Rudolf Atul Chemicals Ltd Form number MGT-11 Proxy Form Registered Office: B | 18598, Survey Number 33, Atul 396 020, Gujarat, India {Pursuant to Section 105 (6) of the Companies Act, 2013 and Rule 19 (3) of the Companies (Management and Administration) Rules, 2014} Corporate identification number: U24110GJ2005PLC045564 Name of the Company: Rudolf Atul Chemicals Ltd Registered Office: B | 18598, Survey number 33, Atul 396 020, Gujarat, India Name of the Member(s): Registered address: E-mail address: Folio number | Client ID: DP ID: I | We, being the Member(s) of ................ shares of the above named Company, hereby appoint: 1. Name: ................................................................................................................................................................................................. Address: ................................................................................................................................................................................................. E-mail address: ................................................................................................................................................................................................. Signature: ......................................................................................................... , or failing him | her 2. Name: ................................................................................................................................................................................................. Address: ................................................................................................................................................................................................. E-mail address: ................................................................................................................................................................................................. Signature: ......................................................................................................... , or failing him | her 3. Name: ................................................................................................................................................................................................. Address: ................................................................................................................................................................................................. E-mail address: ................................................................................................................................................................................................. Signature: ................................................................... as my | our proxy to attend and vote (on a poll) for me | us and on my | our behalf at the 15th Annual General Meeting of the Company, to be held on Friday, August 09, 2019 at 1:00 pm at B | 18598, Survey number 33, Atul 396 020, Gujarat, India and at any adjournment thereof in respect of such resolutions as are indicated below: No. Resolutions 1 Adoption of the Financial Statements and Reports thereon for the financial year ended on March 31, 2019 2 Declaration of dividend on equity shares 3 Reappointment of Mr Ulrich Hambrecht as a Director Signed this __ day ____ of 2019. Signature of the Member Signature of the proxy holder(s) Note: This proxy form in order to be effective must be duly completed and deposited at the registered office of the Company not less than 48 hours before commencement of the meeting. Affix Revenue Stamp here
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