06 September 2014
Format of proxy form is prescribed in Form no. MGT.11. A single person can be proxy of not more than 50 shareholders and holding in aggregate not more than 10% of total share capital of the company. A shareholder holding more than 10% of total share capital of the company, can appoint a single person as its proxy, however, such person cannot be appointed as proxy of any other shareholder.
Form No. MGT-11 Proxy form [Pursuant to section 105(6) of the Companies Act, 2013 and rule 19(3) of the Companies Management and Administration) Rules, 2014]
CIN: Name of the company: Registered office:
Name of the member(s):
Registered Address:
E-mail ID:
Folio/ DP ID - Client ID No.:
I/We, being the member (s) of …………. shares of the above named company, hereby appoint 1. Name : …………………… Address : E-mail Id : Signature :……………., or failing him 2. Name : …………………… Address: E-mail Id : Signature:……………., or failing him 3. Name : …………………… Address: E-mail Id: Signature:……………. as my/our proxy to attend and vote (on a poll) for me/us and on my/our behalf at the …………..Annual general meeting/ Extraordinary general meeting of the company, to be held on the…… day of……. At………. a.m. / p.m. at………………(place) and at any adjournment thereof in respect of such resolutions as are indicated below :
Note: This form of proxy in order to be effective should be duly completed and deposited at the Registered Office of the Company, not less than 48 hours before the commencement of the Meeting.
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