This form is to be presented to the UWSA Secretary, or designate, 24 hours prior to the start of the UWSA Annual General Meeting.

Please note your userid and date/time will be recorded automatically.


Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

I am a member of the UWSA, and do declare that I am unable to be present at the UWSA Annual General Meeting on the date of October 28, 2021.
I hereby assign by proxy my voting privileges for the above Annual General Meeting to this UWSA member.

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