Asia Media Annual Report 2018

137 | P a g e 16. PROXY FORM ASIA MEDIA GROUP BERHAD (Company No. 813137-v) (Incorporated in Malaysia) PROXY FORM I/We ___________________________________ (NRIC/Company No.) _________________________ of (Full Name in Block Letters) _____________________________________________________________________________________ (Full Address) being a Member of ASIA MEDIA GROUP BERHAD hereby appoint _______________________________________ (NRIC) ________________________________________ (Full Name in Block Letters) of _____________________________________________________________________________________ (Full Address) or failing him/her _________________________________________________________________ (NRIC) _____________________________________________________________________________________ (Full Name in Block Letters) of _____________________________________________________________________________________ (Full Address) or failing whom, the Chairman of the meeting as my/our proxy to attend and vote for me/us and on my/our behalf at the Eleventh Annual General Meeting of the Company to be held at Level 15, Unit 15-1, Menara Choy Fook On, Jalan Yong Shook Lin, Seksyen 7, 46050 Selangor Dahrul Ehsan, Petaling Jaya on 28 November 2019, Thursday at 10.30 a.m and at any adjournment thereof on the following resolutions in the manner indicated below: