Annual General Meeting, (Date) at (Time)
Regd. Folio No. ____/ No. of shares held ___________ equity shares
I certify that I am a registered shareholder/proxy for the registered Shareholder of the Company and hereby record my presence at the Annual General Meeting of the Company on (Day), (Date) at (Time) at the Registered Office of the Company at _______________________________
Member’s/Proxy’s name in Block Letters Member’s/Proxy’s Signature
Note: Please fill this attendance slip and hand it over at the registered office.