GlaxoSmithKline Pharmaceuticals Limited
Registered Office : Dr. Annie Besant Road, Mumbai 400 030.
ATTENDANCE SLIP
Annual General Meeting on 16th April 2013 at 3.00 p.m. at the Birla Matushri Sabhagar, Mumbai 400 020
.
I hereby record my presence at the 88th Annual General Meeting of the Company at the Birla Matushri
Sabhagar, 19, Marine Lines, Mumbai 400 020, on 16th April 2013
.
I am a shareholder of the Company
*
I am a Proxy/Authorised Representative of the shareholder(s)*
My name is
(Surname)
(First Name)
(Second Name)
*
Please strike off any one which is not applicable
Signature
NOTE: Shareholder /Proxy who wish to attend the meeting must bring the Attendance Slip to the Meeting and
hand over the same at the entrance duly signed
.
GlaxoSmithKline Pharmaceuticals Limited
Registered Office : Dr. Annie Besant Road, Mumbai 400 030.
PROXY
DPID / CLID :
Reference Folio :
No. of Shares :
I /We
of
in the district of
being a member /members of
GlaxoSmithKline Pharmaceuticals Limited, hereby appoint
of
in the district of
or failing him
of
in the district of
as my/our Proxy
to vote for me/us on my/our behalf at the 88th Annual General Meeting of the Company to be held on the
16th day of April 2013 and at any adjournment thereof.
Signed this
day of
2013.
Signature
NOTE: The Proxy must be deposited at the Registered Office of the Company at Dr. Annie Besant Road, Mumbai 400 030 not
less than 48 hours before the time for holding the Meeting.
Affix
Re. 1/-
Revenue
Stamp
CUT HERE
1...,91,92,93,94,95,96,97,98,99,100 102