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(?. Proxy Form A. ? F F F) (General and Simple Form) F Shareholder registration number (1) F I/We Rode Postal Code (2) (3) ? Written at. . Date Month Year F residing/located at no. / Arthur/Whet nationality

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Obtain the proxy form labeled "nim21jun12" from the relevant authority or organization.

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Any individual who is unable to attend a specific event, such as a meeting, conference, or voting session, may need to use a proxy form.

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In business settings, shareholders who cannot personally attend a company's annual general meeting may require a proxy form to delegate voting rights to another person.

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Please note that the specific requirements for using a proxy form may vary depending on the jurisdiction and the organization governing the event. It is always advisable to consult the relevant authority or seek professional advice when filling out proxy forms.

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