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> THE SOCIALIST REPUBLIC OF VIETNAM
BAOVIET Voy Independence — Freedom — Happiness
R OF CONFIRMATION OR AUTHORISATION
ING THE PARTICIPATION TO THE 2017 ANNUAL GENERAL Se tu: SHAREHOLDERS’ MEETING OF BAOVIET HOLDINGS
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Respectfully submit to: BAOVIET HOLDINGS
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Date Of 1SSU€: 2211 c2 Plac€ OŸ 1SSU€: Q2 n nu ye AdF€SS: 2G 001110200 1n ng TT EEEt Present ownershIp of: .- + - ẤM Giai miitiReottidiBtoi400:APSSi0X4k27080:013006,01i00010000M08098013/403/10021 00 ) Confirm to participate in the 2017 Annual General Shareholders’ Meeting (cross X for selection): or authorise for other individual (cross X for selection): Name of authOTIS€€: G Q19 0001111011000 1 ng TT 0 KT kg
/Passport/ CCCD Card 10.2 ssacissssaesrasasans Date Of ISSUE? ness cosesencanas Place OF i1SSUGt ricssasenasanves To represent the shareholder to participate in the 2017 Annual General Shareholders’ Meeting of Baoviet Holdings and to practise all the rights and responsibilitites corresponding to the number of authorised shares We shall hold full responsibility for such authorisation and shall commit to comply strictly to the current regulations of the law and the Charter of Baoviet Holdings
Notes:
- Shareholder can only cross X on 1 of the 2 squares to confirm the participation or authorisation for participation of others Once crossing X for authorisation, shareholders please kindly fill in all the
information of the authorisee;
- Shareholders please kindly send the letter of confirmation or authorisation to Baoviet Holdings prior to 5.00PM on 23th May 2017 via the address: Baoviet Holdings, No 08 Le Thai To, Hoan Kiem, Hanoi, Tel: 04.3928 9999 (Shareholders can send directly or fax the letter of authorisation to the Organising Board via 04.3928 9609, regarding fax copies, all the original copies must be sent back to the Oranising Board upon the time of participation to the Meeting)
Si wre vi mw wR dated .May 2017