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: