Haemophilia Scotland Proxy Appointment Form

Haemophilia Scotland Proxy Appointment Form
Members unable to attend the Annual General Meeting may vote via a proxy appointed by them. To do this, please complete and return this form to arrive before the date of the meeting. Your proxy does not have to be a member of Haemophilia Scotland, but should not be an employee of Haemophilia Scotland.

If you don’t know anybody who can attend the meeting as your proxy, you may nominate the Chair of the meeting, John Dearden, to act as your proxy.
Your full name and address (so we can check against our membership records)
Proxy's Full name
I appoint the above named person as my proxy for the Haemophilia Scotland Annual General Meeting on 30 August 2025.

I direct the proxy to vote as follows (tick boxes that apply):
(a) To adopt the Annual Report and Accounts for 2024-25
(b) To amend the Constitution
(c) To re-appoint retiring trustees:
Joanne Kirkham
Heather MacLeod
(d) To elect new trustees:
Vicki Medina (Moray)
Louis Marlow (Edinburgh)
Date

DayMonthYear
Date
Your signature
Should be Empty: