Dietitians Association of New Brunswick

June 6, 2025 Annual General Meeting Proxy

Instructions
1. If you will NOT be present at the virtual Annual General Meeting, please complete the proxy below.
This year, there is one By-Law amendments to vote on. The submission of the proxy is also for the purposes of achieving quorum and to appoint a proxy to vote on your behalf with respect to matters of routine procedure at the meeting.
2. The completed proxy form must be submitted no later than Tuesday, June 3, 2025.
3. Complete the form by indicating:
– Your full name, email address and NBAD registration number;
– Who will be your Proxy;
– How the Proxy will vote on your behalf;
– Your electronic signature;
– Electronic signature of the person witnessing you completing this form (witness does not require to be an NBAD member).
4. A confirmation email will be sent to the email address indicated below once you submit this form.

Name*
First Last
Email*
Enter Email Confirm Email
Registration Number*
I hereby appoint the following person present at the AGM meeting as the Proxy to vote on my behalf with respect to matters of routine procedure at the meeting:*
- A member of the Board of Directors
- An Active Member in good standing of NBAD
If appointing another Active member as a Proxy, please indicate their full name.*
First Last
Please select which member of the Board of Directors you would like as a Proxy.*
Motion 12.1 - By-Law VIII Amendment Board of Directors (Honorarium)
- For
- Against
- Abstention
- As my appointed Proxy wishes
I, the above named, provide my signature to this proxy electronically (type in your name).*
Electronic signature of WITNESS (type in the name of the person witnessing you completing this form. Does not require to be an NBAD member).*
Witness electronic signature consent*
- I, the above named, provide my signature as a witness to the execution of this proxy electronically.