Meeting:2011 AGM/Proxy form

Form of Appointment of Proxy.

I,

(name)

of

(address)

being a member of Wikimedia Australia Inc.

appoint

(name or role of proxy holder)[1]

also being a member of that Incorporated Association, as my proxy to vote on my behalf at the 2011 Annual General Meeting of the Association to be held on Sunday 9 October 2011 and at any adjournment of that meeting.

Either:

My proxy is authorised to act on their own discretion.

Or:

My proxy is authorised to vote in favour/against[2] the following resolution: [insert details of resolution]

Signed

Date

You may nominate a member by name or by role (for example, the chair or the secretary etc).
Delete whichever is not applicable.

Note: A proxy vote may only be given to a person who, at the time of the meeting, is a current financial member of Wikimedia Australia.