PROXY VOTING FORM

For the decisions and votes to be taken during the meeting

Please send to the Secretariat ([email protected])

before Friday 21 April 2023 at 11 am

I hereby certify that I am unable to attend the meeting of the General Assembly on …. April 2023, but delegate authority to

Name of the person entitled to vote ...........................................................................

Date he/she will represent me ……………………………………………………………………………………

to represent me and vote on my behalf on all questions put to the vote during the meeting.

Done at ........................................................ on 2023

Signature