Head Pty Ltd Proxy Form Example

This assignment provides an example of a Head Pty Ltd proxy form. The form outlines the process for appointing a proxy to vote on shareholder behalf at a meeting scheduled for January 26th, 2024, at Ball room, 9 Rest Street, Sydney. Shareholders can appoint the chair as their proxy or nominate another person/company. The form also includes a section for voting on resolutions, with one resolution proposing the creation of a new class of preference shares (PRF) by amending the company constitution. The shareholder must sign the form and submit it to the company 48 hours before the meeting for it to be considered valid.

PROXY FORM
Head Pty Ltd
ABN 89745698712
Corporate office:
7, Rest, NSW 3027
Phone [phone]
Fax [phone]
Website: www.head.com
As the member of Head Pty Ltd I have the right to vote in the meeting. Under such right I hereby
transfer my power of voting
APPOINTMENT OF A PROXY
 The chair of the meeting (CLICK IF THE CHAIR IS YOUR PROXY)
If not please write the name of the person or company who is to be appointed as a proxy.
___________________________________________ (Name)
____________________________________________ (Additional Information)
However if I do not appoint any person as my proxy I hereby admit that the chair shall act as my
proxy and continue the voting process as directed by me or as permissible by law in relation to
the meeting which is going to be held as the Ball room at 9 Rest Street, Sydney, New South
Wales, 3027 on 26th January Friday

Directions for Voting
My proxy will only be considered as valid by the company if I provide this form with my due signature 48
Hrs before the meeting to the company.
The following the resolution for which voting is to be done
Resolutions
Resolution Yes No Abstain
Creation of class PRF
(preference shares) by
amending the
constitution

SIGNATURE OF SHAREHOLDERS
Shareholder 1 Joint Shareholder 2 Joint Shareholder 3
____________________ _____________________ ____________________
Sole Directory or company secretary Director/Company Secretary Director
Note
This form mandatorily requires signature of the shareholder.
Where the shareholding is on a joint basis any shareholder may give consent
Where the form is signed by an attorney, the company has to have a previous record of the power of
attorney in its Share registry or it is to give certified copy along with the proxy form.
In case the form is executed by a organization it has to be comply with the Corporation Act 2001 (Cth)
or the constitution of the company.