PROXY FORM If you are unable to attend in person, please complete this Proxy and return it in the enclosed self addressed envelope. The undersigned member of the National Council on Canada Arab Relations hereby appoints_______________ or _______________or failing him _______________or instead, _______________ his nominee, with power of substitution, to attend and vote for the undersigned at the Annual General Meeting of the National Council to be held on the _______________, and at any adjournment thereof: a) For ( ) Against ( ) the approval of Financial Statements for the year ended December 31, _______________and Auditor’s Report thereon. b) The said nominees are authorized and directed to vote for the election of such persons to the Board of Directors as they in their absolute discretion deem advisable. c) The said nominees are authorized and directed to vote as they in their absolute discretion deem advisable in a manner not inconsistent with the foregoing on such amendments or variations to matters identified in the Notice of Meeting and on all matters which may come before the meeting. This _____day of _______________. ______________________________ ______________________________ Name of Member (Print) Signature of Member ______________________________ ______________________________ Witness Name Signature OF Witness 1. The membership represented by this Proxy will be voted on any ballot, and where the member has specified a choice with respect to any matter to be acted upon the membership shall be so voted in accordance with the specifications so made. 2. EACH MEMBER HAS THE RIGHT TO APPOINT AN INDIVIDUAL TO REPRESENT SUCH MEMBER AT THE MEETING OTHER THAN THE INDIVIDUALS SPECIFIED ABOVE. Such right may be exercised by inserting in the blank space provided the name of the individual to be appointed. 3. This Proxy shall be valid only if it has been received by the Secretary prior to the commencement of the meeting referred to above.
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