Cover 1 - Apollo Hospitals Dhaka

STS Holdings Limited
(Registered Office: House # 8/A, Road # 143, Gulshan-1, Dhaka-1212)
PROXY FORM
I/We ………………………………………………………………………………………………...……………………
of …………………………………………………………………………………………………...……………………
being a member of STS Holdings Limited do hereby appoint
Mr./Mrs./Miss ………………………………………………………………………………
of …………………………………………………………………………………………
as my/our proxy to attend and vote for me/us on my/our behalf at the 15th Annual General Meeting of the Company
to be held on Tuesday the 8th May, 2012 at 10.00 a.m. in the Board Room of Apollo Hospitals Dhaka at Plot # 81,
Block-E, Bashundhara R/A, Dhaka-1229 and at any adjournment thereof.
As witness my hand this day of ………….. May, 2012.
(Signature of the Proxy)
(Signature of the Shareholder)
Register Folio No…………………
Dated:…………………
Note: The proxy form should reach the Registered Office of the Company not less than 48 hours before the time fixed
for the meeting.