Nomination of Executive and General Committee Members (online)

VLDA AGM Sunday 23 August 2026

This form must be completed and submitted no later than 12 noon on Saturday 22 August 2026. Hard copy forms may be submitted at the meeting.

Only Professional and Non-Professional members may nominate to serve on the Committee.

Self nominations are accepted.

First name

Last name

Phone

Membership Number

Your membership must be financial.

Nomination details:

I am nominating:

Myself

Someone else (provide details below)

If you are nominating someone else they must accept the nomination to be considered.

Signature of person submitting this form

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Appointment of Proxy (online)

VLDA AGM Sunday 23 August 2026

This form must be completed and submitted no later than 12 noon on Saturday 22 August 2026. Hard copy forms may be submitted at the meeting.

Only Professional and Non-Professional members may appoint a proxy or act as a proxy. Associate members do not have voting rights at the AGM.

First name

Last name

Phone

Membership Number

Your membership must be financial.

I hereby authorise the person named below to act as my Proxy at the VLDA AGM to be held on Sunday 23 August 2026

Full Name

(Full name of the person authorised to vote on your behalf)

Membership Number

(Membership number of the person entitled to vote on your behalf - their membership must be financial)

COMMITTEE ELECTIONS

I understand that my Proxy will vote on my behalf for all Committee Member elections

Signature of person submitting this form

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

This is the signature of the person nominating their Proxy - the Proxy does not need to sign. Once signed and submitted, this is an official Proxy form - each person may only submit one Proxy.

AGM Forms - Submit online

Nomination of Executive and General Committee Members (online)

Appointment of Proxy (online)