FORM OF PROXY: E-Copy

NORTH LANARKSHIRE CARERS TOGETHER (“the Company”)

COMPANY NUMBER: SC284126

SCOTTISH CHARITY NUMBER: SC033795

GENERAL MEETING

FORM OF PROXY

Before completing this form, please read the notes contained in the notice of general meeting and the explanatory notes below.

I,*

First NameLast Name

Address*

Street Address

Street Address Line 2

Postal / Zip Code

being a member of being a member of the Company, pursuant to section 324(1) of the Companies Act 2006, appoint the chair of the meeting or

Proxy name

First NameLast Name

, as my proxy to attend, speak and vote on my behalf at the general meeting of the Company to be held on 12th November at 10.30am and at any adjournment of the meeting.

Signature*

Date*

Date

I direct my proxy to vote on the following resolutions as I have indicated by marking the appropriate box with an 'X'.

Please choose your voting option *

	For	Against
Special Resolution 1 That the Company be converted from a company limited by guarantee to a Scottish Charitable Incorporated Organisation (“SCIO”), and that the appropriate application for conversion to an SCIO be made to the Office of the Scottish Charity Regulator (“OSCR”).
Special Resolution 2 That the regulations contained in the draft constitution produced to the meeting and, for the purposes of identification, initialled by the chairperson of the meeting, be adopted as the proposed constitution of the new SCIO (including any future amendments which are required by OSCR to ensure that the constitution complies with the Charities and Trustee Investment (Scotland) Act 2005 and The Scottish Charitable Incorporated Organisations Regulations 2011).”

Signature*

Special Resolution 1

Special Resolution 2