| BRISMESH INC. PROXY FORM |
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I ............. of .........., being a member of Brismesh Inc., appoint ...............of........................or failing that person..............of................ as my proxy to vote for me on my behalf at the (annual) general meeting of the association, to be hold on the...........day of.......20. and at any adjournment of the meeting. Signed this....... day of ......... 20.... Signature......... |
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This form is to be used in favour of / against* the following resolution(s): (Resolutions including election of members of management committee to be inserted here on form by the Secretary, if form sent out, or by the person submitting the proxy in other cases.) |