Proxy Form
[Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies
(Management and Administration) Rules, 2014]
Name of the Member(s) :
______________________________________________________________________________
Registered address
:
______________________________________________________________________________
______________________________________________________________________________
E-mail ID :
______________________________________________________________________________
Folio No.:
______________________
DP ID No.*:
______________________
Client ID No.*
____________________________
*Applicable for investors holding shares in electronic form.
I / We, being the Member(s) of
__________________
Ordinary Shares and/or
____________________
‘A’ Ordinary shares of
Tata Motors Limited, hereby appoint:
1. Name:
______________________________________
E-mail ID:
_________________________________________
Address:
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________
or failing him/her
2. Name:
______________________________________
E-mail ID:
________________________________________
Address:
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________
or failing him/her
3. Name:
______________________________________
E-mail ID:
________________________________________
Address:
_______________________________________________________________________________________
_______________________________________________________________________________________
and whose signature(s) are appended below as my/our proxy to attend and vote (on a poll) for me/us and on my/our
behalf at the Sixty-Ninth Annual General Meeting of the Company to be held on Thursday, July 31, 2014 at 3.00 p.m. at
Birla Matushri Sabhagar, 19, Sir Vithaldas Thackersey Marg, NewMarine Lines, Mumbai 400 020 and at any adjournment
thereof in respect of such resolutions as are indicated hereinafter:
Corporate Identification No. (CIN) - L28920MH1945PLC004520
Registered O ce: Bombay House, 24, Homi Mody Street, Mumbai - 400 001.
