

Atul Ltd
Registered office: Atul House, G I Patel Marg, Ahmedabad 380014, Gujarat, India
Attendance slip
39
th
Annual General Meeting
Friday, July 29, 2016
DP ID
Folio | Client ID
number
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