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Extraordinary General Meeting 6th December 2021 Form of Proxy

for members to appoint someone else to represent you at the EGM if you cannot attend yourself

Complete the form to appoint your proxy and instruct them how to vote

Your completed form must be submitted no later than 9am on Tuesday 30th November 2021.

Once you have submitted the form you will receive an email asking you to respond to confirm your identity so that Mind in Harrow can match against our membership records.  You must respond to this email – please check your email Junk folder to ensure that you don’t miss it.

You must respond to the confirmation email no later than 9am on Thursday 2nd December 2021.

If you have appointed someone other than the Chair as your proxy, that person will have to register to attend the Zoom meeting as set out in the papers with the notice of the meeting sent to members.

Notes to the form of proxy

1. As a member of Mind in Harrow you are entitled to appoint a proxy to exercise your rights to attend, speak and vote at a general meeting of Mind in Harrow. You can only appoint a proxy using the procedures set out in these notes.
2. Appointment of a proxy does not prevent you from attending the meeting and voting in person. If you have appointed a proxy and attend the meeting in person, your proxy appointment will automatically be terminated.
3. A proxy does not need to be a member of Mind in Harrow but must attend the meeting to represent you. If you wish to appoint a proxy other than the chair of the meeting, insert their full name in the box. If you leave this space blank, the chair of the meeting will be appointed your proxy.
4. To direct your proxy how to vote on the resolutions mark the appropriate box (“Agree” or “Disagree”).  If no voting indication is given, your proxy will vote or abstain from voting at his or her discretion. Your proxy will vote (or abstain from voting) as he or she thinks fit in relation to any other matter which is put before the meeting, including a motion to adjourn.
5. To appoint a proxy using this electronic form, the form must be received by Mind in Harrow no later than 9am Tuesday 30th November.
6. Once you have submitted this electronic form of proxy, please expect to receive an email to confirm your identity. It is advised that you check your spam/junk email folder to ensure that you don’t miss this email. For an electronic proxy appointment to be valid, you must have responded to the confirmation email no later than 9am Thursday 2nd December 2021.
7. If you submit more than one valid proxy appointment, the appointment received last before the latest time for the receipt of proxies will be used.
8. You may not use any electronic address provided in this proxy form to communicate with Mind in Harrow for any purposes other than those stated.

In summary:
– member to complete and submit electronic form appointing proxy by 9am Tues 30th November
– member to respond to email to confirm identity by 9am Thurs 2nd December
– proxy to register on Zoom by 3pm Mon 6th December 2021 to attend EGM.

If any Member has any questions about the new Articles or wishes to provide apologies for non-attendance at the meeting, please contact the Chair at

Mind in Harrow Extraordinary General Meeting - Form of Proxy

Complete this form by 9am Tuesday 30th November to appoint either the Chair of the meeting or another person as proxy to vote on your behalf at the EGM on Monday 6th December 2021. Before completing this form, please read the explanatory notes accompanying.

  • enter full name
  • as my proxy to attend, speak, and vote on my behalf at the General Meeting of the Company to be held on Monday 6th December 2021 at 5:30pm and at any adjournment of the meeting. I direct my proxy to vote on the following resolution as I have indicated by marking the appropriate box.
  • Once you have submitted your form, we will send you an email from asking you to confirm your identity as a Member of Mind in Harrow. Please respond to this email so that your proxy can be registered. If you do not respond to the email, your proxy will not be registered and your vote will not be counted unless you attend the meeting yourself via Zoom.
  • This form collects your information so that we can contact you in response to your enquiry. Please see our privacy statement for information on how we protect and manage your data.