Proxy Form Template – Australia

The Proxy Form Template – Australia is offered in several formats, including PDF, Word, and Google Docs. These formats are both modifiable and ready for printing, ensuring that you have the flexibility you need.


Sample

Proxy Form Template – Australia

Editable | Printable



1. Proxy Appointment



2. Purpose of Proxy Appointment

3. Meeting Details


4. Powers Granted to Proxy

5. Duration of Proxy Appointment

6. Revocation of Proxy

7. Signatures and Acceptance




PDF


WORD

Examples


Proxy Form Template – Australia (1)
Proxy Form for:
[Name of the Shareholder]
[Shareholder ID]
[Address of Shareholder]
[Contact Number]
[Email Address]
Annual General Meeting:
This Proxy Form is for the upcoming Annual General Meeting of [Company Name] scheduled for [Date] at [Time].
Appointment of Proxy:
I, [Name of the Shareholder], appoint [Name of the Proxy] of [Proxy’s Address] (or failing him/her, the Chairperson of the Meeting) as my proxy to attend and vote for me on my behalf at the meeting.
Voting Instructions:
Please mark with an ‘X’ in the box next to your preferred resolution:
1. Adoption of Financial Statements: [ ] For [ ] Against
2. Election of Directors: [ ] For [ ] Against
3. Appointment of Auditors: [ ] For [ ] Against
4. Other Business: [ ] For [ ] Against
Signature:
_____________________________
[Signature of Shareholder]
[Date]
Submission of Proxy Form:
This Proxy Form must be received by [Company Name] no later than [Submission Deadline].
Proxy Form Template – Australia (2)
Proxy Form for:
[Name of the Shareholder]
[Shareholder ID]
[Address of Shareholder]
[Contact Number]
[Email Address]
Extraordinary General Meeting:
This Proxy Form is for the Extraordinary General Meeting of [Company Name] to be held on [Date] at [Time].
Appointment of Proxy:
I, [Name of the Shareholder], hereby appoint [Name of Proxy] of [Proxy’s Address] or the Chairperson of the Meeting as my proxy to vote on my behalf at the Extraordinary General Meeting.
Voting Instructions:
Please indicate your votes by placing an ‘X’ in the boxes provided:
1. Approval of Special Resolution: [ ] For [ ] Against
2. Amendment to the Shareholder Agreement: [ ] For [ ] Against
3. Other Resolutions: [ ] For [ ] Against
4. General Business: [ ] For [ ] Against
Signature:
_____________________________
[Signature of Shareholder]
[Date]
Submission Requirements:
This Proxy Form must be lodged at the registered office of [Company Name] not less than [Submission Deadline].

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Proxy Form Template - Australia