Proxy Form

Proxy Form for the WASEMA INC AGM 2022

3.2.2 APPOINTMENT OF PROXY FORM

Appointment of Proxy Form
Women’s Association South East Melbourne Australia Inc

AGM 14th September 2022 Wednesday 7.00 pm

A proxy can only be allocated to another WASEMA General member who has full voting rights and will be attending the AGM.

If you have any questions, please contact the WASEMA Secretary via email at secretary@wasema.org.au

Your First Name *

Your Surname *

Street Address *

City

State/Province

ZIP / Postal Code

being a member of Women’s Association South East Melbourne Australia (WASEMA) Inc

Appoint the following as my proxy

Proxy First Name *

Proxy Surname *

Street Address *

City

State/Province

ZIP / Postal Code

Being a voting member of Women’s Association South East Melbourne Australia (WASEMA) Inc as my proxy to vote for me on my behalf at the annual/special* general meeting of Wasema Inc. to be held on Wednesday 14th September 2022 at 7.00 pm

And at any adjournment of that meeting.

I authorise my proxy to vote on my behalf

at their discretion in respect of any motion
at their discretion in respect of the following resolution/s

"to confirm change of tenure of board members from 1 year to 2 years"

Signature *

Date

WASEMA Inc. Nomination Form

AGM 2022 – Board Nominations