Duty
Stamp
20 Baht
Proxy Form (A)
Made at ……………………………………….....
-
I/We …………………………………………Nationality …………………………………………………
Residing at………………………………Road………….……..….…....Sub-district…………………...... District …………………………… Province …………………….Postal Code………....……………...... - As a shareholder of MCOT Public Company Limited, holding a total amount of ………………… shares
- hereby appoint
(1) Name…………………………………………………………… Age ………….............……
Residing at No.……………..……..Road …………………...…………Sub district ……….……….…
District ……………………….…….Province……………………….……Postal Code………………or
-
Name…………………………………………………………….. Age ……………….........…
Residing at No.……………..……..Road ………………………...…Sub district ……….………….…
District …………………………….Province……………………….……Postal Code………………or
(3) Name…………………………………………………………… Age …………...........…..…
Residing at No.……………..…….. Road ………………………… Sub-district ……….……………..
District …………………………….Province……………………….……Postal Code………………….
or the Independent Director/ Member of the Audit | Mr.Phaiboon Siripanoosatien age 57 or |
Committee | Mr.Pravaid Audthasupapon age 63 |
Residing at No. 63/1Road Rama 9Sub-district | Huay KwangDistrict Huay KwangProvince |
BangkokPostal Code 10310 |
Only one of above is assigned as my/our proxy to attend and vote in the 2021 Annual General Meeting of Shareholders on Thursday, April 22, 2021 at 13.30 hours at the Auditorium Room C Asean, 10th Floor, CW Tower, 90 Ratchadaphisek Road, HuayKwang Sub-district, Huay Kwang District, Bangkok 10310 or at any adjournment thereof to any other date, time and venue.
Any act (s) undertaken by the Proxy at such meeting shall be deemed as my/our own act (s) in every respect.
Signed …………………………………….Grantor
(…………………………..…………)
Signed …………………………………......... Proxy
(…………………………..…………)
Signed …………………………………......... Proxy
(…………………………..…………)
Signed …………………………………......... Proxy
(…………………………..…………)
Date ………../…………/……………
Remarks:
A shareholder assigning a proxy can authorize only one proxy to attend the meeting and cast the votes on his/her/their behalf and all votes of a shareholder cannot be split for more than one proxy.
Attachments
- Original document
- Permalink
Disclaimer
MCOT pcl published this content on 18 March 2021 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 08 April 2021 09:41:07 UTC.