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Annual Report for 2012-13 - Mangalore Refinery and ...

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MANGALORE REFINERY AND PETROCHEMICALS LIMITED<br />

Registered Office : Mudapadav, Kuthethoor P.O. VIA. Katipalla, <strong>Mangalore</strong> - 575 030, Karnataka<br />

ATTENDANCE SLIP<br />

25 th <strong>Annual</strong> General Meeting<br />

23 rd September, 20<strong>13</strong><br />

Regd. Folio No.<br />

No. of Shares held<br />

*D.P Id<br />

*Client Id<br />

I Certify that I am a registered Shareholder/Proxy <strong>for</strong> the Registered shareholder of the Company.<br />

I hereby record my presence at the 25 th <strong>Annual</strong> General Meeting of the Company held on Monday, 23 rd September, 20<strong>13</strong> at 4:00 p.m. at Mudapadav, Kuthethoor P.O. Via. Katipalla,<br />

<strong>Mangalore</strong> - 575 030, Karnataka.<br />

MembersÊ/ProxyÊs Name in Block Letters<br />

Note : Please fi ll this Attendance Slip <strong>and</strong> HAND IT OVER AT THE ENTRANCE OF THE MEETING HALL<br />

* Applicable <strong>for</strong> investors holding shares in electronic <strong>for</strong>m.<br />

✂<br />

✂<br />

MembersÊ/ProxyÊs Signature<br />

MANGALORE REFINERY AND PETROCHEMICALS LIMITED<br />

Registered Office : Mudapadav, Kuthethoor P.O. VIA. Katipalla, <strong>Mangalore</strong> - 575 030, Karnataka<br />

FORM OF PROXY<br />

25 th <strong>Annual</strong> General Meeting<br />

23 rd September, 20<strong>13</strong><br />

Regd. Folio No.<br />

No. of Shares held<br />

*D.P Id<br />

*Client Id<br />

I/We<br />

of<br />

being a Member /Members of the above named Company hereby appoint<br />

of<br />

or failing him of as<br />

my/our proxy to vote <strong>for</strong> me/us on my/our behalf at the Twenty Fifth <strong>Annual</strong> General Meeting of the Company to be held on Monday, 23 rd September, 20<strong>13</strong> at 4:00 p.m. <strong>and</strong> at any<br />

adjournment thereof.<br />

Affi x ` 1<br />

Revenue<br />

Stamp<br />

Signed this day of 20<strong>13</strong>.<br />

(Signature)<br />

*Applicable <strong>for</strong> investors holding shares in electronic <strong>for</strong>m.<br />

Note : This <strong>for</strong>m in order to be effective should be duly stamped, completed <strong>and</strong> signed <strong>and</strong> must be deposited at the Registered Offi ce of the Company not less than 48 Hours be<strong>for</strong>e<br />

the time of commencement of the meeting.

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