2023 AGM Proxy Nomination - Learning Difficulties Australia Inc.

This form is for use by LDA members to nominate a proxy to vote on their behalf at the Learning Difficulties Australia 2023 AGM. Please note that your proxy must be a current voting member of LDA.

"*" indicates required fields

Member Number*

Name*

First Last

Proxy Member Number*

Proxy Name*

First Last

Proxy Authorisation*

I hereby authorise the above nominated person to vote on my behalf at the 2023 AGM of Learning Difficulties Australia Inc. I confirm that I have obtained agreement from the aforementioned nominee that they will act as my proxy.

Sign up for the latest news, announcements & information!