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Atul Ltd
Form number MGT-11
Proxy form
{Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules, 2014}
CIN: L99999GJ1975PLC002859
Name of the Company:
Atul Ltd
Registered office: Atul House, G I Patel Marg, Ahmedabad 380014, 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 39
th
Annual General Meeting of the Company, to be
held on Friday, July 29, 2016 at 10:30 a.m. at H T Parekh Hall, Ahmedabad Management Association, Dr Vikram Sarabhai Marg, Ahmedabad
380015, 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 and the Consolidated Financial Statements for the financial
year ended on March 31, 2016
2
Declaration of the dividend on Equity shares
3
Reappointment of Mr B S Mehta as a Director
4
Reappointment of Mr B N Mohanan as a Director
5
Appointment of Dalal & Shah Chartered Accountants LLP as the Statutory Auditors and fix their remuneration
6
Reappointment of Mr B N Mohanan as Whole-time Director
7
Ratification of remuneration of R Nanabhoy & Co for Cost Audit
Signed this ___ day of ____________ 2016
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