BCCM Committee Meeting Proxy Form

Please fill out the form below and we’ll contact you as soon as possible.

Section 1—Body corporate secretary details

Email(Required)

Name

Address of scheme

Suburb

State

Postcode

Section 2—Authorisation

The Regulations set out a number of restrictions on the use of proxies, including an ability for the body corporate to further restrict their use including prohibition.

Note: if there is insufficient space please attach separate sheets.

Name of owner 1

Owner 1 Signature

Date

DD slash MM slash YYYY

Name of owner 2

Owner 2 Signature

Date

DD slash MM slash YYYY

Lot number/s

Plan number

Name of scheme

CMS number

Appoint (full name)

as my/our proxy to act on my/our behalf (including adjournments) at

Please tick one

The general meeting to be held on

All general meetings held before

All general meetings held during the rest of the body corporate's financial year unless I/we serve you with a prior written withdrawal of the appointment.

Date

MM slash DD slash YYYY

Signature of proxy holder

Dated:

MM slash DD slash YYYY