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Form of Proxy

COLINZ LABORATORIES LIMITED
A-101, Pratik Ind. Estate, Next to Fortis Hospital, Mulund-Goregaon Link Road, Mumbai-40007

Ledger Folio No.

No. of Shares

 

I/We..........................................................................................................of......………

............................................  being a member/members of Colinz Laboratories Limited hereby

 

appoint................................................................................................of........................………

................. or    failing him / her ....................................................……………… of................

as  my/ our  proxy  to  vote for me/ us  and  on  my/ our  behalf  at the 25th  Annual General Meeting of the Company to be held on Friday, 30th September, 2011 and at any adjournment thereof.

Signed this................................................2011.

Affix  One Rupee Revenue Stamp

                                                                                              

 

 

 

[ Signature of the Member(s)]

NOTE :Proxy duly completed must be deposited at the Registered Office of the Company not less than 48 hours before the time for holding the meeting. The proxy need not be member of the Comp

 

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COLINZ LABORATORIES LIMITED
A-101, Pratik Ind. Estate, Next to Fortis Hospital, Mulund-Goregaon Link Road, Mumbai-400078

ATTENDANCE SLIP

I hereby record my presence at the 25th Annual General Meeting of the Company held at A-101, Pratik Ind. Estate, Next to Fortis Hospital, Mulund-Goregaon Link Road, Mumbai-400078, on Friday, 30th September, 2011 at 12.30 P. M.

...............................................................                                                          .................................
Full name of the shareholder                                                                                                   Signature
[in block letters]

Folio No.................................................

..............................................................                                                            
Full Name of Proxy                                                                                                                   Signature
[in block letters]

NOTE: Shareholders attending the meeting in person or proxy are requested to complete the attendance slip and hand it over at the entrance of the meeting place. Joint shareholders may obtain additional slips on request.

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BOOK POST

 

To,---------------------------------------------------

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If undelivered, please return to:

COLINZ LABORATORIES LIMITED.
A-101, Pratik Ind. Estate, Next to Wockhardt Hospital,
Mulund-Goregaon Link Road, Mumbai-400078.

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