Specimen of Proxy
Date of the Proxy: …. /…. /…
Corresponding to …. /……/……..
Greeting,
I’ am shareholder (four parts of the name………), nationality……… by virtue of national ID No. / Iqama/ Passport No………., issued at ……… in my capacity as personal/ Authorized signatory/ Manager/ Chairman of the Company (name of the company……….) own
……… shares of Saudi Arabian Amiantit Co.’s shares, listed company by CR# 2050002103 – Dammam in accordance with the Article 28 of the Company’s By-Laws, I hereby give a proxy to (four parts of name ……….) to attend & represent me in the shareholder’s Ordinary General Assembly meeting which will be held at 21:30 pm on Wednesday, 08/05/2019G at the Head Quarter in Dammam.
The Proxy hereby is authorized to vote on my behalf on all agenda items or other items raised by the General Assembly for voting & sign on my behalf on all resolutions and related documents of those meetings. This Proxy is valid for the above meeting & any other meeting which will be subsequent to or postponed.
Name of the Signatory:………
Title of the Signatory: ………
ID number of the signatory (Iqama number or passport number for Non-Saudi: ………
Signature of the signatory (also stamp for corporate persons): ………
