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COMPANIES CLAUSES CONSOLIDATION ACT 1888 - SECT 4

Forms of proxy papers.

4. The appointment may be made and revoked in the following form:

WE, the, being a body corporate, and one of the proprietors of the company,
hereby appoint A.B., of , who is hereby certified to be a member of this
corporation, to be our proxy, to vote in our name as he shall think proper
upon any matter relating to the several undertakings proposed at any meeting
of the said company to be held during the continuance of this appointment, and
otherwise to be our representative in such company.

In witness whereof the common seal of the said corporation, attested as is
required by its regulations, is hereto set this day of.

WE, the , hereby revoke the appointment of , of , who is our proxy in the
company, made by an instrument under our common seal, and dated the day of.

In witness whereof the common seal of the said corporation, attested as is
required by its regulations, is set hereto the day of.

WE, the , being a body corporate, and one of the proprietors of the company,
do hereby appoint A.B., of , who is hereby certified to be a member of this
corporation, to vote in our name as he shall think proper upon any matter
relating to the said undertaking proposed at the meeting of the proprietors of
the said company to be held on the day of next, or at any adjournment thereof.

In witness whereof the common seal of the said corporation, attested as is
required by its regulations, is set hereto this day of.



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© 1888 Crown Copyright

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