(Company No. 428915-X)
(Incorporated in Malaysia)
I/We ……………………………………………………………………… (NRIC No./Passport No.…….………...…….................)
(FULL NAME IN BLOCK LETTERS)
of .……………………………………………………………………………………………………….….…...…........……...…............
(FULL ADDRESS)
being a member of
QL RESOURCES BERHAD
, hereby appoint………..…………………….……………......………...……..........
(FULL NAME)
(NRIC No./Passport No.…….………...…….................) (Proxy 1) of ……………………..…………...…………………………….
(FULL ADDRESS)
or failing him, …………………...……………................. (NRIC No./ Passport No……………....……………..........) (Proxy 2)
of ..……………………………………………………………..………………………….…………………………..............................
(FULL ADDRESS)
FORM OF PROXY
as my/our proxy/proxies to vote for me/us on my/our behalf at the 19th Annual General Meeting of the Company, to be held
at Saujana Ballroom, Saujana Resort, Jalan Lapangan Terbang SAAS, 40150 Shah Alam, Selangor Darul Ehsan on
Thursday, 25 August 2016 at 10.00 a.m. or any adjournment thereof.
My/our proxy is to vote as indicated below:
Resolutions For Against
Ordinary Resolution No. 1
Ordinary Resolution No. 2
Ordinary Resolution No. 3
Ordinary Resolution No. 4
Ordinary Resolution No. 5
Ordinary Resolution No. 6
Ordinary Resolution No. 7
Ordinary Resolution No. 8
Ordinary Resolution No. 9
Ordinary Resolution No. 10
Ordinary Resolution No. 11
Ordinary Resolution No. 12
Ordinary Resolution No. 13
Please indicate with an “X” or “√” in the space provided as to how you wish your votes to be cast on the resolutions specified
in the Notice of 19th Annual General Meeting. If you do not do so, the proxy will vote or abstain from voting at his/her
discretion.
Dated this …………… day of …………… 2016
………………………………………
Signature of Shareholder
Notes:-
1. A member of the Company entitled to attend and vote at the Meeting may appoint up to two proxies to attend and vote in his place. Where a member
appoints two proxies, he shall specify the proportion of his shareholdings to be represented by each proxy. A proxy can be any person and there shall be
no restriction as to the qualification of the proxy and paragraphs (a), (b) and (d) of Section 149(1) of the Companies Act, 1965 shall not apply.
2. Where a member of the Company is an exempt authorised nominee as defined under the Securities Industry (Central Depository) Act, 1991 which holds
ordinary shares in the Company for multiple beneficial owners in one securities account (“omnibus account”), there is no limit to the number of proxies
which the exempt authorised nominee may appoint in respect of each omnibus account it holds.
3. Only members whose name appears on the Register of Depositors as at 17 August 2016 shall be entitled to attend the said meeting or appoint proxy(ies)
to attend and/or vote on his behalf.
4. The instrument appointing a proxy must be deposited at the Registered Office of the Company at No. 16A, Jalan Astaka U8/83, Bukit Jelutong, 40150
Shah Alam, Selangor Darul Ehsan, at least 48 hours before the appointed time of holding the Meeting.
5. In the case of a corporation, the instrument appointing a proxy or proxies must be under seal or under the hand of an officer or attorney duly authorised.
For appointment of two (2) proxies, percentage
of shareholding to be represented by the proxies:
Percentage (%)
No. of Shares
Proxy 1
Proxy 2
Total
No. of ordinary
shares held
CDS Account No.
Tel./Handphone No.
