PROXY FORM
I, the undersigned holder (the "Shareholder") of ________ (the "Company") and having the following address:
ordinary shares in the capital of
hereby appoints ________ (the "Proxy") of the following address:
________
as my proxy to vote on my behalf at the Annual General Meeting of the Company which will hold by ________, on ________, at the following address:
________
82 2588 52228222222, 588 22525 52228222222 2528825882 2552 82 252 55552528525 88 525282 5282225.
The Proxy shall vote in the following manner:
________
SIGNED on ________.
Signature of the Shareholder
________________________
PROXY FORM
I, the undersigned holder (the "Shareholder") of ________ (the "Company") and having the following address:
ordinary shares in the capital of
hereby appoints ________ (the "Proxy") of the following address:
________
as my proxy to vote on my behalf at the Annual General Meeting of the Company which will hold by ________, on ________, at the following address:
________
82 2588 52228222222, 588 22525 52228222222 2528825882 2552 82 252 55552528525 88 525282 5282225.
The Proxy shall vote in the following manner:
________
SIGNED on ________.
Signature of the Shareholder
________________________
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