Proxy Agreement

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Proxy Agreement

Proxy Agreement

{{company_name}} {{company_address}} Phone: {{phone}} Email: {{email}} Website: {{website}}

PROXY AGREEMENT

This Proxy Agreement (the “Agreement”) is made and entered into on this {{day}} day of {{month}}, {{year}}, by and between:

1. **{{Principal_Name}}** (hereinafter referred to as the “Principal”), residing at {{Principal_Address}}, with Identity/Company Registration Number {{Principal_ID_Reg_Number}}.

AND

2. **{{Proxy_Name}}** (hereinafter referred to as the “Proxy”), residing at {{Proxy_Address}}, with Identity/Company Registration Number {{Proxy_ID_Reg_Number}}.

1. APPOINTMENT OF PROXY

The Principal hereby irrevocably appoints the Proxy to be their true and lawful attorney and agent, with full power of substitution, to attend, act, speak, and vote on behalf of the Principal at the {{meeting_type}} meeting of {{company_name}} (the “Company”) to be held on {{meeting_date}} at {{meeting_time}} at {{meeting_location}}, and at any adjournment or postponement thereof.

2. SCOPE OF AUTHORITY

The Proxy is authorised to exercise all voting rights related to the Principal’s shares, being {{number_of_shares}} ordinary shares in the Company, in accordance with the following instructions:

2.1. **Specific Instructions:** To vote FOR/AGAINST/ABSTAIN on the following resolutions:

- Resolution 1: {{Resolution_1_description}} - [FOR/AGAINST/ABSTAIN]

- Resolution 2: {{Resolution_2_description}} - [FOR/AGAINST/ABSTAIN]

- Resolution 3: {{Resolution_3_description}} - [FOR/AGAINST/ABSTAIN]

- (Add more resolutions as necessary)

2.2. **Discretionary Authority (if applicable):** In the absence of specific instructions for any resolution or matter that may properly come before the meeting, the Proxy is authorised to vote as they deem fit in the best interests of the Principal and the Company. (Strike out if not applicable).

3. TERM OF APPOINTMENT

This Proxy Agreement shall be valid for the duration of the {{meeting_type}} meeting specified in Section 1, including any adjournments or postponements thereof, and shall automatically terminate thereafter. Alternatively, this proxy is valid for a period commencing on {{start_date}} and ending on {{end_date}}.

4. REVOCATION

This proxy is revocable by the Principal at any time prior to its exercise by giving written notice to the Proxy and the Company Secretary at least {{notice_period}} days before the meeting, or by the Principal personally attending and voting at the meeting.

5. REPRESENTATIONS AND WARRANTIES

The Principal represents and warrants that they are the legal and beneficial owner of the shares in question and have full authority to grant this proxy.

6. GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of {{Country}}.

SIGNATURES

IN WITNESS WHEREOF, the parties have executed this Proxy Agreement on the date first above written.

_____________________________

{{Principal_Name}}

Principal

_____________________________

{{Proxy_Name}}

Proxy

_____________________________

Witness Name: {{Witness_Name_1}}

Witness Signature:

_____________________________

Witness Name: {{Witness_Name_2}}

Witness Signature: