37. Blank proxies
(1) A blank proxy is a document which —
(a) when completed by the insertion or addition of the details specified in sub-paragraph (b)(iii) will be a proxy capable of use in accordance with these Regulations; and
(b) contains a statement to the effect that a creditor, member or contributory to be named in the document when completed —
(i) appoints a proxy-holder, to be named in the document when completed, as the proxy of the creditor, member or contributory at a meeting to be specified in the document when completed (which may or may not include the resumption of an adjourned meeting);
(ii) directs or authorises the proxy-holder to propose or vote as, when the document is completed, will be provided in the proxy; and
(iii) makes provision for the insertion or addition of —
(aa) the name and address of the creditor, member or contributory;
(bb) either the name of the proxy-holder or a statement that the proxy is given to the chairman of the meeting;
(cc) if more than one proxy-holder is appointed, the order in which they are authorised;
(dd) a statement of the extent to which the proxy-holder is directed to vote in a particular way or to abstain; and
(ee) the relationship of the person authenticating the proxy to the creditor, member or contributory, and the authority of that person, where the authentication is by someone authorised by the creditor, member or contributory.
(2) Blank proxies delivered under these Regulations must not have inserted in them the name or description of any person as proxy.
(3) The convener of a meeting may require a proxy used at a meeting to be the same as or substantially similar to the blank proxy delivered for that meeting; but if so, the information required to be inserted on the blank proxy must be limited to the things listed in sub-paragraph (1)(b)(iii).
(4) A proxy must be authenticated and dated by the creditor, member or contributory, or by some person authorised by the creditor, member or contributory.
(5) If a proxy is authenticated by a person other than the principal, the nature of that person's authority must be stated.