Form of Proxy

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Full Text of the Document

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.....of..........in the district of ..........or failing him,.......of ................in the district of ...........as EQ \F(my, our) proxy to vote for EQ \F(me,us) on EQ \F(my, our) behalf at the EQ \F(annual general meeting,general meeting (not being an annual general meeting)) of the company to be held on the .................day of ...........and at any adjournment thereof. Signed this............