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Annual Report 2011 - 2012 - Colombo Stock Exchange

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18<br />

FORM OF PROXY<br />

I/We ……………………………………………………………………………………… of ………………………………………………………… Member/members of the above named<br />

Company, hereby appoint …………………………………………………… of ………………………………………………………… or failing him/her.<br />

Mr. Lalith Heengama<br />

Dr. Kosala Heengama<br />

Mr. Gregory Scott Newsome<br />

Mr. Gamini Sarath Munasinghe<br />

Mr. R.N. Asirwatham<br />

of <strong>Colombo</strong> or failing him<br />

of <strong>Colombo</strong> or failing him<br />

of <strong>Colombo</strong> or failing him<br />

of <strong>Colombo</strong> or failing him<br />

of <strong>Colombo</strong> or failing him<br />

As my/our proxy to represent me/us and to attend speak and vote for me/us on my/our behalf at the <strong>Annual</strong> General Meeting of the Company to<br />

be held at Crystal Room upper, Taj Samudra on 19th September <strong>2012</strong> at 1.00 p.m. and at any adjournment thereof and at every poll which may<br />

be taken in consequence thereof.<br />

As my/our proxy to attend and vote for me/us on my/our behalf at the Ninety Ninth <strong>Annual</strong> General Meeting of the Company to be held on<br />

19th September <strong>2012</strong> and at any adjournment thereof.<br />

Please indicate with an 'x' in the space below how you wish your votes to be cast.<br />

1. To adopt the Statement of Accounts for the year ended 31st March <strong>2012</strong><br />

For<br />

Against<br />

2. To re-appoint Mr.Lalith Heengama<br />

3. To re-appoint Mr. R.N. Asirwatham.<br />

4. To re-appoint Auditors<br />

5. To authorize the Directors to determine and make payments<br />

6. Special Business Adoption of new Articles<br />

Signed on this ……………………………………………………………………………………… day of <strong>2012</strong><br />

Signature ………………………………………………………………………………………………<br />

The <strong>Colombo</strong> Pharmacy Company PLC<br />

<strong>Annual</strong> <strong>Report</strong> <strong>2011</strong> - <strong>2012</strong><br />

Form of Proxy<br />

62

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