Regd. Office: C-160, Okhla Industrial Area, Phase -I, New Delhi - 110 020.
PROXY FORM
Folio No. _____________ Client ID No._
DP-ID No.__
I/We _
in the district of __ LIMITED, hereby appoint_
_ of
_ being a member/members of TULIP TELECOM
or failing him/her of _ in the district of
as my/our Proxy to vote for me/us on my/our behalf at the Annual General Meeting of the Company to be held at 11.00 a.m.at Sri Sathya Sai International Centre, Institutional Area, Pragati Vihar, Lodhi Road, New Delhi - 110 003 on Saturday , the 29th December, 2012.
Signature of Proxy
Affix Re1 revenue stamp here
Signature of member(s)
Note : Proxies in order to be effective must be deposited at the Registered Office of the Company not less than 48 hours before the commencement of the meeting.
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TULIP TELECOM LIMITEDRegd. Office: C-160, Okhla Industrial Area, Phase -I, New Delhi - 110 020.
ATTENDANCE SLIP(This attendance slip duly filled in, to be handed over at the meeting)
Folio No. _____________ Client ID No._
Name of the attending member (in block letters)_
DP-ID No.__
_
Name of the Proxy (in block letters) (to be filled in, if proxy attends instead of member)_
____
No. of shares held __
I hereby accord my presence at the Annual General Meeting being held at 11.00 A.M. at Sri
Sathya Sai International Centre, Institutional Area, Pragati Vihar, Lodhi Road, New Delhi - 110
003 on Saturday , the 29th December, 2012.
Member's / Proxy's Signature
(to be signed at the time of handing over this slip)
Note : Please bring this form with you to the Annual General Meeting
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