AGM Proxy Form 2019

Whitehead Community Association

Annual General Meeting

Wednesday, 22 May 2019

Whitehead Community Association is registered as a company limited by guarantee in Northern Ireland (No NI605135)

Proxy Voting Form (for use by members not attending the AGM)


Home address_____________________________________________________




being a member of Whitehead Community Association hereby appoint the Chair of the meeting or

(see note 1)________________________________________ [name of proxy]

of ___________________________________________________[address]

as my proxy to attend, speak and vote for me on my behalf at the annual general meeting of the company to be held on Wednesday, 22 May 2019, and at any adjournment thereof.

This form must be returned to the company secretary at least 48 hours before the date of the annual general meeting as cited above.

Signed: _________________________

Name: _________________________

Date: ___________________________

Notes and Instructions

  1. If you wish the chair of the meeting to act as your proxy, leave this line blank, otherwise write the name of your proxy in block capitals. If your proxy is unable to attend the meeting, your proxy reverts to the chair unless you delete the words “the chair of the meeting or”.
  2. To be valid, this form of proxy must be received by the Company Secretary at the Company’s registered office at 20 Balmoral Ave, Whitehead BT38 9QD at least 48 hours before the time appointed for holding the meeting 22 May 2019
  3. By completing and returning this form you are not prevented from attending the meeting in person if you later decide to do so. However, your attendance revokes the appointment of proxy.
  4. In order for your proxy to be valid, you must sign this form and ensure that your name and address are correct.

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