Owl House Foundation AGM: Proxy Form

THE OWL HOUSE FOUNDATION NPC

Registration number 99/00317/08

(Association incorporated under Section 21) (”the Company”)

 

I/We ________________________________________________

Of __________________________________________________

being a member of the Company, hereby appoint

_____________________________________________________

Of ___________________________________________________

Or failing him/her ______________________________________

Of ___________________________________________________

As my/our proxy to attend and speak and vote on a poll for me/us and on my/our behalf at the annual general meeting  or general meeting (as the case may be) of the Company to be held on the 30th day of November  2017 and at any adjournment thereof.

My proxy may vote or abstain from voting on any resolution as he/she deems fit.

 

SIGNED  this ________ day of  _______________________ 2017

 

_________________________________________
Signature