Proxy Form - Safaricom

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PROXY
FORM
I/WE ____________________________________________________________________________________________________________
OF______________________________________________________________________________________________________________
Being a member of the above Company, hereby appoint:
_________________________________________________________________________________________________________________
OF______________________________________________________________________________________________________________
failing whom, the Chairman of the Meeting, as my/our proxy, to vote for me/us and on my/our behalf at the Annual General
Meeting of the Company to be held on Tuesday, 16 September 2014 and at any adjournment thereof.
As witness my/our hand this_______________________________________ day of______________________________________2014.
Signed
__________________________
Signed
__________________________
NOTE:
1. A member entitled to attend and vote is entitled to appoint one or more proxies to attend and vote in his stead and a
proxy need not be a member of the Company.
2. In the case of a member being a limited Company this form must be completed under its Common Seal or under the
hand of an officer or attorney duly authorised in writing.
3. Proxies must be in the hands of the Secretary not later than 48 hours before the time of holding the meeting. All proxies
should be sent by Post to Image Registrars of P O Box 9287, 00100 Nairobi. Alternatively, duly signed proxies can be
scanned and emailed to info@image.co.ke in PDF format.
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