Democrats Abroad Lion City Committee Proxy Form

for
th
Saturday, 5 May 2018 Meeting

Please send this Proxy Form to

herro048@umn.edu by 6 p.m., Friday 4th May 2018.

Democrats Abroad Lion City Member: ____________________

I hereby authorize the person whose name is indicated below to act as my proxy on all
matters coming before the DALCC at its meeting on Saturday 5th May 2018 at 6 p.m. at
07-05 Kent Vale Block A, 103 Clementi Road, Singapore 129788.

Proxy Holder:__________________________

My proxy is [ general or limited ]

If you selected a limited proxy, please specify the agenda items to which the proxy
applies:
List agenda items proxy is limited to by description.

Please indicate below any specific instructions below, or write “None” for an
uninstructed proxy:

None

Unless otherwise indicated, a proxy is presumed to be general

and uninstructed. Proxies are not transferable.

Date: The ____ Day of ____________ 2018.

Typing your name here constitutes an electronic signature: