Meeting:2013 SGM/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 as specified for the following resolution(s):
Signed
Date
- You may nominate a member by name or by role (for example, the chair or the secretary etc).
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.