Proxy Voting Form (PV1)
(1) Notes
(a) Instructors or Member Groups who wish to appoint a proxy on their behalf must attach
copies of the following to accompany this Proxy vote.
1.
2.
3.
Your current licence slip
Your current club or group affiliation certificate.
Your current instructor certificate
Failure to do so will render this form invalid.
(b) The proxy must be:
 A member of the BTCB
 At least 18 years of age
 The instructor of another Full Member club or the Chairperson or President of a
Member Group or the registered secretary or assistant instructor of the Full
Member or Member Group that is issuing this proxy vote.
(2) Details of Member issuing proxy
Name
Address
Club/Member Group Name
Club/Group Membership Nº
Instructor’s/Chairman’s Licence Nº
Licence Expiry Date
Instructor Nº
(3) Quick Vote
“I wish to support the Executive’s recommendations”
I appoint the Chairman of the meeting as my representative to vote on my behalf at the AGM
(and any adjournment) in favour of each resolution and the candidates in the election of posts
and on any other matter that may arise at the meeting (or any adjournment).
I declare that, as far as I can reasonably foresee, I qualify to vote within the voting
qualifications set out in the Notes for the AGM and the British Taekwondo Constitution.
Signed on behalf of Member Club/
Group
Date
Instructors wishing to complete this section need only complete the information above.
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AUTHORISATION OF PROXY VOTE
(4) Details of Membership and Proxy
Club/Member Group issuing proxy
Name of proxy
Date of birth of proxy
Address of proxy
Category of proxy
(Click to choose.)
Method of identification
(click to choose)
(5) Voting
For
1.
To appoint auditors
2.
To approve the following published amendments to the Constitution.
3
To give proxy the discretion to vote on any other
amendments to the Constitution tabled at the AGM.
(6) Signatures
Signed on behalf of Member Club/
Group
Date
Signature of Proxy
Date
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Yes
Against
No
Withheld