Page 231 - KPJ_2012

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I/We *_____________________________________________________________________________________________________________
(Full name and NRIC No. / Company No. in block letters)
of _______________________________________________________________________________________________________________
(Full address in block letters)
being a member(s) of KPJ HEALTHCARE BERHAD hereby appoint ___________________________________________________________________
(Full name in block letters)
of _______________________________________________________________________________________________________________
(Full address in block letters)
or failing him/her _____________________________________________________________________________________________________
(Full name in block letters)
of _______________________________________________________________________________________________________________
(Full address in block letters)
or failing him/her, the Chairman of the meeting as my/our proxy to vote for me/us* on my/our* behalf at the Twentieth (20th) Annual General Meeting of the
Company to be held at the Tanjung Puteri 303, Level 3, Persada Johor International Convention Centre, Jalan Abdullah Ibrahim, 80000 Johor Bahru, Johor on
Tuesday 11 June 2013 at 12.30 p.m. and at any adjournment in respect of my/our holdings of shares in the manner indicated below:
Resolution Description
For
Against
1
TO RECEIVE THE REPORT AND AUDITED ACCOUNTS
TO RE-ELECT DIRECTORS :
2
DATO’ KAMARUZZAMAN ABU KASSIM
3
AHAMAD MOHAMAD
4
DR KOK CHIN LEONG
TO RE-APPOINT :
5
DATUK DR HUSSEIN AWANG
6
DR YOONG FOOK NGIAN
7
TO APPROVE DIRECTORS’ FEE
8
TO RE-APPOINT AUDITORS
TO CONTINUE AS INDEPENDENT DIRECTORS :
9
DATUK DR HUSSEIN AWANG
10
DATUK AZZAT KAMALUDIN
ANY OTHER BUSINESS
11
AUTHORITY TO ISSUE SHARES
12
PROPOSED SHARE BUY-BACK
13
PROPOSED RENEWAL OF RRPT MANDATE
(Please indicate with a (√) in the appropriate box whether you wish your vote to be cast for or against the resolution. In the absence of specific direction, your proxy will vote or abstain as he/she thinks fit.)
_____________________________________
Signature(s)/Common Seal of Shareholder(s)
Dated this _______________ day of ________________ 2013
NOTE:
1.
A member of the Company entitled to be present and vote at the Meeting may appoint a proxy to vote instead of him. A proxy may but need not be a member of the Company
and the provision of Section 149(1)(b) of the Companies Act, 1965 need not be complied with.
2.
The instrument appointing a proxy shall be in writing under the hand of the appointor or of his attorney duly authorised in writing or if the appointor is a corporation, either under
the hand of its common seal or under the hand of an officer or attorney duly authorised. The instrument appointing the proxy shall be deemed to confer authority to demand or
join in demanding a poll.
3.
Where a member of the Company is an authorised nominee as defined under the Securities Industry (Central Depositories) Act, 1991, he may appoint at least one (1) proxy in
respect of each securities account he holds with ordinary shares of the Company standing to the credit of the said securities account.
4.
Any alteration made in this form should be initialled by the person who signs it.
5.
The instrument appointing a proxy, together with the power of attorney (if any) under which it is signed or a certified copy thereof, shall be deposited at the registered office of
the Company at Suite 12B, Level 12, Menara Ansar, 65 Jalan Trus, 80000 Johor Bahru, Johor at least forty-eight (48) hours before the time appointed for holding the meeting
or adjourned meeting at which the person named in such instrument proposes to vote; otherwise the person so named shall not be entitled to vote in respect thereof.
FORM OF PROXY
No of ordinary shares held CDS account no.