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ASIA MEDIA GROUP BERHAD
(Company No. 813137-V)
(Incorporated in Malaysia under the Companies Act, 1965)
PROXY FORM
I/We, _____________________________________________________________________________________________
(Full Name in Block Letters)
(NRIC/Company No.)_ _______________________________________________________________________________
of _ ______________________________________________________________________________________________
(Full Address)
being a Member of ASIA MEDIA GROUP BERHAD hereby appoint ____________________________________________
_________________________________________________________________________________________________
(Full Name in Block Letters)
(NRIC)____________________________________________________________________________________________
of _ ______________________________________________________________________________________________
(Full Address)
or failing him/her _ __________________________________________________________________________________
(Full Name in Block Letters)
(NRIC)____________________________________________________________________________________________
of _ ______________________________________________________________________________________________
(Full Address)
or failing whom, the Chairman of the meeting as my/our proxy to attend and vote for me/us and on my/our behalf at the Eighth
Annual General Meeting of the Company to be held at Tioman Room, Bukit Jalil Golf & Country Resort, Jalan Jalil Perkasa
3, Bukit Jalil, 57000 Kuala Lumpur on Monday, 23 May 2016 at 9.00 a.m. and at any adjournment thereof on the following
resolutions in the manner indicated below:-
FOR
AGAINST
Ordinary Resolutions:-
Resolution 1
To receive the Statutory Financial Statements for the year ended 31
December 2015 together with the Directors’ and Auditors’ Reports
thereon.
Resolution 2
To approve the payment of Directors’ Fees of RM156,678.58 for the
year ended 31 December 2015.
Resolution 3
To re-elect Ms Yeong Siew Lee as Director.
Resolution 4
To re-appoint Messrs EcovisAHL PLT asAuditors of the company and
to authorise the Directors to fix their remuneration.
Resolution 5
Authority to issue shares pursuant to Section 132D of the Act, 1965
(Please indicate with an ‘X’ in the appropriate box against each Resolution how you wish your proxy to vote. If no instruction
is given, this form will be taken to authorise the proxy to vote at his/her discretion).
No. of Shares held
The proposition of my holdings to be represented by my* proxy/proxies are as follows:-
First Name Proxy
%
Second Name Proxy
%
100 %
In the case of a vote taken by a show of hands, the First Proxy shall vote on *my/our behalf.
*
Strike out whichever is not desired.
Signed this __________________ day of ___________________ 2016 _ __________________________________
Signature of Shareholder or Common Seal
✄