Glomac Berhad : - Requisition Form

ANNUAL REPORT REQUEST FORM

GLOMAC BERHAD

[Registration No: 198301015139

(110532-M)]

(Incorporated in Malaysia)

Request Form for Printed Copy of Glomac Berhad's 2021 Annual Report and/or Statement/Circular to Shareholders

Please complete your particulars below and mail, email or fax it to:

Shareworks Sdn. Bhd.

2-1, Jalan Sri Hartamas 8

Sri Hartamas

50480 Kuala Lumpur

Email	:	[e-mail]
Tel	:	[phone]
Fax	:	[phone]

Name of Shareholder	: ____________________________________________________________________________
NRIC No./Company No.	: _____________________________________________________________________________
CDS Account No.	: _____________________________________________________________________________
Correspondence Address	: ____________________________________________________________________________
	: _____________________________________________________________________________
Contact No.	: _____________________________________________________________________________

I/We wish to request a printed copy of the following documents as checked (P) to be forwarded to me/us at the address state above:

Annual Report 2021

Circular/Statement to shareholders in relation to:-

1. Proposed Renewal of Existing Shareholders' Mandate; and
2. Proposed Renewal of Share Buy-Back Authority

Note to Shareholders:

• The printed copy of the Annual Report 2021 and/or Statement/Circular to Shareholders will be forwarded to you within four (4) market days from the date of receipt of your request
• The soft copy of the Annual Report 2021 and/or Statement/Circular to Shareholders can also be downloaded athttps://www.glomac.com.my/shareholders-meeting/.