Full integrated annual report - African Bank - Investoreports

Application form: electronic participation
African Bank Investments Limited
(Registration number 1946/021193/06)
(Incorporated in the Republic of South Africa)
(Registered bank controlling company)
Ordinary share code: ABL ISIN : ZAE000030060
Preference share code: ABLP ISIN : ZAE000065215
(ABIL or the company)
To be returned to the transfer secretaries, Link Market Services SA Proprietary Limited, 13th Floor, Rennie
House, 19 Ameshoff Street, Braamfontein (PO Box 4844, Johannesburg, 2000) or via electronic mail to
corpactfax@linkmarketservices.co.za or via facsimile to fax number 086 674 3330 as soon as possible and no
later than 17h00 on Monday, 30 January 2012.
Full name of shareholder;
If corporate – registration number of shareholder:
If corporate – name of individual authorised to represent the corporate:
Identity number of individual shareholder or individual representative
of a corporate:
Email address:
Cell phone number:
Telephone number (including dialling code from SA):
Name of CSDP or broker (if shares are in dematerialised form):
Contact number of CSDP/broker:
Number of share certifi cate (if applicable):
Documents to be attached to this application form:
Proxies of shareholders may participate in the AGM via electronic communication provided that completed
proxy forms have been lodged in accordance with the instructions contained in the notice of AGM and
such completed proxy form is also attached to this application form.
Documentary evidence establishing the authority of a person who is to participate in the AGM on behalf
of a shareholder in a representative or other legal capacity (such as a power of attorney or other written
authority) must be attached to this application form.
CSDPs or brokers registered in the company’s sub-register participating on instructions from benefi cial
owners of shares registered in the company’s sub-register are requested that they identify the benefi cial
owner in the sub-register on whose behalf they are participating and attach a copy of the instructions from
such owner to this application form.
Holders of dematerialised shares wishing to participate in the AGM must inform their CSDP or broker of
such intention and request their CSDP or broker to issue them with the necessary authorisation to attend,
which authorisation must be attached to this application form.
A copy of the identity document of the individual shareholder or individual representative or proxy of a
shareholder must be attached to this application form.
Integrated report 2011 | African Bank Investments Limited