1
|
Name of the member appointing the
proxy
|
|
2
|
Folio number of the member
|
|
3
|
D.P. ID number of the member
|
|
4
|
Client ID number of the member
|
|
5
|
Number of shares held by the member
|
|
6
|
Name of the proxy(ies) appointed
|
|
7
|
Date and Time of receipt of proxy
form
|
|
8
|
Number of valid and invalid proxies
|
|
9
|
Reason for rejection of proxy form
|
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