Proxy eForm AGM 29 May 2025

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ST JOHN AMBULANCE AUSTRALIA (NSW) ANNUAL

GENERAL MEETING 29 MAY 2025

INSTRUMENT APPOINTING A PROXY

I, of Being a Member of St John Ambulance Australia (NSW) appoint (who is also a Member) alternatively (who is also a Member) of of as my proxy to vote for me at the Annual General Meeting of St John Ambulance Australia (NSW) to be held on 29 May 2025 and at any adjournment thereof.

Signed this day of 2025

Signature of Member

Email address:

(please print clearly)

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