*I/We ______________________________________________________________ NRIC/ Passport/ Company No._________________________
(Full name in block and as per NRIC/Passport)
Tel/Hp No. _ _____________________________________ of______________________________________________________________________
being a member of Jaya Tiasa Holdings Berhad, hereby appoint:-
Full Name
(in Block and as per NRIC/Passport)
NRIC/ Passport No.
Address
and / or failing him (delete as appropriate)
Full Name
(in Block and as per NRIC/Passport)
NRIC/ Passport No.
Address
or failing him, the Chairman of the meeting as my/our proxy/proxies to vote for me/us and on my/our behalf at the Fifty-Fifth Annual
General Meeting of the Company to be held at the Auditorium, Ground Floor, No.62, Lorong Upper Lanang 10A, 96000 Sibu, Sarawak
on Thursday, 26 November 2015 at 9.00 a.m. and at any adjournment thereof.
My/our proxy is to vote as indicated below. If there is no specific indication given as to voting, the proxy will vote or abstain at his discretion.
No.
Ordinary Resolutions
For
Against
1.
Declaration of a First and Final single-tier dividend of 1% per ordinary share for the financial
year ended 30 June 2015.
2.
Re-election of Dato’ Sri Dr Tiong Ik KIng as Director.
3.
Re-election of Mdm Tiong Choon as Director.
4.
Re-appointment of Gen (Rtd) Tan Sri Abdul Rahman Bin Abdul Hamid as Director.
5.
Approval of Directors’ Fees for the financial year ended 30 June 2015.
6.
Re-appointment of Auditors.
7.
Continuation in office of Gen (Rtd) Tan Sri Abdul Rahman Bin Abdul Hamid as Independent Director.
8.
Continuation in office of Mr John Leong Chung Loong as Independent Director.
9.
Proposed Authority for the Company to purchase its own shares.
10.
Proposed Shareholders’ Mandate for Recurrent Related Party Transaction.
The proportion of my/our holding to be represented by my/our proxies are as follows:-
Number of shares held
First proxy
Second proxy
Total
Dated this __________________ day of _______________ 2015
Notes
1.
In respect of deposited securities, only members whose names appear in the Record of Depositors on 20 November 2015 shall be entitled to attend,
speak and vote at this 55th AGM.
2.
A member of the Company entitled to attend, speak and vote at the meeting is also entitled to appoint a proxy to attend, speak and vote in his/her
stead. A proxy may but need not be a member of the Company and the provision of Section 149(1)(b) of the Companies Act, 1965 shall not apply to
the Company.
3.
(i) A member shall not be entitled to appoint more than 2 proxies to attend and vote at this 55th AGM provided that where a member is an authorized
nominee as defined in accordance with the provisions of the Securities Industry (Central Depositories) Act, 1991, it may appoint up to 2 proxies
in respect of each Securities Account it holds with ordinary shares in the Company standing to the credit of the said Securities Account.
(ii) Where a member appoints 2 proxies, the appointment shall be invalid unless he specifies the proportions of his shareholdings to be represented
by each proxy.
4.
A member who is an exempt authorized nominee which holds ordinary shares in the omnibus account may appoint any no of proxies in respect of
the omnibus account it holds.
5.
The instrument appointing a proxy must be deposited at the Company’s Registered Office at No.1-9, Pusat Suria Permata, Lorong Upper Lanang
10A, 96000 Sibu, Sarawak not less than forty-eight (48) hours before the time for holding the meeting or at any adjournment thereof.
6.
If the appointer is a corporation, the proxy formmust be executed under its common seal or under the hand of its attorney. If the proxy form is executed
by an attorney, supporting documents has to be produced on the day of the Annual General Meeting for verification by the Company Secretary.
PROXY FORM
✄
Signature / Common Seal of Member
No. of shares held
CDS account number of holder
JAYA TIASA HOLDINGS BERHAD
(3751-V)
(Incorporated in Malaysia)
