form · 2018. 2. 21. · form no. mgt‐11 proxy form [pursuant to section 105(6) of the companies...

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Page 1: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,
Page 2: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,
Page 3: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,

FORM NO. MGT‐11 

Proxy Form 

[Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies 

(Management and Administration) Rules, 2014] 

CIN: U85110TG2000PLC115819 

Name of the Company: Apollo Health and Lifestyle Limited 

Registered  Office:  1‐10‐60/62,  Ashoka  Raghupathi  Chambers,  5th  Floor,  Begumpet  Hyderabad 

Hyderabad TG 500016 IN 

Name of the member(s):

Registered Address:

E‐mail Id:

Folio No/ Client ID:

DP ID:

I/We, being the member(s) of ……………………………shares of the above named Company, hereby appoint 

the following 

1. Name: 

Address: 

Email Id: 

Signature…………………………………………..or failing him 

2. Name: 

Address: 

Email Id: 

Signature…………………………………………..or failing him 

3. Name: 

Address: 

Email Id: 

Signature…………………………………………..or failing him  

Page 4: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,

As my/our proxy to attend and vote  (on a poll)  for me.us and on my/our behalf at the Extra-Ordinary General Meeting of  the Company,  to be held on  the 9th  day of March, 2018 at 11.00 A.M. at Board 

Room, Apollo Health City, Jubilee Hills, Hyderabad‐ 500 033 and at any adjournment thereof in respect 

of such resolutions as are indicated below: 

Resolution No. 1: To Amend the Articles of Association of the Company“RESOLVED THAT pursuant to the provisions of Section 14 of the Companies Act, 2013 read with the Companies (Management and Administration) Rules, 2014 including any statutory modification(s) or re-enactment thereof, for the time being in force and subject to such other approvals, permission and consents as may be required under the Companies Act, 2013 or otherwise, the consent of the members be and is hereby accorded for substitution of the existing Clause 234 of Articles of Association with the following:“234. The Sponsor agrees and undertakes that it shall, on or before April 2, 2018, subscribe for Equity Shares for an aggregate amount of INR 800,000,000 (Indian Rupees Eight Hundred Million) ("Sponsor Subscription"). Notwithstanding anything to the contrary contained in these Articles, the Sponsor and the Company undertake that under no circumstances, the Investors’ shareholding in the Company shall be diluted below 29.03% of the Share Capital on account of the Sponsor Subscription as envisaged in this Article.”RESOLVED FURTHER THAT Ms. Sangita Reddy, Managing Director or Mr.D.V.Sivaram, Company Secretary of the Company be and is hereby authorised, severally, to: (i) sign, file and issue all the necessary forms and other document as may be required with statutory authorities; (ii) do and perform all such acts, deeds and things, including issuing certified true copies of resolutions, as may be necessary to give effect to the aforesaid resolutions; and (iii) authorise such person or persons as they deem fit to give effect to the aforesaid resolutions.”

Signed this ……………. Day of ………………………………2018 

Affix Revenue Stamp 

Signature of Shareholder  

Signature of Proxy Holder(s) 

NOTES: 

1. The proxy form in order to be effective should be duly stamped, completed and signed and must

be deposited at the Registered Office of the Company, not  less than 48 hours before time  for

holding the aforesaid meeting. A proxy need not be a member of the Company.

2. Members holding shares under more than one folio may use photocopy of this proxy form for

other folios. The Company shall provide additional forms on request.

Page 5: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,

Apollo Health and Lifestyle Limited  

Registered Office: 1‐10‐60/62, Ashoka Raghupathi Chambers, 5th Floor, Begumpet Hyderabad 

Hyderabad TG 500016 IN 

CIN: U85110TG2000PLC115819 

ATTENDANCE SLIP 

Extra-Ordinary General Meeting, Friday, 09th March, 2018 at 11.00 A.M. at Board Room, Apollo 

Health City, Jubilee Hills, Hyderabad‐ 500 033 

Registered  Folio  No._____________________/DP ID___________________Client ID/Ben. 

A/C_____________ No. of shares held_____________ 

I certify that  I am a registered shareholder/proxy for  the registered Shareholder of the Company and  hereby  record  my  presence  at  the  Extra-Ordinary  General  Meeting  of  the  Company  on  Friday,  09th March, 2018 at 11.00 A.M. at Board Room, Apollo Health City, Jubilee Hills, Hyderabad‐ 500 033. 

 ___________________________          ________________________________  

Member’s/Proxy’s name in Block Letters Signature    Member’s/Proxy’s Signature 

Note: Please fill this attendance slip and hand it over at the entrance of the hall. 

Page 6: FORM · 2018. 2. 21. · FORM NO. MGT‐11 Proxy Form [Pursuant to Section 105(6) of the Companies Act, 2013 and Rule 19(3) of the Companies (Management and Administration) Rules,

Map data ©2017 Google India 200 m

Apollo Hospital

Apollo Health and Lifestyle Limited Extra - Ordinary General MeetingDay: 9th March, 2018Time: 11.00 AMVenue: Board Room, Apollo Health City, Jubilee Hills, Hyderabad - 500 033