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Integrated Report 2016
SHAREHOLDER INFORMATION
(continued)
FORM OF PROXY IN RESPECT OF THE
ANNUAL GENERAL MEETING
Adcock Ingram Holdings Limited
(Incorporated in the Republic of South Africa)
Registration number 2007/016236/06
JSE share code: AIP ISIN: ZAE000123436
(“Adcock Ingram”or “the Company”)
For use only by certificated shareholders and “own name” dematerialised shareholders of Adcock Ingram in respect of the Annual
General Meeting of shareholders to be held at 1 New Road, Midrand, Gauteng, on Thursday, 24 November 2016 at 09:00 or at any
other adjourned or postponed time determined in accordance with the provisions of section 64(4) or section 64(10) (as read with
section 64(11)(a)(i)) of the Companies Act.
A shareholder is entitled to appoint an individual as a proxy (who need not to be a shareholder of Adcock Ingram) to attend, speak
and vote or abstain from voting in the place of that shareholder at the Annual General Meeting.
All terms defined in the Notice of Annual General Meeting to shareholders dated 30 September to which this Form of Proxy is attached and
not defined herein shall bear the same meanings herein.
This form of proxy is only to be completed by those ordinary shareholders of Adcock Ingram who hold ordinary shares in certificated form
or who are recorded on sub-registered electronic form in “own name”. Shareholders who hold dematerialised ordinary shares are referred to
paragraphs 3 and 4 of the “Notes” overleaf for further instructions.
I/We, the undersigned (please print full names)
of (address)
being a shareholder of the Company, and entitled to (insert number)
votes, do hereby appoint: or failing him/her, or, failing him/her, the chairman of the Annual General Meeting, as my/our proxy to vote for me/us
on my/our behalf at the Annual General Meeting of shareholders of the Company to be held at the Company’s premises, 1 New Road, Midrand,
Gauteng, on Thursday, 24 November 2016 at 09:00 or any postponement or adjournment thereof, as follows:
(*Indicate instructions to proxy by insertion of the relevant number of votes exercisable by the shareholders in the space provided below. If no instructions are given, the proxy holder
will be entitled to vote or to abstain from voting as such proxy holder deems fit.)