雙周年會員大會投票委託書 Biennial General Meeting Proxy Form
本人為香港地貌岩石保育協會會員，現委任大會主席為本人的代表，代表出席該會於2021年3月 21日召開之2021 - 2022年度雙周年會員大會及任何有關之延會，就會議之有關議決案及所討論之事項（包括任何未被列入雙周年大會通告內之事項）投票，代表人可酌情決定如何投票或放棄投票。
I, being member of Association for Geoconservation, Hong Kong, hereby appoint the Chairman of the Meeting as my proxy to attend and vote on my behalf at the Association’s Biennial General Meeting to be held on 21 March 2021 and at any adjournment thereof. The proxy will at his/her discretion vote as he/she thinks fit or abstain from voting in relation to all resolutions and all business of the Meeting (including those issues not listed in the Notice of the Meeting) .
姓氏 （須與身份証/護照相符）Surname (same as shown on your ID card/Passport)
名字 （須與身份証/護照相符）Given Name (same as shown on your ID card/Passport)
香港身份證/護照號碼(首4位字母數字) Hong Kong ID Card/Passport No. (first 4 alphanumeric characters)
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