Extraordinary General Meeting

4. NIC No./ P.P. No. / Co. Reg. No. of Shareholder : ..... 5. Contact details of Shareholders Telephone: Residence: ………………Office……………………… Mobile : ...………………… e-mail: ………………………………………………….. (Please print clearly) 6. Names / NIC No. of Joint holder/s (If any): i. Name : ……………………………………………. NIC No. : …………………………….. ii. Name : ……………………………………………. NIC No. : …………………………….. Shareholder’s Signature /Date 1st J