PROXY FORM

ACCOUNT_JOB_COMPANY
ACCOUNT_COMPANY_REG_NO

DATE GENERAL MEETING

For use by shareholders for the General Meeting to be held on DATE at ADDRESS

I/We*, being (a) holder(s) of ordinary shares in ACCOUNT_JOB_COMPANY, appoint [_____ _____] as my/our* proxy to vote for me/us and on my/our behalf at the general meeting of the company to be held on DATE and at any adjournment of it.

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