Proxy Form
NEPAL CULTURAL SOCIETY OF BC
PROXY FORM
I, _________________________ of ______________________________ in the Province of ______________________, hereby appoint __________________________ of _________________________________, as my proxy to vote for me and on my behalf at the (Annual or Special as the case may be) General Meeting of the Nepal Cultural Society of BC to be held on the ____________ day of _______________ (month)__________ (year), and at any adjournment thereof.
Signed at _________________________ this ____________ day of _______________ (month)__________ (year)
_____________________________________
Signature
