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Democrats Abroad Lion City Committee Proxy Form

Saturday, 5 May 2018 Meeting

Please send this Proxy Form to 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
List agenda items proxy is limited to by description.

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


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: