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Proxy Form - Fields Institute 2023 Annual General Meeting (AGM)

Fields Institute Proxy Form - 2023 Annual General Meeting

Fields Institute 2023 Proxy Form

In order to be validated, the proxy form must be completed including all mandatory fields as indicated by the * asterisk. Incomplete proxies will not be considered.

For information or assistance, contact us at governance@fields.utoronto.ca.
1. I, the undersigned Member of Corporation of the Fields Institute hereby appoint: *This question is required.

as my Proxy to attend and vote on my behalf at the virtual Annual General Meeting of the Members of the Corporation of the Fields Institute, to be held on Thursday, June 22, 2023 at 11:30 am, or at any adjournment thereof.

Proxy Holder Details


If you are appointing someone other than the Chair, Fields Institute Board of Directors/Designate as your proxy, you must complete the Proxy Holder details below for your proxy to be considered valid.
This question requires a valid email address.
2. Your Contact Details
This question requires a valid email address.
3. Sign here. *This question is required.
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