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This document serves as a proxy form for shareholders of USI Holdings Limited to appoint a proxy to vote on their behalf at the Annual General Meeting.
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How to fill out SUPPLEMENTAL PROXY FORM

01
Obtain the SUPPLEMENTAL PROXY FORM from the appropriate source.
02
Read the instructions carefully before filling out the form.
03
Fill in your personal information, including name, address, and shareholder identification.
04
Indicate your voting preferences for each item listed on the form.
05
Sign and date the form to validate it.
06
Submit the completed form according to the provided instructions, ensuring it is sent to the right location before the deadline.

Who needs SUPPLEMENTAL PROXY FORM?

01
Shareholders who are unable to attend the meeting in person and wish to vote on important matters regarding the organization.
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A Supplemental Proxy Form is a document that allows shareholders to provide additional instructions or votes related to matters being discussed at a company meeting, supplementing the initial proxy statement.
Shareholders who wish to make additional requests or clarifications regarding their voting instructions or who need to address specific issues not covered in the original proxy statement are required to file a Supplemental Proxy Form.
To fill out a Supplemental Proxy Form, shareholders must complete their personal information, specify the agenda items they wish to address, detail their voting preferences, and sign the form before submitting it according to the instructions provided by the company.
The purpose of a Supplemental Proxy Form is to ensure that shareholders can communicate their intentions clearly and to address any additional concerns or instructions related to their voting rights at a company meeting.
The information that must be reported on a Supplemental Proxy Form includes the shareholder's name, contact details, the number of shares held, the agenda items to be voted on, specific instructions for each item, and the shareholder's signature.
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