FORM OF APPOINTMENT OF PROXY
I, …………………………………………………………………………………..
(name)
of ……………………………………………………………………………………
(address)
being a member of ……………………………………………………………………
(name of Incorporated Association)
appoint ………………………………………………………………………………
(name of proxy holder)
of ……………………………………………………………………………………….
(address of proxy holder)
being a member of that Incorporated Association, as my proxy to vote for me on my behalf at the Annual
General Meeting of the Association to be held on
Saturday the 18th of April 2015
and at any adjournment of that meeting.
My proxy is authorised to vote for/against* the following resolutions
(Sign on page 3)
6.
Elections
6.1
Election of Officers 2015
6.1.1
Patron
His Excellency the Honourable Sir Anand Satyanand, GNZM, QSO
Governor General of New Zealand
For/Against (circle one)
6.1.2.
President
Nomination
Nominated by
Penelope Simmonds
Eastern Southland/Invercargill
For/Against (circle one)
6.1.3.
Vice Presidents
Nomination
Nominated by
Female
No nominations have been received for this role.
Nominations for this vacancy will be taken at the AGM (Clause 12.2, C (v)
of the NZHF Rules)
Male
Neil Edmundson
Hawkes Bay
For/Against (circle one)
6.2
Election of Board Members 2015
6.2.1
Female Board Members
2
Nominated by
vacancies
Please circle For/Against PLUS indicate 1st, 2nd 3rd choice on a FOR vote

Kylie Clegg
Auckland
(Current Co-Opted Hockey New Zealand Board Member)
For/Against (circle one) 1st, 2nd 3rd choice (circle one)

Sarah Neilson
Wellington
For/Against (circle one) 1st, 2nd 3rd choice (circle one)

Sharon Williams North Harbour and Waikato
For/Against (circle one) 1st, 2nd 3rd choice (circle one)
(Current Appointed Hockey New Zealand Board Member)
6.2.2
Male Board Members
Nominated by
2 vacancies

Dean Ellwood
Auckland
For/Against (circle one)
(Current elected Hockey New Zealand Board Member/Chair)

Andy Rowe
Marlborough
For/Against (circle one)
(Current elected Hockey New Zealand Board Member)
Life Member Award Nominations
The Board of Hockey New Zealand have unanimously accepted the following nominations for Life
Membership for voting on by Members.
Nominee:
CRICHTON CHRISTIE
Nominated by:
Northland Hockey Association
For/Against (circle one)
Nominee:
JEANETTE HARPER
Nominated by:
Canterbury Hockey Association
For/Against (circle one)
Nominee:
BILL SHEPHERD
Nominated by:
Northland Hockey Association
For/Against (circle one)
Nominee:
SUE SHEPHERD
Nominated by:
Northland Hockey Association
For/Against (circle one)
Nominee:
JOHN WILLIAMSON
Nominated by:
Hockey New Zealand Board
For/Against (circle one)
Signed:
Date: