“A”
I/We, ___________________________________________________________________________________________________
(NAME AS PER NRIC/CERTIFICATE OF INCORPORATION IN CAPITAL LETTERS)
with (NEW NRIC NO.) _______________________ (OLD NRIC NO.) ____________________ (COMPANY NO.) ____________________
of ______________________________________________________________________________________________________
(FULL ADDRESS)
________________________________________ (TELEPHONE/MOBILE NO.) _________________________________________
being a Member/Members of
AXIATA GROUP BERHAD
hereby appoint_______________________________________________
(NAME AS PER NRIC IN CAPITAL LETTERS)
with (NEW NRIC NO.) ______________________________________ (OLD NRIC NO.) ___________________________________
of _______________________________________________________________________________________________________
(FULL ADDRESS)
_________________________________________________________________________________________________________
or failing him/her, _________________________________________________________________________________________
(NAME AS PER NRIC IN CAPITAL LETTERS)
with (NEW NRIC NO.) _______________________________________ (OLD NRIC NO.) __________________________________
of _______________________________________________________________________________________________________
(FULL ADDRESS)
or failing him/her, the Chairman of the Meeting, as my/our
first
proxy to vote for me/us on my/our behalf at the 24th Annual General
Meeting of
AXIATA GROUP BERHAD
to be held at the Grand Ballroom, 1st Floor, Sime Darby Convention Centre, 1A Jalan Bukit Kiara
1, 60000 Kuala Lumpur, Malaysia on Wednesday, 25 May 2016 at 2.00 p.m. or at any adjournment thereof.
“B”
If you wish to appoint a second proxy, please complete this section.
I/We, ___________________________________________________________________________________________________
(NAME AS PER NRIC/CERTIFICATE OF INCORPORATION IN CAPITAL LETTERS)
with (NEW NRIC NO.) ______________________ (OLD NRIC NO.) ____________________ (COMPANY NO.) __________________
of _______________________________________________________________________________________________________
(FULL ADDRESS)
________________________________________ (TELEPHONE/MOBILE NO.) _________________________________________
being a Member/Members of
AXIATA GROUP BERHAD
hereby appoint_______________________________________________
(NAME AS PER NRIC IN CAPITAL LETTERS)
with (NEW NRIC NO.) _____________________________________ (OLD NRIC NO.) ____________________________________
of _______________________________________________________________________________________________________
(FULL ADDRESS)
_________________________________________________________________________________________________________
or failing him/her, _________________________________________________________________________________________
(NAME AS PER NRIC IN CAPITAL LETTERS)
with (NEW NRIC NO.) ______________________________________ (OLD NRIC NO.) ___________________________________
of _______________________________________________________________________________________________________
(FULL ADDRESS)
or failing him/her, the Chairman of the Meeting, as my/our
second
proxy to vote for me/us on my/our behalf at the 24th Annual
General Meeting of
AXIATA GROUP BERHAD
to be held at the Grand Ballroom, 1st Floor, Sime Darby Convention Centre, 1A Jalan
Bukit Kiara 1, 60000 Kuala Lumpur, Malaysia on Wednesday, 25 May 2016 at 2.00 p.m. or at any adjournment thereof.
PROXY
FORM
(Before completing the form, please refer to the notes overleaf)
