Proxy Revocation

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Date

{{date}}

To Whom It May Concern

Subject: Revocation of Proxy

I/We, {{full_name_of_principal}}, residing at/with registered address at {{address_of_principal}}, hereby formally revoke and cancel any and all proxy authority previously granted to:

Details of Proxy Being Revoked

Name of Proxy Holder: {{proxy_holder_name}}

Address of Proxy Holder: {{proxy_holder_address}}

Date of Original Proxy Grant: {{original_proxy_date}}

Purpose/Event for which Proxy was Granted: {{purpose_of_proxy}} (e.g., Annual General Meeting of [Company Name] on [Date])

Declaration of Revocation

This revocation is effective immediately upon the date of this document. All authority, powers, and rights conferred upon the aforementioned proxy holder by the original proxy are hereby withdrawn and declared null and void.

I/We further declare that any acts performed by the proxy holder after the date of this revocation shall not be binding upon me/us.

A copy of this revocation has been sent to the proxy holder and relevant parties (e.g., the company secretary, board of directors).

Acknowledgement of Receipt (Optional)

Please sign and return the attached duplicate copy of this revocation as acknowledgement of its receipt.

_____________________________

Signature of Proxy Holder (Optional)

Name: {{proxy_holder_name}}

Date: ____________________

Signature

Sincerely,

_____________________________

{{full_name_of_principal}}

{{identity_document_number}} (e.g., ID Number/Passport Number)

{{title_if_applicable}}

On behalf of: {{company_name_if_corporate_principal}}