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PROXY APPOINTMENT FORM MEDUSA MINING LIMITED ACN 099 377 849 Name and address of member or joint members Appointment of proxy I/We, being a member/s of Medusa Mining name of individual or body corporate

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What is proxy appointment form?

The proxy appointment form is a legal document that allows a person or entity to appoint another individual or organization to act on their behalf during a specific event or transaction.

Who is required to file a proxy appointment form?

The requirement to file a proxy appointment form may vary depending on the specific event or organization. Generally, individuals or entities who are unable to attend a meeting, vote, or fulfill their obligations in person may be required to file this form to appoint a representative.

How to fill out a proxy appointment form?

To fill out a proxy appointment form, you typically need to provide your personal details, such as name, contact information, and identification. You will also need to specify the individual or organization you are appointing as your proxy and indicate the specific powers or actions they can take on your behalf. The form may have specific instructions that need to be followed to ensure its validity.

What is the purpose of a proxy appointment form?

The purpose of a proxy appointment form is to facilitate the appointment of a representative who can act on behalf of an individual or entity when they are unable to fulfill their obligations in person. It allows the appointee to make decisions, vote, or perform specified actions as authorized by the person or entity appointing them.

What information must be reported on a proxy appointment form?

The information required on a proxy appointment form may vary depending on the specific requirements of the event or organization. However, common information includes the appointee's name and contact information, the appointor's name and contact information, the specific powers or actions authorized, and any relevant identifying details or signatures. It is advisable to carefully read the instructions provided with the form to ensure all required information is included.

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