Royal Australasian Ornithologists Union

Instrument of Proxy

For BirdLife Victoria AGM 20 April 2013

[NB: If you propose to attend and vote at the AGM you are not required to return this form]

I, …………………………………………..……… of ………………………………………………………..

………………………………………………………………………………………………………. ………… being a financial member of BirdLife Australia, a member of a Victorian BirdLife Branch and entitled to vote hereby appoint ………………………………………..…………, or in their absence the Chair of the

Meeting, as my proxy to attend and vote for me at the BirdLife Victoria Annual General Meeting to be held at the All Seasons Quality Hotel,171-183 McIvor Highway, Bendigo, on Saturday 20 April 2013, commencing at 11:30am.

Agenda Item 4

That the following votes for Office Bearers are hereby cast.

In the section below, please identify your choices for the positions of Office Bearers of BirdLife Victoria from the nominations listed on the BirdLife Victoria Website http://www.birdlife.org.au/locations/all-victoria- statewide.

Convenor: ……………………………………………………………………………………………………………

Secretary: ……………………………………………………………………………………………………………

Treasurer: ……………………………………………………………………………………………………………

If nominations are not identified for an Office Bearer position, the appointed proxy shall make the choice for that position.

Signature:……………………………………………..…………Date:…………………………..

1 An Instrument of Proxy must be in writing signed by the appointer or by his/her attorney.

2 To be effective, the Instrument of Proxy must be returned or mailed to Ruth Woodrow, BirdLife Victoria Secretary, c/- BirdLife Australia, Suite 2 - 05, 60 Leicester St, Carlton, Vic 3053, to be received by 5:00 pm, 18 April 2013. A scanned copy of a signed Instrument of Proxy emailed to [email protected] by 5:00 pm, 18 April 2013 will also be accepted.

3 If you wish the person acting as your proxy to exercise his/her discretion at the meeting, you do not need to name the Office Bearers you wish to be elected.

4 An Instrument of Proxy returned without the insertion of the name of the proxy may be exercised by the Chair of the meeting.

5 This Instrument of Proxy is similar to an absentee ballot.

Note: To be a valid vote, this Instrument of Proxy must include as a minimum your name, your address, and your dated signature.