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Democrats Abroad Lion City Committee (DALCC) Proxy Form for

Saturday, 25 May, 2019 meeting

Please send this Proxy Form to: lisatk@gmail.com by 6 p.m., Friday 24 May
2019.

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 25
May, 2019 at 4 p.m. at the Board Room of the the Business Centre of the
American Club

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 ____________ 2019.


Typing your name here constitutes an electronic signature: