Proxy Appointment Confirmation – Penrhos College Alumni AGM

Penrhos College Alumni - Proxy Form

2025 Annual General Meeting Tuesday, 18 November 2025, 6pm Colwyn Centre, Penrhos College
Your Details
Name*

First NameLast Name
Maiden name (if applicable)
Graduating year*
Email Address *
Phone Number*
Please enter a valid phone number.
Appointed Proxy
Full Name of Proxy*

First NameLast Name
Graduating year of Proxy
Email Address of Proxy
Voting Direction
Please choose one of the following:*

My proxy may vote as they see fit on any matter arising at the meeting.My proxy is directed to vote as follows (optional):
If you selected “directed to vote”, please include your voting instructions below (optional):
Acknowledgement
Please read and confirm all statements below.*

I confirm that I am a Life Member of the Penrhos College Alumni.I understand that this proxy must be submitted before the commencement of the AGM.I understand that my nominated proxy must also be a Life Member of the Penrhos College Alumni.
📩 For questions or assistance, please contact the Alumni Office
📧 alumni@penrhos.wa.edu.au
📞 (08) 9368 9539
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Penrhos College Alumni - Proxy Form