PROXY
UNDER SOCIETIES REGISTRATION ACT
I, ………………………………………. ________, of
________. being a member of this
_________________________Society and entitled to vote do hereby appoint
……………………………………………..of________________________ to be my proxy to vote for me and
on my behalf at the (ordinary or extraordinary, as the case may be) general
meeting of the Society to be held on the ________day of ________and at any
adjourned meeting thereof.
In
witness whereof I have set my hand hereunto this ________day of________,
20_______
Signature
Stamp
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