Text

                                                              Anlage

                       Amtlicher Stimmzettel

               für die Wahlen in den Landesausschuss

         der Landeszahnärztekammer für .................

                 am ...........................

                 Wahlkreis ....................

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Funktion                    Wahl-          Wahl-          Wahl-

                          vorschlag 1    vorschlag 2    vorschlag 3

                          Bezeichnung    Bezeichnung    Bezeichnung

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Gesamter Wahlvorschlag        O              O              O

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Präsident/Präsidentin    O   N. Name    O   N. Name    O   N. Name

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Vizepräsident/

Vizepräsidentin          O   N. Name    O   N. Name    O   N. Name

____________________________________________________________________

Finanzreferent/

Finanzreferentin         O   N. Name    O   N. Name    O   N. Name

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Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

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Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

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Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

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Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

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Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

____________________________________________________________________

Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

____________________________________________________________________

Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

____________________________________________________________________

Referent/Referentin für      N. Name        N. Name        N. Name

...                      O              O              O

Sukzessor/Sukzessorin        N. Name        N. Name        N. Name

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