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 Chairman of the meeting, or
(Full name and NRIC in block letters)
of
(Full address in block letters)
or failing him/her
(Full name and NRIC in block letters)
of
(Full address in block letters)
As my/our proxy to vote for me/us* on my/our* behalf at the Twenty Third (23
rd
) Annual General Meeting of the Company to
be held at the Permata Ballroom, Level B2, The Puteri Pacific Hotel, Jalan Abdullah Ibrahim, 80000 Johor Bahru, Johor on Thursday
19 May 2016 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
AHMAD MOHAMAD
4
PROF DATO’ DR. AZIZI OMAR
TO RE-APPOINT:
5
DATUK AZZAT KAMALUDIN
6
DR. YOONG FOOK NGIAN
7
TO APPROVE DIRECTORS’ FEE
8
TO RE-APPOINT AUDITORS
ANY OTHER BUSINESS
PROPOSED DIRECTOR TO CONTINUE AS INDEPENDENT NON-EXECUTIVE DIRECTOR:
9
ZAINAH MUSTAFA
10
DR. KOK CHIN LEONG
11
DATUK AZZAT KAMALUDIN
12
DR. YOONG FOOK NGIAN
13
AUTHORITY TO ISSUE SHARES
14
PROPOSED SHARE BUY BACK
15
PROPOSED SHAREHOLDERS’ 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
2016
No. of ordinary shares held CDS account no.
Company No. 247079-M
Incorporated in Malaysia under the Companies Act, 1965
PROXY FORM
