PROXY FORM 2017 You will need to complete ALL fields Please note the closing date for proxies is 5:30pm EDST Friday 17 November 2017. OK Question Title * Company details: Company name ATEC membership number OK Question Title * I/we, <enter individual(s) name(s)> OK Question Title * being financial members of the Australian Tourism Export Council Limited hereby appoint the following: ATEC Chairman Other (please indicate) Name and company of proxy OK Question Title * As my/our proxy to vote for me/us on my/our behalf at the general meeting of the Australian Tourism Export Council Limited to be held on the 20th day of November, 2017 and at any adjournment thereof. This electronic form authorises the proxy to vote on my/our behalf on all resolutions. OK Question Title * Declaration: I hereby declare that the signatures uploaded to endorse this proxy nomination are genuine digital signatures of the individuals stated. OK Question Title * Signed by the said: please upload an electronic copy of YOUR hand-written signature. DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Signed by the said: please upload an electronic copy of YOUR hand-written signature. OK Question Title * Signed in the presence of: please upload an electronic copy of the hand-written signature of a WITNESS: DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Signed in the presence of: please upload an electronic copy of the hand-written signature of a WITNESS: OK Question Title * Please enter the name and company of your WITNESS. Name Company OK DONE