By completing this form, you authorise your nominated proxy to attend, speak, and vote on your behalf at the specified meeting. Please ensure all details are accurate.
PuipiKak Malu Indigenous Corporation Appointment of proxy Application Form
I am a member of the corporation and I appoint:
as my proxy to vote for me on my behalf at the general meeting of the corporation (annual general meeting or other general meeting, as the case may be) to be held on:
and at any adjournment of that meeting.
By checking this box, I confirm that I am appointing the named proxy to act on my behalf and this will serve as my authorising signature.*
