Duty

Stamp

20 Baht

Proxy Form (A)

Made at ……………………………………….....

  1. I/We …………………………………………Nationality …………………………………………………
    Residing at………………………………Road………….……..….…....Sub-district…………………...... District …………………………… Province …………………….Postal Code………....……………......
  2. As a shareholder of MCOT Public Company Limited, holding a total amount of ………………… shares
  3. hereby appoint

(1) Name…………………………………………………………… Age ………….............……

Residing at No.……………..……..Road …………………...…………Sub district ……….……….…

District ……………………….…….Province……………………….……Postal Code………………or

  1. 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.