Simple Proxy Form Template – Canada

The Simple Proxy Form Template – Canada is offered in multiple formats, including PDF, Word, and Google Docs. These formats are both customizable and ready for printing, ensuring they cater to your specific requirements effortlessly.


Sample

Simple Proxy Form Template – Canada

Editable – Printable



1. Parties Involved



2. Purpose of the Proxy Form

3. Shareholder Information


4. Meeting Details

5. Voting Instructions

6. Revocation of Proxy

7. Indemnification Clause

8. Limitations of Authority

9. Governing Law

10. Signatures and Acceptance




PDF


WORD

Examples


Simple Proxy Form Template – Canada (1)
Principal:
[Principal’s Name]
[Principal’s Address]
[Principal’s Phone]
[Principal’s Email]
Proxy:
[Proxy’s Name]
[Proxy’s Address]
[Proxy’s Phone]
[Proxy’s Email]
Date:
[Date]
Introduction:
This Proxy Form (“Form”) authorizes [Proxy’s Name] to act on behalf of [Principal’s Name] in the decision-making processes for [specific meeting or purpose], as outlined below.
Clause 1: Authority Granted
The Principal hereby grants the Proxy the authority to vote and exercise power at the [Name of Meeting] on [Meeting Date], based on the instructions provided herein.
Clause 2: Instructions for Voting
The Principal instructs the Proxy to vote as follows:
[Specify voting instructions for resolutions or decisions].
Clause 3: Duration of Proxy
This Proxy shall remain in effect until the conclusion of the [Name of Meeting] or until revoked by the Principal via written notice.
Clause 4: Revocation of Proxy
The Principal may revoke this Proxy at any time before the exercise of the proxy by providing written notice to the Proxy or [Relevant Authority].
Clause 5: Governing Law
This Form shall be governed by the laws of the Province of [Province] in Canada.
Signed in [City], [Date].
Sincerely,
[Principal’s Signature]
[Principal’s Name]
[Proxy’s Signature]
[Proxy’s Name]
Simple Proxy Form Template – Canada (2)
Principal:
[Principal’s Name]
[Principal’s Address]
[Principal’s Phone]
[Principal’s Email]
Proxy:
[Proxy’s Name]
[Proxy’s Address]
[Proxy’s Phone]
[Proxy’s Email]
Date:
[Date]
Objective:
This Proxy Form allows [Proxy’s Name] to represent [Principal’s Name] at the [Name of Meeting] scheduled for [Meeting Date] and act on their behalf with respect to the matters discussed.
Clause 1: Voting Rights
The Proxy is authorized to vote for and on behalf of the Principal on all matters brought forth to the assembly.
Clause 2: Specific Instructions
The Principal provides the following instructions:
[Outline any specific directions regarding voting or decisions].
Clause 3: Proxy Validity
This Proxy Agreement will remain effective until [End Date] or until the Principal submits a written revocation.
Clause 4: Acknowledgment of Authority
The Proxy acknowledges the authority granted and agrees to perform duties in accordance with the instructions received from the Principal.
Clause 5: Governing Law
This Form shall be construed in accordance with the laws of the Province of [Province], Canada.
Signed in [City], [Date].
Sincerely,
[Principal’s Signature]
[Principal’s Name]
[Proxy’s Signature]
[Proxy’s Name]

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Simple Proxy Form Template - Canada