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This document is a proxy form for shareholders of TiGenix NV to appoint a representative to attend and vote on their behalf at the extraordinary shareholders’ meeting scheduled for April 4, 2011.
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How to fill out proxy form

How to fill out Proxy Form
01
Obtain the Proxy Form from the relevant organization or authority.
02
Fill in your name and contact information at the top of the form.
03
Specify the date of the meeting for which the proxy is being appointed.
04
Clearly identify the person you are appointing as your proxy by including their name and contact information.
05
Indicate whether the proxy has the authority to vote on your behalf on specific issues or all matters.
06
Sign and date the form as required.
07
Submit the completed Proxy Form to the relevant organization before the deadline.
Who needs Proxy Form?
01
Individuals unable to attend a meeting but wish to ensure their vote is counted.
02
Shareholders in a company who cannot attend annual general meetings.
03
Members of organizations or associations who cannot be present at important decision-making meetings.
04
Anyone else who wishes to delegate their voting rights to another person.
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People Also Ask about
Does a proxy need to be witnessed?
Two witnesses 18 years of age or older must sign this Health Care Proxy form. The person who is appointed your agent or alternate agent cannot sign as a witness.
Does a proxy form need to be notarized?
Does a health care proxy form need to be notarized? This depends on your state's laws. Most states require two witnesses, while some may also require notarization for the document to be valid. Check your local regulations for specific requirements.
What is a proxy notary?
There are times when a person needs to sign a document and have it notarized immediately, but the person is unable to write at all. Some states allow signers who can't write to use an option called signature by proxy, where someone else present signs on behalf of the person who is unable to write.
How to become a proxy for a family member?
A Health Care Proxy designates another person to make medical decisions should you be unable to do so, and a Living Will allows you to list medical treatments that you would or would not want if you became terminally ill and unable to make your own decisions.
Does a document need to be typed to be notarized?
Yes, you may notarize a signature on a document that includes handwritten paragraphs. A document can be typed or handwritten.
What is proxy paperwork?
A health care proxy is a document that names someone you trust as your proxy, or agent, to express your wishes and make health care decisions for you if you are unable to speak for yourself.
What is the legal document for proxy?
Making your health care proxy decision official To make your decision official, you will need to complete the durable power of attorney for health care form for your state.
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What is Proxy Form?
A Proxy Form is a document that allows a shareholder to appoint another individual to vote on their behalf at a shareholder meeting.
Who is required to file Proxy Form?
Shareholders who are unable to attend a shareholder meeting in person and wish to delegate their voting rights to another person are required to file a Proxy Form.
How to fill out Proxy Form?
To fill out a Proxy Form, a shareholder must provide their name, the name of the person they are appointing as their proxy, and specify the items on which the proxy can vote, along with their signature and date.
What is the purpose of Proxy Form?
The purpose of a Proxy Form is to enable shareholders to participate in corporate decision-making even if they cannot attend the meeting in person by allowing someone else to vote on their behalf.
What information must be reported on Proxy Form?
Information that must be reported on a Proxy Form includes the shareholder's name, the proxy's name, the specific meeting details, voting instructions on agenda items, and the shareholder's signature.
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