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XYZ LIMITED/PVT.LTD
Registered Office:
Phone No:

Fax No:

CIN:

Website:

POSTAL BALLOT FORM

1. Name(s) & Registered Address of the sole / first named Member :
2.

Name(s) of the Joint-Holder(s), if any

3. Registered Folio Number / DP ID No / Client ID No.*

*(Applicable to investors holding Shares in dematerialized form)

4. Number of shares held

I/We hereby exercise my/our vote in respect of the Special Resolution(s) to be passed
through Postal Ballot for the businesses stated in the Notice of the Company dated
by sending my/our assent or dissent to the said resolution by placing a tick mark
)(in the
appropriate box below:

Sl
Description
No.

No. of
Shares

1.

Consent of the Company

under Section 180 (1) (c) of
the Act to the Board of
Directors to borrow up to
or the aggregate of the paid
up capital and free reserves
of the Company, whichever
is higher.

2.

Alteration of the object

clause of the memorandum
Alteration of articles of
association
as
per
Companies Act,2013

3.

Place:
Date:

I/We
assent the
resolution
(FOR)

I/We dissent
the resolution
(AGAINST

(Signature of the shareholder)

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ELECTRONIC VOTING PARTICULARS

Electronic Voting Sequence
Number (EVSN)

USER ID

PASSWORD

Note: Please read the instructions printed overleaf carefully before exercising your vote.
INSTRUCTIONS
1. There will be one Postal Ballot Form / e-voting for every Client ID No. / Folio No.,
irrespective of the number of joint holders. A Member may request for a duplicate Postal
Ballot Form, if so required.
2. Members can opt for only one mode of voting i.e. either by Postal Ballot or through evoting. In case Members cast their votes both by Postal Ballot and e-voting, the votes
cast through e-voting shall prevail and the votes cast through postal ballot form shall be
considered invalid.
3. The Postal Ballot /e-voting shall not be exercised by a proxy.
Procedure to vote by postal ballot
1. A member desiring to exercise his/her vote by postal ballot should complete and sign
this form and may send duly completed form in the enclosed self addressed postage
pre-paid Business Reply Envelope. The envelope bears the name of
,
Practicing Company Secretary, appointed as the Scrutinizer by the Board of Directors of
the Company and the address of the Company. However, envelope containing postal
ballot if sent by courier at the expense of the registered shareholder will also be
accepted.
2. In case of joint holding, this Postal Ballot Form should be completed and signed by the
first named Member and in his absence by the next named Member.
3. In case of shares held by Companies, Trusts, Societies etc., a duly completed Postal
Ballot Form should be signed by its authorized signatory and shall be accompanied by a
certified copy of the Board Resolution/Authority together with the specimen signature(s)
of the duly authorised signatory(ies).
4. The signature should be as per the specimen signature registered with the company or
furnished to National Security Depository Limited or Central Depository Services (India)
Limited in respect of shares held in physical form or dematerialised form respectively.
5. Completed Postal Ballot Forms should reach the Scrutinizer not later than the close of
working hours i.e at 5.30 p.m on
. Postal Ballot Forms received after
this date will be considered as if reply has not been received.
6. An incomplete, unsigned, incorrectly completed, incorrectly ticked, defaced, torn,
mutilated, over-written, wrongly signed Postal Ballot Form will be rejected. The
Scrutinizers decision on the validity of Postal Ballot Form will be final.
7. Members are requested not to send any other paper in the enclosed self addressed
postage prepaid envelope along with the Postal Ballot Form (except those authorised by
the Company) as all Postal Ballot(s) will be sent to the Scrutinizer and any extraneous
paper found in such envelope would be destroyed by the Scrutinizer.
8. If a resolution is assented to by the requisite majority of the shareholders by both the
means, it shall be deemed to have been duly passed at a general meeting convened in
that behalf.
Procedure to vote by means of E-Voting

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1. In case email address of the Sole / First Holder is available with the Issuer/R&T Agent :
a. NSDL will generate User ID & password and send the same at the email address
provided by issuer/R & T Agent.
b. Using the User ID and password, you will login to the e-Voting system
(https://www.evoting.nsdl.com) of NSDL.
2. Others (where email address of the Sole / First Holder is not available with the
Issuer/R&T Agent)
a. NSDL will generate User ID and password and provide it to the Issuer/R&T Agent.
b. The Issuer/R&T Agent will dispatch the User ID and password in a PIN mailer at
the address of the Sole/First Holder.
c. Using the User ID and password, you will login to e-Voting system
(https://www.evoting.nsdl.com) of NSDL.
3. Home page of e-Voting opens. Click on e-Voting: Active E-voting Cycles.
4. Select EVEN (Electronic Voting Event Number) of

limited/pvt. ltd.

5. Now you are ready for e-Voting as Cast Vote page opens.
6. Cast your vote by selecting appropriate option and click on Submit and also click on
Confirm when prompted.
7. Upon confirmation, the message Vote cast successfully will be displayed.
8. Once you have voted on the resolution, you will not be allowed to modify your vote.
9. The corporate and institutional shareholders (companies, trusts, societies, etc.) are
required to send a scanned copy (PDF/JPG format) of the relevant Board Resolution/
Appropriate Authorization etc. together with attested specimen signature of the duly
authorized signatory(ies), to the Scrutinizer through e-mail at
with a copy
marked to evoting@nsdl.co.in.
10. If you are already registered with NSDL for e-voting then you can use your existing user
ID and password for Login to cast your vote.
11. The period for e-voting starts on

and ends on

12. E-voting shall be disabled by NSDL at 5:30 p.m.

13. In case of any queries, you may refer to the Frequently Asked Questions (FAQs) for
Shareholders and e-voting user manual for Shareholders available at the Downloads
section of NSDLs E-Voting website: www.evoting.nsdl.com. You can also send your
queries/ grievances relating to e-voting to the e-mail ID :- (companys website)

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