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Democrats Abroad Lion City Committee Proxy Form for Tuesday 22 August 2017 Meeting Please send this Proxy Form to herro048 @umn.edu by 6 p.m., Monday 21 August 2017. Democrats Abroad Lion City Member: Thereby authorize the person whase name is indicated below to act as my proxy on all matters coming before the DALCC at its meeting on Tuesday 22 August 2017 at 7 p.m. at Community Room, somerville Grandeur Condominiums, 5 Farrer Drive, Singapore 259279. Proxy Holder My proxy is [ general or limited | Ifyou selected a limited proxy, please specify the agenda items to which the proxy ap- plies: List agenda items proxy is limited to by description: Please indicate below any specific instructions below, or write “None” for an uninstruct- ed proxy: None Unless otherwise indicated, a proxy is presumed to be general and uninstructed. Proxies are not transferable. Date: The Day of 2017. Typing your name: here constitutes an electronic: signature:

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