The DOT(WA) AGM is being held on Tuesday the 23rd of August 2022. If you were a 2021-22 member of DOT(WA) and are unable to attend the AGM, please consider completing this form to nominate a proxy to vote on your behalf at the meeting. The proxy MUST be in attendance at the meeting AND they must have been a 2021-22 member of DOT(WA).
If you are unaware of a person who is attending the meeting, you are welcome to nominate a current committee member who will be at the meeting to act as your proxy (you can list their name or committee role).

Question Title

* 1. By completing the following information, I am allocating my proxy vote to the member nominated below.

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