________ (ACN................................................)
(hereinafter "the Company")
APPOINTMENT OF PROXY
I, ________ of ________, being a member of the Company, hereby appoint ________ of ________, a member of the Company as my proxy to vote for me on my behalf at the meeting of the Company, to be held on ________, and 52 522 55225522222 22 2552 2222822.
________ is authorised to vote on my behalf at their discretion in relation to any matters handled at the meeting.
Signed by ________:.......................................................
Date of signing:.......................................................
________ (ACN................................................)
(hereinafter "the Company")
APPOINTMENT OF PROXY
I, ________ of ________, being a member of the Company, hereby appoint ________ of ________, a member of the Company as my proxy to vote for me on my behalf at the meeting of the Company, to be held on ________, and 52 522 55225522222 22 2552 2222822.
________ is authorised to vote on my behalf at their discretion in relation to any matters handled at the meeting.
Signed by ________:.......................................................
Date of signing:.......................................................
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