VIC State Council Proxy Voting Form

VIC State Council Nominations Voting Form

Voting closes on 17 March 2026
Each eligible member is entitled to submit one (1) voting form. To be valid, this voting form must be completed in full and received no later than 5:00pm on 17 March 2026. Voting forms received after this time, or submitted by a person who is not a current financial member, may be declared invalid at the discretion of the Returning Officer.

Only voting members (ATIs, FTIs, and CTAs), whose Division resides in the voting state are eligible to vote.
Member details
Full Name*

First NameLast Name
Phone Number*
E-mail
example@example.com
Membership number*
State Division*
Firm*
Membership Type*
Your vote

Please indicate your vote by selecting the checkbox adjacent to the name of the candidate for whom you wish to vote. Each member may submit only one voting form. There is one position available on VIC State Council in 2026. To ensure your vote is counted, please complete the form in full and submit it by the deadline. Online voting closes on 17 March 2026.
Preferred members to join VIC State Council*

Kathleen Jess, CTA, Wisewould Mahony LawyersRussell Krupp, CTA, Moray & AgnewGary Thomas, CTA, Gary Thomas Proprietary Limited
Signature: I hereby declare that I am an eligible voting member and the information provided above is true and correct.
Submission of this form electronically constitutes the member’s signature and confirmation of this declaration.
Should be Empty:

VIC State Council Nominations Voting Form