Proxy Revocation

Company Letterhead

{{company_name}}

{{company_address}}

Tel: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

Recipient Details

To: {{proxy_holder_name}}

Address: {{proxy_holder_address}}

Subject: Revocation of Proxy

Dear {{proxy_holder_name}},

Preamble and Identification of Original Proxy

This letter serves as a formal notification of the immediate revocation of the proxy previously granted by me, {{principal_name}}, of {{principal_address}}, to you, {{proxy_holder_name}}, on {{original_proxy_date}}.

The said proxy pertained to the representation of my interests and voting rights concerning {{details_of_shares_or_membership}} in {{company_or_organization_name}} (hereinafter referred to as 'the Company') at the {{type_of_meeting}} scheduled for {{meeting_date}} (or any adjournment thereof), or for any other purpose as stipulated in the original proxy document.

Declaration of Revocation

I hereby unequivocally withdraw and cancel all authority and powers conferred upon you by the aforementioned proxy.

Effective immediately, you are no longer authorised to act on my behalf, exercise my voting rights, or represent my interests in any capacity whatsoever in relation to the Company or any other matter covered by the revoked proxy.

Consequences of Revocation

Any actions taken or attempted to be taken by you under the authority of the revoked proxy after the date of this letter will be considered null and void and without my consent or authorisation.

This revocation supersedes any prior understanding, agreement, or instruction given to you regarding your appointment as my proxy.

Instructions for Confirmation

Please acknowledge receipt of this proxy revocation by signing and returning a copy of this letter to me at your earliest convenience.

Furthermore, I request that you notify the Company Secretary of {{company_or_organization_name}} of this revocation without delay, and ensure that all records pertaining to my representation are updated accordingly.

Formal Notice to Company (Optional, if applicable)

A copy of this revocation has also been forwarded to the Company Secretary of {{company_or_organization_name}} to ensure that the Company is formally aware of this change in representation.

Sincerely,

___________________________

{{principal_name}}

{{principal_id_number}} (Optional)

___________________________

Date

Acknowledgement of Receipt by Proxy Holder

I, {{proxy_holder_name}}, hereby acknowledge receipt of this Proxy Revocation on this {{acknowledgement_date}}.

___________________________

{{proxy_holder_name}}

___________________________

Date