Form of general proxy

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..... nt.. ....... 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 of ........ 20 . Sd/-. A.B. Notes: 1. It is open to a creditor or contributory to appoint the Company Liqui .....

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