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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 Twenty First (21st) Annual General Meeting of the
Company to be held at the Permata Ballroom, Level B2, The Puteri Paci c Hotel, Jalan Abdullah Ibrahim, 80000 Johor Bahru, Johor on Tuesday 10 June 2014
at 12.00 noon 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
2
3
4
5
6
TO RE-ELECT DIRECTORS :
AMIRUDDIN ABDUL SATAR
DATUK AZZAT KAMALUDIN
TAN SRI DATO’ DR YAHYA AWANG
ZULKIFLI IBRAHIM
AMINUDIN DAWAM
7
TO RE-APPOINT :
DR YOONG FOOK NGIAN
8
TO APPROVE DIRECTORS’ FEE
9
TO RE-APPOINT AUDITORS
10
ANY OTHER BUSINESS
PROPOSED DIRECTOR TO CONTINUE AS INDEPENDENT NON-EXECUTIVE DIRECTOR:
DATUK AZZAT KAMALUDIN
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 speci c direction, your proxy will vote or abstain as he/she thinks t.)
_____________________________________
Signature(s)/Common Seal of Shareholder(s)
Dated this _______________ day of ________________ 2014
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 of cer 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 de ned 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 certi ed copy thereof, shall be deposited at the registered of ce
of the Company at Suite 18, Lot 1B, Podium 1, 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.