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Proxy Form - Sample - 01 April 2017-1 | PDF | Proxy Voting | Power Of Attorney
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Proxy Form - Sample - 01 April 2017-1

This document appoints someone as a proxy to represent and vote on behalf of the document's signer at a special meeting of directors for a corporation. It grants full power and authority to the proxy to perform any legal acts and vote all shares registered to the signer. Unless revoked, this proxy is effective for the stated annual meeting of stockholders mentioned in the document.

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1K views2 pages

Proxy Form - Sample - 01 April 2017-1

This document appoints someone as a proxy to represent and vote on behalf of the document's signer at a special meeting of directors for a corporation. It grants full power and authority to the proxy to perform any legal acts and vote all shares registered to the signer. Unless revoked, this proxy is effective for the stated annual meeting of stockholders mentioned in the document.

Uploaded by

japopalattao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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PROXY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________, of legal age, Filipino and a resident of


____________________________________, a director of
____________________________ hereby constitute and appoint
_________________, as my ATTORNEY-IN-FACT AND PROXY, in my name,
place and stead, to represent me and vote all shares registered in my name on the
books of the said corporation, during my absence on the special meeting of the
directors of the said corporation on _________________ and at any adjournment or
adjournments thereof, as fully as I would be entitled to vote if personally present,
upon all legal matters which may come before the meetings or any adjournment or
adjournments thereof.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact and


proxy full power and authority to do and perform every legal act and thing
whatsoever requisite or necessary to be done in and about the premises as fully to all
intents and purposes as I might or could lawfully do, and hereby ratifying and
confirming all that my said attorney-in-fact and proxy shall lawfully do or cause to be
done by virtue hereof.

Unless revoked, this Proxy shall be effective for the aforestated annual
meeting of stockholders.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __th day


of ___________________ at _____________________.

___________________________________
ACKNOWLEDGEMENT

Before me, a notary public on the date and place above-mentioned, personally
appeared ______________, who exhibited to me this competent proof of identity as
above-indicated under his name, and who acknowledged to me that he understood
this instrument and that the same is his free and voluntary act and deed.

Notary Public
Doc. No. ____;
Page No. _____;
Book No. _____;
Series of 2017.

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