Page 209 - TATA Motors AR_2011-12

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Attendance Slip
Members attending the Meeting in person or by Proxy are requested to complete the attendance slip and hand it over at the entrance of the
meeting hall.
I hereby recordmy presence at the SIXTY-SEVENTHANNUAL GENERALMEETING of the Company at Birla Matushri Sabhagar, 19, SirVithaldas
Thackersey Marg,Mumbai-400020at 3.00p.m. onFriday, August 10, 2012.
.....................................................................................................................................................................................................
.............................................................................
Full nameof theMember (inblock letters)
Signature
FolioNo.: ...............................................................DPIDNo.*..........................................................................ClientIDNo.*........................................................................
*Applicable formember holding shares in electronic form
.....................................................................................................................................................................................................
.............................................................................
Full nameof the Proxy (inblock letters)
Signature
NOTES :
1. Member/Proxyholderwishing toattend themeetingmust bring theAttendanceSlip to themeeting.
2. Member/ Proxyholder desiring toattend themeeting shouldbringhis copyof theAnnual Report for referenceat themeeting.
Proxy Form
I/We...........................................................................................................................................................................................................
of ........................................................................................................ in the district of ................................................................... being
a Member/ Members of the above named Company hereby appoint .................................................................. ........................................
............................................................. of ..................................................... in the district of ....................................................or failing
him/her ....................................................... of ....................................................... in the district of .........................................................
......... as my/our Proxy to attend and vote for me/us and on my/our behalf at the Sixty-seventh Annual General Meeting of the Company,
to be held on Friday, August 10, 2012 or at any adjournment thereof.
Signed this .................................................. day of ...................................................... 2012.
Folio No.: ................................................. DP ID No.* ................................................. Client ID No.* .................................................
* Applicable for members holding shares in electronic form
No. of Ordinary Shares ......................
Signature
No. of ‘A’ Ordinary Shares ......................
This form is to be used
of the resolution. Unless otherwise instructed, the Proxy will act as he thinks fit.
**Strike out whichever is not desired.
NOTES : (i)
The Proxy must be returned so as to reach the Registered Office of the Company at Bombay House, 24, Homi Mody Street,
Mumbai - 400 001, not less than FORTY-EIGHT HOURS before the time for holding the aforesaid meeting.
(ii) Those members who have multiple folio with different jointholders may use copies of this Attendance Slip/Proxy.
** in favour
** against
Affix
Revenue
Stamp