SPIL Proxy Form & Attendance Slip
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Registered Office : SPARC, Tandalja, Vadodara - 390 020. Registered Office : SPARC, Tandalja, Vadodara - 390 020. Corporate Office: Acme Plaza, Andheri-Kurla Road, Andheri (East), Mumbai - 400 059. Corporate Office: Acme Plaza, Andheri-Kurla Road, Andheri (East), Mumbai - 400 059. ATTENDANCE SLIP ATTENDANCE SLIP NINETEENTH ANNUAL GENERAL MEETING, Friday, September 16, 2011, at 10.30 a.m. NINETEENTH ANNUAL GENERAL MEETING, Friday, September 16, 2011, at 10.30 a.m. Sr. No. : Sr. No. : Name: Name: Address: Address: Folio/D.P & Client I.D. No. : Folio/D.P & Client I.D. No. : No. of Shares held : No. of Shares held : I/We hereby record my presence at the NINETEENTH ANNUAL GENERAL MEETING of the Company held on Friday, I/We hereby record my presence at the NINETEENTH ANNUAL GENERAL MEETING of the Company held on Friday, September 16, 2011, at 10.30 a.m. at Prof. Chandravadan Mehta Auditorium, General Education Centre, Maharaja Sayajirao September 16, 2011, at 10.30 a.m. at Prof. Chandravadan Mehta Auditorium, General Education Centre, Maharaja Sayajirao University of Baroda, Pratapgunj, Vadodara - 390 002, Gujarat. University of Baroda, Pratapgunj, Vadodara - 390 002, Gujarat. SIGNATURE OF THE ATTENDING MEMBER/PROXY___________________________________________________________ SIGNATURE OF THE ATTENDING MEMBER/PROXY___________________________________________________________ Notes: 1. Shareholder/Proxyholder wishing to attend the meeting must bring the Attendance Slip to the meeting and hand over at Notes: 1. Shareholder/Proxyholder wishing to attend the meeting must bring the Attendance Slip to the meeting and hand over at the entrance duly signed. the entrance duly signed. 2. Shareholder/Proxyholder desiring to attend the meeting should bring his/her copy of the Notice for reference at the 2. Shareholder/Proxyholder desiring to attend the meeting should bring his/her copy of the Notice for reference at the meeting. meeting. ---------------------------------------------------------------------- Cut here ----------------------------------------------------------------- ---------------------------------------------------------------------- Cut here ----------------------------------------------------------------- Registered Office : SPARC, Tandalja, Vadodara - 390 020. Registered Office : SPARC, Tandalja, Vadodara - 390 020. Corporate Office: Acme Plaza, Andheri-Kurla Road, Andheri (East), Mumbai - 400 059. Corporate Office: Acme Plaza, Andheri-Kurla Road, Andheri (East), Mumbai - 400 059. PROXY FORM PROXY FORM I/We_____________________________________________________________________________________________ I/We_____________________________________________________________________________________________ of_______________________________________________ ______________being Member of the above named Company, of_______________________________________________ ______________being Member of the above named Company, hereby appoint ____________________________________________________of________________________________ hereby appoint ____________________________________________________of________________________________ or failing him, _____________________________________________________of ____________________ ___________ or failing him, _____________________________________________________of ____________________ ___________ as my / our Proxy to attend and vote for me / us and on my / our behalf at the NINETEENTH ANNUAL GENERAL MEETING of the as my / our Proxy to attend and vote for me / us and on my / our behalf at the NINETEENTH ANNUAL GENERAL MEETING of the Company at Prof. Chandravadan Mehta Auditorium, General Education Centre, Maharaja Sayajirao University of Baroda, Pratapgunj, Company at Prof. Chandravadan Mehta Auditorium, General Education Centre, Maharaja Sayajirao University of Baroda, Pratapgunj, Vadodara - 390 002, Gujarat, on Friday, September 16, 2011, at 10.30 a.m., and at any adjournment thereof. Vadodara - 390 002, Gujarat, on Friday, September 16, 2011, at 10.30 a.m., and at any adjournment thereof. Signed this ____________________________ day of ______________________2011. Affix Signed this ____________________________ day of ______________________2011. Affix 30 paise 30 paise Folio / D.P & Client I.D.No._________________________________________________ Revenue Folio / D.P & Client I.D.No._________________________________________________ Revenue Stamp Stamp No. of Equity shares held ________________________________________________ No. of Equity shares held ________________________________________________ Signature Signature Note: The Proxy form must be returned so as to reach the Registered Office of the Company at SPARC, Tandalja, Vadodara - 390 020, Note: The Proxy form must be returned so as to reach the Registered Office of the Company at SPARC, Tandalja, Vadodara-390 020, not less than FORTY EIGHT HOURS before the time for holding the aforesaid meeting. not less than FORTY EIGHT HOURS before the time for holding the aforesaid meeting..