• Proxy Nomination Form

    VMIAC AGM 2026
  • This proxy nomination form is to be used if you are unable to attend the Victorian Mental Illness Awareness Council (VMIAC) Annual General Meeting (AGM) on Wednesday, 18 November 2026 and wish to appoint another VMIAC member to vote and speak on your behalf.

    Relevant VMIAC Rules on Proxies

    Per Section 33(a) of VMIAC Rules, you may give specific directions as to how your proxy is to vote on your behalf, otherwise the proxy may vote on your behalf in any matter as she/they/he sees fit.  Some people nominate the Chair, Prunella Howell-Jay (email chair@vmiac.org.au) or our Returning Officer, Anna Sowden
    (email deputychair@vmiac.org.au) as their proxies.   

    Per Section 33(g) of VMIAC Rules, a completed proxy form sent by post or electronically must be received by the Secretary of VMIAC no later than 1:30pm on Tuesday, 17 November 2026.  

    • Member information 
    • Format: 0000 000 000.
    • Proxy information 
    • As a member of VMIAC with voting rights, I wish to appoint the following person as my proxy at the VMIAC AGM on 18 November 2026.

    • Format: 0000 000 000.
    • Should be Empty: