Proxy Form – Committee

and any adjournment of that meeting. I direct the proxy to vote in relation to the following resolutions or matters as follows:

If the proxy is elected to a Committee at any General Meeting or is co-opted to a Committee, the proxy’s appointment continues until a new Committee is elected. I consent to nominate for the Committee.

This proxy is valid for a period of twelve (12) months after being given, or expires on this date being not more than twelve (12) months from the date of being given.