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FORM OF PROXY
Company No. 247079-M)
(Incorporated in Malaysia under the Companies Act, 1965)
I/We *
of
being a member(s) of KPJ HEALTHCARE BERHAD hereby appoint
of
or failing him/her
of
or failing him/her, the Chairman of the meeting as my/our proxy to vote for me/us* on my/our* behalf at the Nineteenth
(19th) Annual General Meeting of the Company to be held at the Permata Ballroom, Level B2, The Puteri Pacimc Hotel,
Jalan Abdullah Ibrahim, 80000 Johor Bahru, Johor on Monday 25 June 2012 at 12.00 pm and at any adjournment in
respect of my/our holdings of shares in the manner indicated below:
(Please indicate with a (ʚ) in the appropriate box whether you wish your vote to be cast for or against the resolution. In the absence of speciÀc direction, your proxy will vote or
abstain as he/she thinks Àt.)
No. of ordinary shares held CDS account no.
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 ofmcer 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 demned 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 certimed copy thereof, shall be deposited at the registered
ofmce 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.
Signature(s)/Common Seal of Shareholder(s) Dated this........day of...............2012
Resolution Description For Against
1 TO RECEIVE THE REPORT AND AUDITED ACCOUNTS
TO RE-ELECT DIRECTORS :
2 DATIN PADUKA SITI SA’DIAH SH BAKIR
3 ZAINAH BINTI MUSTAFA
4 ROZAN BIN MOHD SA’AT
5 AMIRUDDIN BIN ABDUL SATAR
6 ABD RAZAK BIN HARON
TO RE-APPOINT :
7 DATUK DR HUSSEIN BIN AWANG
8 DR YOONG FOOK NGIAN
9 TO APPROVE DIRECTORS’ FEE
10 TO RE-APPOINT AUDITORS
ANY OTHER BUSINESS
11 AUTHORITY TO ISSUE SHARES
12 PROPOSED SHARE BUY-BACK
13 PROPOSED RENEWAL OF RRPT MANDATE
14 PROPOSED AMENDMENTS
(Full name and NRIC No. / Company No. in block letters)
(Full address in block letters)
(Full name in block letters)
(Full name in block letters)
(Full address in block letters)
(Full address in block letters)