ACT - Appointment of Proxy 2025 | Australian Medical Association

I appoint

The chair of the meeting

Other

First name and surname

Email address

Mobile phone

As my

General proxy to vote at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

Special proxy to vote

Resolution 1

IN FAVOUR OF RESOLUTION 1 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AGAINST RESOLUTION 1 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AS MY PROXY THINKS FIT FOR RESOLUTION 1 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

Resolution 2

IN FAVOUR OF RESOLUTION 2 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AGAINST RESOLUTION 2 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AS MY PROXY THINKS FIT FOR RESOLUTION 2 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

Resolution 3

IN FAVOUR OF RESOLUTION 3 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AGAINST RESOLUTION 3 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AS MY PROXY THINKS FIT FOR RESOLUTION 3 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

Resolution 4

IN FAVOUR OF RESOLUTION 4 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AGAINST RESOLUTION 4 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

AS MY PROXY THINKS FIT FOR RESOLUTION 4 at the extraordinary general meeting of members to be held on Wednesday, 3 December 2025 (or at any adjournment of that meeting)

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