PROXY FORM
KPJ
HEALTHCARE
Borang Proksi
BERHAD
Medical Associates
Sdn Bhd
(Ipoh Specialist Hospital)
no. of ordinary shares
CDS account no
100%
Johor Specialist
Hospital Sdn Bhd
(Johor Specialist Hospital)
100%
Kumpulan
I/We *
Perubatan (Johor)
(Full name and nric no./company no in block letter)
Sdn Bhd
100%
of
Puteri Specialist Hospital Sdn Bhd
Puteri Healthcare Sdn Bhd
Tawakal Holdings
(Ampang Puteri Specialist Hospital)
(Kuching Specialist Hospital)
Sdn Bhd
100%
100%
(Full address in block
letter)
(Tawakal Hospital PPT)
Damai Specialist Centre Sdn Bhd
being a member(s) of KPJ HEALTHCARE BERHAD hereby appoint
Damansara Specialist Hospital Sdn Bhd
100%
(Damai Specialist Centre)
(Damansara Specialist Hospital)
100%
100%
Medical Centre
Hospital Penawar Sdn Bhd
(Johore) Sdn Bhd
Selangor Medical Centre Sdn Bhd
(Hospital Penawar)
(Puteri Specialist Hospital)
(Selangor Medical Centre)
100% (Full name
in block letter)
100%
100%
PT Khasanah Putra Jakarta Medika
Hospital Pusrawi SMC Sdn Bhd
(Rumah Sakit Medika Bumi Serpong Damai)
Al-'Aqar KPJ REIT
100%
of
100%
100%
Sentosa Medical Centre Sdn Bhd
(Full address in
block letter)
Healthcare Technical
(Sentosa Medical Centre)
Services Sdn Bhd
100%
100%
or failing him/her
Hospital Sentosa Sdn Bhd
Pharmaserve
Alliances Sdn Bhd
(KPJ-Kajang Specialist Hospital)
(Full name in block letter)
100%
100%
FP Marketing (S) Pte Ltd
Renal-Link Sentosa Sdn Bhd
of
100%
100%
Medical Supplies
Seremban Specialist Hospital Sdn Bhd
(Fullrawak) Sdn Bindblock letter)
(Sa address h
(Seremban Specialist Hospital)
or failing him/her, THE CHAIRMAN OF THE MEETING
100%
100%
Teraju Farma Sdn Bhd
Kuantan Specialist Hospital Sdn Bhd
100%
(Kuantan Specialist Hospital)
as my/our * proxy to vote for me/us * on my/our* behalf at the Fifteenth (15 ) annual0%
10 General Meeting of the Companyacare Sdn Bhd
Pharm to be held at the
th
100%
permata Ballroom, the puteri pacific hotel, Jalan abdullah Ibrahim, 80000 Johor Bahru,SJohorspon Wednesday 28 MayNursing College Sdnatdany
2008 and Bh
Pusat Pakar Darul Naim Sdn Bhd
(Perdana pecialist Ho ital)
Puteri
adjournment in respect of my/our holdings of shares in the manner indicated below:
100%
(PNC International College of
Nursing and Health Sciences)
Bukit Mertajam Specialist
100%
Hospital Sdn Bhd
Lablink (M) Sdn Bhd
resolution
Description
For
against
(Bukit Mertajam Specialist Hospital)
100%
100%
FABRiCARE Sdn Bhd
to reCeIVe the report anD auDIteD aCCountS
1
Kedah Medical Centre Sdn Bhd
(Formerly known as Tulus Ikhlas Sdn Bhd)
(Kedah Medical Centre)
100%
100%
tO re-eLect directOrS
tan SrI Dato' MuhaMMaD alI BIn haShIM
2
DatuK aZZat BIn KaMaluDIn
3
hJ ahaMaD BIn MohaMaD
4
to re-appoInt tan SrI DatuK arShaD aYuB
5
to approVe DIreCtorS' Fee
6
to re-appoInt auDItorS MeSSrS prICeWaterhouSeCooperS
7
anY other BuSIneSS
authorItY to ISSue ShareS
8
9
Share BuY-BaCK authorItY
propoSeD ShareholDerS' ManDate
10
(please indicate with an `X' 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 at his/her discretion. however, if more than one proxy is appointed, please specify in the table below
the number of shares represented by each proxy, failing which the appointment shall be invalid.)
proportion of shares held
name of proxy 1:
name of proxy 2:
total number of shares held
Signature(s)/Common Seal of Shareholder(s)
Dated this ..................day of ........................ 2008
noteS:
a. a member entitled to attend and vote at this meeting is entitled to appoint a proxy to attend and 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 Companies act, 1965 need not be complied with.
b. the instrument appointing a proxy shall be in writing under the hand of the appointor or his attorney duly authorised in writing or if the appointor is a corporation, under its
common seal or in other manner approved by its Board of Directors.
c. Where a member of the Company is an authorised nominee as defined under the Central Depositories act 1991, he may appoint at least one (1) proxy in respect of each
Securities account it holds with ordinary shares of the Company standing to the credit of the said Securities account.
d. any alteration made in this form should be initialed by the person who signs it.
e. 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 : KpJ healthCare
BerhaD, 13th Floor, Menara Johor Corporation, KotaraYa , 80000 Johor Bahru, Johor at least forty-eight (48) hours before the time appointed for holding the meeting or
any adjournment thereof.
