APPOINTMENT OF PROXY
I …………………………………………………..…………………………………………………………………………………
(Insert MEMBER’S name)
of …………………………………………….…………………………………………………………………………………...
(Insert MEMBER’S address)
being an eligible voting Member of the International Association for Youth Mental Health as defined by the Rules, hereby appoint
………………………………………………………...……………………………………………………………………………..
(Insert PROXY’S name)
who also is a member of the Association, as my proxy, or failing him/her the Chairperson for the time being of the Meeting as my proxy, to attend and vote on my behalf at the Annual General Meeting of the International Association for Youth Mental Health to be held on the 6th day of October 2018 and at any adjournment thereof.
My proxy is authorized to vote on my behalf in relation to the ordinary business conducted as part of the AGM
Signature:___________________________ Date:________________________
(of Member appointing Proxy)
2018 AGM PROXY FORM INSTRUCTIONS
1. Appointment of a proxy
You must write the name of the person you wish to appoint as your proxy in the space provided. Your proxy must be a member of the International Association for Youth Mental Health.
If you do not name a proxy, or your named proxy does not attend the meeting, the chairperson of the Annual General Meeting will be your proxy.
3. Signing the form
You must sign the form in the space provided by using your hand signature as follows:
Individual: where the membership is in the name of an individual, that individual must sign.
Company: where the membership is in the name of an organisation, the organisatoin’s nominee as listed on the International Association for Youth Mental Health’s members register must sign.
4. Lodging the form
Proxy forms must be lodged by 5.30pm AEST on Friday 5th October 2018.
Please note the following: A form appointing a proxy sent by post or electronically is of no effect unless it is received by the Association no later than 24 hours before the commencement of the meeting.
Forms must be scanned and emailed to the Secretary at craig@iaymh.org.
• Late or otherwise invalid proxy forms will not be accepted.
• Signatures must be hand signed (i.e. typed names as signatures will not be accepted.)
