Annual Report 2012 - Dialog

Annual Report 2012 l Dialog Axiata PLC l 139
Form of Proxy
I/We (name of shareholder/s) ................................................................................................................................................
(Holder of NIC / Passport /Company Registration No./s.......................................................................................................)
of (address of shareholder/s) ..................................................................................................................................................
being a shareholder/s of Dialog Axiata PLC, hereby appoint :
(Name of proxy) ............................................................................................................................................................
(Holder of NIC/Passport No/s .................................................................................................................) of (address
of proxy) ........................................................................................................................................................................
OR failing him/her
Datuk Azzat Kamaludin (Chairman of the Company) or, failing him, one of the Directors of the Company
as my/our proxy to represent me/us and vote on my/our behalf in accordance with the preference as indicated below
at the Sixteenth Annual General Meeting of the Company to be held on 08th May 2013 at 03.30 PM and at any
adjournment thereof, and at every poll which may be taken in consequence thereof.
RESOLUTIONS FOR AGAINST
Ordinary Business:
Ordinary Resolution 1
Ordinary Resolution 2
Ordinary Resolution 3
Ordinary Resolution 4
Ordinary Resolution 5
Ordinary Resolution 6
Ordinary Resolution 7
Ordinary Resolution 8
Special Business:
Special Resolution 1
Special Resolution 2
Ordinary Resolution 9
(Please indicate with a ‘X’ in the space provided how your proxy is to vote on each resolution.
If you do not do so, the proxy will vote or abstain from voting at his discretion.)
Signature(s) of Shareholder(s) Contact No. of Shareholder/s Date
NOTE:
Instructions as to completion of the Form of Proxy are noted on the reverse hereof.