Asia Media Group Berhad - Annual Report 2013 - page 114

ASIAMEDIAGROUPBERHAD
(CompanyNo. 813137-V)
(Incorporated inMalaysia under theCompaniesAct, 1965)
PROXYFORM
I/We, ______________________________________________________________________________________________
(Full Name inBlock Letters)
(NRIC/CompanyNo.)_ ________________________________________________________________________________
of _ _______________________________________________________________________________________________
(Full Address)
being aMember ofASIAMEDIAGROUPBERHADhereby appoint _____________________________________________
__________________________________________________________________________________________________
(Full Name inBlock Letters)
(NRIC)_____________________________________________________________________________________________
of _ _______________________________________________________________________________________________
(Full Address)
or failing him/her _ ___________________________________________________________________________________
(Full Name inBlock Letters)
(NRIC)_____________________________________________________________________________________________
of _ _______________________________________________________________________________________________
(Full Address)
or failingwhom, theChairmanof themeetingasmy/our proxy toattendand vote forme/us andonmy/our behalf at theSixth
Annual General Meetingof theCompany tobeheldat TiomanRoom, Bukit Jalil Golf &CountryResort, Jalan Jalil Perkasa3,
Bukit Jalil, 57000 Kuala Lumpur onWednesday, 28May 2014 at 9.00 a.m. and at any adjournment thereof on the following
resolutions in themanner indicatedbelow:-
FOR
AGAINST
OrdinaryResolutions:-
Resolution 1
To receive theStatutory Financial Statements for the year ended 31
December 2013 together with the Directors’ and Auditors’ Reports
thereon.
Resolution 2
To approve the payment of Directors’ Fees of RM162,000.00 for the
year ended 31December 2013.
Resolution 3
To re-electDato’WongSheeKaiwho retires inaccordancewithArticle
70 of theCompany’sArticles ofAssociation.
Resolution 4
To re-appoint Messrs STYLAssociates asAuditors of the Company
and to authorise theDirectors to fix their remuneration.
Resolution 5
Authority to IssueSharespursuant toSection132Dof theCompanies
Act, 1965
(Please indicatewith an ‘X’ in the appropriate box against eachResolution how youwish your proxy to vote. If no instruction
is given, this formwill be taken to authorise theproxy to vote at his/her discretion).
No. of Sharesheld
The proposition of my holdings to be representedbymy* proxy/proxies areas follows:-
First NameProxy
%
SecondNameProxy
%
100 %
In the case of a vote taken by a showof hands, theFirst Proxy shall vote on *my/our behalf.
*
Strike out whichever is not desired.
Signed this __________________ day of ___________________ 2014
___________________________________
Signature of Shareholder or CommonSeal
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