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Proxy Form

This is a proxy form appointing a proxy to vote on behalf of a shareholder who will be absent from an upcoming Special Shareholders Meeting. It states the shareholder's name and number of shares owned, appoints a proxy to vote in place of the shareholder, and gives the proxy full authority to vote on any matters that come before the meeting including electing directors and any other business. The shareholder signs and dates the form to authorize the proxy.

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0% found this document useful (0 votes)
7K views1 page

Proxy Form

This is a proxy form appointing a proxy to vote on behalf of a shareholder who will be absent from an upcoming Special Shareholders Meeting. It states the shareholder's name and number of shares owned, appoints a proxy to vote in place of the shareholder, and gives the proxy full authority to vote on any matters that come before the meeting including electing directors and any other business. The shareholder signs and dates the form to authorize the proxy.

Uploaded by

sweetlunacy00
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

(Name of the Corporation)

Address

PROXY FORM

To the Corporate Secretary:

I, _____________________________, a shareholder of ____________________________


(the “Corporation”) owning ___________________________ (_____________) shares,
hereby state that I will be absent during the Special Shareholders Meeting to
be held on _________________________. As such, I hereby constitute and name
_________________________ to be my true and lawful Proxy for me and in my name,
place and stead to vote as my Proxy at the aforesaid meeting which shall
include, but not limited to, the casting of my vote for the Election of Directors,
as well as the transaction of any business which may legally come before the
meeting and/or any adjournment thereof.

I hereby give my aforementioned Proxy to act for and in my behalf as


fully as I could do if personally present.

I hereby revoke any other Proxy heretofore given.

I hereby set my hand this _____ of April 2017 at the City of ____________,
Philippines.

_______________________________

(Name, Signature)

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