personal reflection against any person, present or not at the meeting, during the course of my address to Council and any answers that I may give in response to questions from Councillors.


Confirmation of Agreement and Submission of Request
(Click on "I Agree" button to confirm your agreement to the above and submit your application)

   

 

     
Location: 22 Tozer Street
Postal Address: PO Box 3078
WEST KEMPSEY NSW 2440
Customer Services: 02 6566 3200
Facsimile: 02 6566 3205
Email: ksc@kempsey.nsw.gov.au
Hours: 8.30 am to 4.30 pm
Monday to Friday
ABN 70 705 618 663
This site is designed and maintained by Kempsey Council staff.
Your questions and comments are most welcome.
Please contact: ksc@kempsey.nsw.gov.au