Proxy Form
*I/*We
*NRIC (new and old)/*Passport/*Company No
(FULL NAME OF A MEMBER IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT/*CERTIFICATE OF INCORPORATION)
(COMPULSORY : NEW AND OLD)
of
(ADDRESS)
telephone no.
being a member of Maxis Berhad (“the Company”), hereby appoint
*NRIC/*Passport No
(FULL NAME OF A PROXY IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT)
(COMPULSORY)
of
(ADDRESS)
and/or
*NRIC/*Passport No
(FULL NAME OF A PROXY IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT)
(COMPULSORY)
of
(ADDRESS)
Only in the case of a member who is a substantial shareholder/exempt authorised nominee
and/or
*NRIC/*Passport No
(FULL NAME OF A PROXY IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT)
(COMPULSORY)
of
(ADDRESS)
and/or
*NRIC/*Passport No
(FULL NAME OF A PROXY IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT)
(COMPULSORY)
of
(ADDRESS)
and/or
*NRIC/*Passport No
(FULL NAME OF A PROXY IN BLOCK LETTERS AS PER *IDENTITY CARD/*PASSPORT)
(COMPULSORY)
of
(ADDRESS)
or failing *him/her, THE CHAIRMAN OF THE MEETING as *my/our *proxy/proxies to vote for *me/us and on *my/our behalf at the Seventh
Annual General Meeting of the Company to be held on Wednesday, 20 April 2016 at 10 a.m. at Grand Ballroom, 1
st
Floor, Sime Darby
Convention Centre, 1A Jalan Bukit Kiara 1, 60000 Kuala Lumpur, Malaysia and at any adjournment thereof. *I/We indicate with an “
√
“ or “X“
in the spaces below how *I/we wish *my/our vote to be cast:
AGENDA
1
To consider the Audited Financial Statements and the Reports of Directors and Auditors thereon
ORDINARY RESOLUTIONS
FOR
AGAINST
2 (i) Hamidah Naziadin
(Resolution 1)
2 (ii) Morten Lundal
(Resolution 2)
3 (i) Mohammed Abdullah K. Alharbi
(Resolution 3)
3 (ii) Robert Alan Nason
(Resolution 4)
4
Re-appointment of Auditors
(Resolution 5)
Subject to the abovestated voting instructions, *my/*our proxy may vote or abstain from voting on any resolution as *he/*she/*they may
think fit.
