Meeting:2012 AGM/Proxy form

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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 as specified for the following resolution(s):

  • To vote on accepting the Wikimedia Australia Strategic Plan

For/Against/Abstain [2]

  • To vote on proposed changes to the Association's Rules of Incorporation:
    • conferencing with special resolutions at general meetings

For/Against/Abstain [2]

  • conferencing methods at general meetings

For/Against/Abstain [2]


  • Proposals
    • Proposal:2012 Languages conference

For/Against/Abstain [2]


Signed


Date


  1. You may nominate a member by name or by role (for example, the chair or the secretary etc).
  2. 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.