FORM FOR APPOINTMENT OF PROXY - Gabriel

FORM FOR APPOINTMENT OF PROXY
For Gabriel Holding A/S’s annual general meeting on Thursday 15 December 2011
Number of votes: ____________________
The undersigned hereby grants proxy on my behalf to attend and vote at the annual general meeting of Gabriel Holding
A/S on Thursday 15 December 2011 as below:
Please insert a cross in A) or B) or C):
A) □ Proxy is hereby granted to:______________________________________________________
Proxy holder’s name and address in BLOCK LETTERS
or
B) □ Proxy is hereby granted to the board of directors (or order) to vote in accordance with the board’s
recommendation as specified in the form below.
or
C) □ Proxy with specific instructions is hereby granted to the board of directors (or order) to vote in accordance
with the checked fields below. Please check the fields “FOR”, “AGAINST” or “OMIT” to specify how the votes
are to be given.
Agenda points
(The agenda is given in the notice of meeting)
(The agenda can be viewed at www.gabriel.dk)
1. The board ‘s report on the company’s activities in the
past financial year ……………………………………………
2. Presentation of the annual report with auditors’ report for
approval............................................………………………
3. Decision on application of profit or covering of loss under
the approved annual report.
The board proposes a dividend of DKK 4,25 per share….
4. Election of members to the company’s board of directors
The board recommends re-election of :
a.) Claus Christensen.……………….......………………..
b.) Jørgen Kjær Jacobsen.………………………………..
c.) Kaj Taidal ……………….………………………………
d.) Søren B. Lauritsen……………………………………..
5. Election of auditor
The board recommends re-election of KPMG,
Statsautoriseret Revisionspartnerselskab…………….....
6. Any other business………………………………………….
FOR AGAINST OMIT Board’s
recommendation
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FOR
FOR
FOR
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FOR
FOR
FOR
FOR

If the form for appointment of proxy is simply dated and signed, it will be deemed to have been given in
accordance with the recommendation of the board of directors as stated in the above form.
The proxy applies to all items considered at the general meeting. If new proposals are put to a vote, including for
changes or personal proposals which are not stated on the agenda, the holder of the proxy will vote on your behalf in
accordance with his or her own judgment.
Date Signature
This proxy form must be received by Gabriel not later than three days before the general meeting.
This is a translation of the original Danish text. In the event of discrepancies between the Danish and English texts, the
Danish version shall prevail.