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AGM Proxy Form
NCRS AUSTRALIA INC.
(incorporated under the Association Corporation Act 1984)
Full name of appointee
Appointee’s full address
Such appointee being a member of that incorporated association as my proxy to vote for me on my behalf at the Annual /Special General Meeting of the Club to be held on - DATE OF MEETING - or at any adjournment of that meeting.
Date of meeting
My proxy is to authorized to vote IN FAVOUR OF the following resolution
My proxy is to authorized to vote AGAINST the following resolution
resolution number or description to be inserted if desired – otherwise leave blank
Signature of member appointing proxy
NOTE – A proxy may not be given to a person who is not a financial member of the Club.
This notice is to be delivered to the Secretary no later than 7 days before the
Meeting in respect of which the Proxy is appointed.