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Form of general proxy

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Full Text of the Document

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...... a creditor [or contributory] of the above􀇦named company, hereby appoint.. ....... of.. ................... as my/our general proxy to vote for me/us and on my/our behalf at the meeting of creditors [or contributories] of the said company summoned to be held in the above matter on the ......... day of ……….20 ...., and at any adjournment thereof. Dated this .. day o....