Template/format of Proxy Form and Attendance Slip for Annual General Meeting (AGM) of any Company:
XYA LIMITED
Regd. Office: Address, City, State, Pin
CIN: ____________________
PROXY FORM
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DP Id
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Client Id
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Regd. Folio No.
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No. of Shares
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I/We (Name(s) and address of the shareholder in full) being a shareholder of XYA Limited, hereby appoint of in the district of or failing him / her of in the district of as my/our Proxy to attend and vote for me/us on my/our behalf at the ___th annual general meeting of the Company being held on ___day, __date, month, year at (time) at (address) or /and at any adjournment thereof.
I/We direct my/our Proxy to vote on the resolution(s) in the manner as indicated
below:
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Resolutions
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For
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Against
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Affix
the Revenue Stamp
Dated: __________________
_______________________
Signature of the Shareholder / Proxy
Notes:
(1) The Proxy form duly completed and signed should be received at the Registered
Office of the Company situated at (Address) not less than 48 hours before the
time appointed for holding the meeting or any adjournment thereof.
(2)
Full name(s) and address(es) to be inserted in BLOCK CAPITALS.
(3)
A member of the Company entitled to attend and vote at the above meeting is entitled to appoint one or more proxies to attend and, on a poll, to vote instead of him. The proxy need not be a member of the Company but must attend the Meeting in person to represent you.
(4) IMPORTANT: IF YOU WISH TO VOTE FOR A RESOLUTION, PLEASE PLACE A “√”
IN THE RELEVANT BOX under “FOR”. IF YOU WISH TO VOTE AGAINST A RESOLUTION, PLEASE
PLACE A “√” IN THE RELEVANT BOX under “AGAINST”. Failure to complete the boxes
will entitle your proxy to cast his vote at his discretion. Your proxy will
also be entitled to vote at his discretion on any resolution properly put to
the meeting other than those referred to in the notice convening the meeting.
(5) In the case of a body corporate this form must be executed either under
its common seal or under the hand of an officer or attorney duly authorised. A
copy of the authorisation of such officer or attorney must be lodged with the
form of proxy.
(6)
Any alterations made in this form of proxy must be initialled by the person who signs it.
(7) Please mark the envelop while sending as ‘Proxy Documents’.
(8) Any Discrepancy found in the proxy form will stand rejected.
--------✄--------✄-------- cut here --------✄-------- cut here --------✄--------✄--------
XYA LIMITED
Regd. Office: Address, City, State, Pin
CIN: ____________________
ATTENDANCE SLIP
Members or their proxies are requested
to present this form for admission, duly signed in accordance with their
specimen signatures registered with the Company.
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DP Id
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Client Id
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Regd. Folio No.
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No. of Shares
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Name(s) and
address of the shareholder in full _________________________________________.
I/we hereby record my/our presence at
the ___th annual general meeting of the Company being held on ___day, __date, month,
year at (time) at (address).
Please (√) in the box
MEMBER □ PROXY □
__________________________
Signature of Shareholder / Proxy
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