

Atul Ltd
Registered Office: Ashoka Chambers, Rasala Marg
Ahmedabad 380006, Gujarat, India
ATTENDANCE SLIP
Annual General Meeting
DP ID
Folio | Client ID No
Full name of the Shareholder | Proxy attending the meeting
….........................................................................................................................................................................................
(First Name)
(Middle Name)
(Surname)
FIRST HOLDER | JOINT HOLDER | PROXY
(Strike out whichever is not applicable)
Full name of the First holder (If Joint holder | Proxy attending)
….........................................................................................................................................................................................
(First Name)
(Middle Name)
(Surname)
Signature of the Shareholder | Proxy
Atul Ltd
Registered Office: Ashoka Chambers, Rasala Marg
PROXY FORM
DP ID
Folio | Client ID No
I | We.................................................................................................................of.........................................................................
…...................................................................................................................................................................................................
(Full Address)
hereby appoint...............................................................................................................................................................................
(Name in Block Letters)
of ...................................................................................................................................................................................or failing
(Full Address)
him | her.......................................................................................of..............................................................................................
(Name in Block Letters)
(Full Address)
(Date)
(Month)
2. The Proxy Form duly signed across revenue stamp should reach Registered Office of
the Company at least 48 Hours before the time of the meeting.
Signature of the Member
August 04, 2011, Thursday
Ahmedabad 380006, Gujarat, India
34
th
as my | our proxy to vote for me | us on my | our behalf at the 34th Annual General Meeting of the Company to be held on
As WITNESS my | our hand | hands is | are affixed this................................day of..........................2011
Dr Vikram Sarabhai Marg, Ahmedabad 380015, Gujarat, India and at any adjournment thereof.
August 04 2011, Thursday, at 11.00 a.m. at J B Auditorium Hall, Ahmedabad Management Association, AMA Complex, ATIRA,
in the State of.............................................................................................................being a Member(s) of Atul Ltd,
Note: 1. The Proxy need not be a Member of the Company.