Form of special proxy

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..... r proxy at the meeting of creditors [or contributories] to be held on the ..........day of ........20...., or at any adjournment thereof, to vote. [Here insert the word for or the word against , as the case may require, and specify the particular resolution] the resolution numbered.......in the notice convening the meeting. Dated this........day of...........20... Sd/- A.B. Notes : 1. It is open t .....

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