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videocon industries limited - Domain-b

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PROXY FORM<br />

VIDEOCON INDUSTRIES LIMITED<br />

14 K.M. Stone, Aurangabad – Paithan Road, Village Chittegaon, Taluka Paithan,<br />

District Aurangabad – 431 105 (Maharashtra).<br />

Regd. Folio No./Client ID No. ....................................................................<br />

I/We ...............................................................................................................................................................................of<br />

.................................................................................................................................................................. in the district of<br />

......................................................................................................................... being a member / members of the above<br />

named Company hereby appoint ................................................................................................................................. of<br />

..................................................................................in the district of .......................................................... or failing him<br />

.................................................................................. of ..........................................................................................in the<br />

<br />

district of ..................................................................................................... as my/our proxy to vote for me/our behalf at<br />

the 20th ANNUAL GENERAL MEETING of the Company to be held on Monday, March 30, 2009 at 12.00 Noon at<br />

<br />

District Aurangabad – 431 105 (Maharashtra), and at any adjournment thereof.<br />

Signed this .........................................day of ..........................................2009.<br />

<br />

Rupee 1/-<br />

Revenue<br />

Stamp<br />

<br />

NOTE <br />

not later than 48 hours before the time of the Meeting.<br />

<br />

ATTENDANCE SLIP<br />

VIDEOCON INDUSTRIES LIMITED<br />

14 K.M. Stone, Aurangabad – Paithan Road, Village Chittegaon, Taluka Paithan,<br />

District Aurangabad – 431 105 (Maharashtra).<br />

Regd. Folio No./Client ID No.: ................................................... No. of Shares held ........................................................<br />

I certify that I am a registered Shareholder/Proxy for the registered Shareholder of the Company.<br />

I hereby record my presence at the 20th ANNUAL GENERAL MEETING of the Company to be held on Monday, March 30, 2009 at<br />

<br />

District Aurangabad – 431 105 (Maharashtra),<br />

.................................................................................. .................................................................................<br />

Member’s / Proxy’s Name in Block Letters<br />

Member’s / Proxy Signature<br />

<br />

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