Elpitiya Plantations Plc Annual Report 2010/11 - Colombo Stock ...

Form of Proxy
I/We ……………………………………………………………………………………………………………..…....................………............… of
……………………………………………………………………………..…………………………….........…..…………………............……..……
being a member / members of ELPITIYA PLANTATIONS PLC., hereby appoint ………………………………………..……………………
..………………………………………….………………………................................................................................…….........................… of
………………………………....………….…………………………………….…………..……….....…............……….….......…… (whom failing)
Joseph Michael Suresh Brito of Colombo
(whom failing)
Rohan Marshall Fernando of Colombo
(whom failing)
Merrill Joseph Fernando of Colombo
(whom failing)
Malik Joseph Fernando of Colombo
(whom failing)
Sumith Anura Bandara Ekanayake of Colombo
(whom failing)
Lalit Nihal de Silva Wijeyeratne of Colombo
(whom failing)
Mapa Pathirannahalage Deshapriya Udaya Kumara Mapa Pathirana of Colombo
as my / our Proxy to vote for me/us and on my /our behalf at the Annual General Meeting of the Company to be held on 26th September
2011 and at any adjournment thereof and at every poll which may be taken in consequence thereof.
Signed this .............................day of .........................Two Thousand and Eleven
.....................................
Signature
Note: Instructions as to completion are noted on the reverse hereof.