APPLICATION FOR MEMBERSHIP OF ABC

ASSOCIATION INC.
(Incorporate under the Association Incorporation Act)

I...............................................................................(full name of applicant)

of.................................................................................................

..........................................................................................(address).

...................................................................................... (Occupation)

hereby apply to become a member of the above named incorporated Association. In the event of my admission as a member, I agree to be bound by the rules of the Association for the time being in force.

.................................... ....................................................

(date) (signature of applicant)

I, ......................................................................................... (full name)

a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.

................................... ....................................................

(date) (signature of proposer)

I, .........................................................................................(full name)

a member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association.

................................... ...................................................

(date) (signature of seconder)

I, ....................................................................................... (full name)

of ........................................................................................(address)

being a member of ABC Inc.

hereby appoint ................................................................ (full name of proxy)

of ........................................................................................(address)

being a member of that Association, as my proxy to vote for me on my behalf at the annual general meeting of the Association (annual general meeting or special general meeting, as the case may be) to be held on the:

................ day of ..............................19 ......... and at any adjournment of that meeting.

* My proxy is authorised to vote in favour of/against (delete as appropriate) the resolution (insert details).

* To be inserted if desired.

............................................. (signature of applicant)

..............................................(date)

NOTE: A proxy vote may not be given to a person who is not a member of the Association.

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