Content2011 - PETRONAS Gas Berhad

petronas gas berhad (101671-h)
Proxy Form
I/We
of
(Full Name In Capital Letters)
(Full Address)
being a *Member/Members of PETRONAS GAS BERHAD, do hereby appoint
of
of
or failing him
(Full Address)
(Full Address)
(Full Name In Capital Letters)
(Full Name In Capital Letters)
or failing him, the CHAIRMAN OF MEETING, as *my/our proxy to vote for *me/us and on *my/our behalf at the Twenty Eighth Annual General
Meeting to be held at Ballroom 2 & 3, Intercontinental Hotel, Jalan Ampang, Kuala Lumpur on Friday, 22 July 2011 at 9.30a.m. and at any
adjournment thereof.
Please indicate with an “X” in the space provided below how you wish your votes to be casted. If no specific direction as to voting is given,
the Proxy will vote or abstain from voting at his discretion.
No. Resolutions For Against
ORDINARY BUSINESS
1. To receive the Audited Financial Statements for the financial year ended 31 March 2011 together
with the Reports of the Directors and Auditors.
2. To approve the payment of final dividend of 35% per ordinary share under the single tier system
in respect of the financial year ended 31 March 2011.
3. To re-elect Samsudin bin Miskon as Director under Article 93 of the Company’s Articles of Association.
4. To re-elect Datuk Anuar bin Ahmad as Director under Article 96 of the Company’s Articles
of Association.
5. To re-elect Ramlan bin Abdul Malek as Director under Article 96 of the Company’s Articles
of Association.
6. To re-elect Rosli bin Boni as Director under Article 96 of the Company’s Articles of Association.
7. To re-elect Mohammed Medan bin Abdullah as Director under Article 96 of the Company’s Articles
of Association.
8. To approve the Directors’ fees in the sum of RM755,000 in respect of the financial year ended
31 March 2011.
9. To re-appoint Messrs. KPMG Desa Megat & Co. as Auditors of the Company and to authorise
the Directors to fix their remuneration.
SPECIAL BUSINESS
10. To re-appoint Dato’ Sadasivan s/o N.N. Pillay as Director in accordance with Section 129 (6)
of the Companies Act, 1965.
11. To transact any other business for which due notice has been given.
* Strike out whichever not applicable.
No. of Shares Held
As witness my/our hand this day of 2011.
Signature of Member/Common Seal
Notes:
1. A member of the Company who is entitled to attend and vote at the meeting is entitled to appoint not more than two proxies to attend and vote in his stead and where a holder
appoints two proxies, he shall specify the proportion of his shareholdings to be represented by each proxy. A proxy may but need not be a member of the Company, an advocate,
an approved Company auditor, or a person approved by the Registrar, and shall be entitled to vote on a show of hands on any question at any General Meeting.
2. Where a member of the Company is an authorized nominee as defined under the Securities Industry (Central Depositories) Act, 1991, it may appoint at least one proxy but not more
than two proxies in respect of each securities account it holds with ordinary shares of the Company standing to the credit of the said securities account.
3. The instrument appointing a proxy shall be in writing under the hand of the appointer or if the member is a corporation, either under seal or under the hand of an officer or attorney
duly authorised and shall be deposited at the office of the Company’s Share Registrar, Symphony Share Registrars Sdn Bhd, Level 6, Symphony House, Pusat Dagangan Dana 1,
Jalan PJU 1A/46, 47301 Petaling Jaya, Selangor, at least 48 hours before the meeting, or if the meeting is adjourned at least 48 hours before the time fixed for the a
djourned meeting.
If this Proxy Form is signed under the hand of an officer duly authorised, it should be accompanied by a statement reading “signed as authorised officer under Authorisation
Document which is still in force, no notice of revocation having been received”. If this Proxy Form is signed by an attorney duly appointed under a power of attorney, it should be
accompanied by a statement reading “signed under Power of Attorney which is still in force, no notice of revocation having been received”. A copy of the Authorisation Document
or the Power of Attorney, which should be valid in accordance with the laws of the jurisdiction in which it was created and is exercised, should be enclosed with this Proxy Form.