81 Rudolf Atul Chemicals Ltd | Annual Report 2021-22 Rudolf Atul Chemicals Ltd Form number MGT-11 Registered Office: B | 18598, Survey number 33, Atul 396 020, Gujarat, India Proxy form {Pursuant to Section 105 (6) of the Companies Act, 2013 and Rule 19 (3) of the Companies (Management and Administration) Rules, 2014} Corporate identity 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: .............................................................................................................................. , or failing him | her as my | our proxy to attend and vote (on a poll) for me | us and on my | our behalf at the 18th Annual General Meeting of the Company, to be held on Friday, August 19, 2022 at 4:00 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, 2022 2. Declaration of Dividend 3. Reappointment of Mr Ulrich Hambrecht as a Director 4. Reappointment of Mr Sudhir Merchant as a Director 5. Reappointment of Deloitte Haskins & Sells LLP, Chartered Accountants as the Statutory Auditors Signed this day ........... of 2022. Signature of the Member ..................................................................... Signature of the proxy holder(s)................................................. Affix Revenue Stamp here 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.
RkJQdWJsaXNoZXIy MjA2MDI2