Shareholder Voting Proxy Submission Form

Shareholder Voting Proxy Submission Form — Form Fields

This legal template includes 10 fields. Submit a proxy vote on behalf of a shareholder for matters on the agenda of an annual or special shareholder meeting. Free to customize and use on ZenBuild.

• Shareholder Full Name (text, required)
• Shareholder Email (email, required)
• Number of Shares Held (text, required)
• Company Name (text, required)
• Meeting Date (text, required)
• Meeting Type (dropdown selection, required) — options: Annual General Meeting, Special General Meeting, Extraordinary General Meeting
• Proxy Holder Full Name (if appointing another person) (text, optional)
• Agenda Items Voted On (checkboxes, required) — options: Election of directors, Approval of financial statements, Auditor appointment, Executive compensation, Proposed amendments to articles, Other resolutions
• General Voting Instruction (dropdown selection, required) — options: Vote FOR all recommendations, Vote AGAINST all recommendations, Vote per individual item below
• Individual Item Vote Instructions (if needed) (long text, optional)