Company Law: Proxy Form Example

This assignment provides an example of a completed proxy form for Heavenx Pty Ltd, a Queensland-based company. The form outlines the shareholder's right to vote in a meeting, the appointment of a proxy (either the chair or another individual), and voting directions for a specific resolution regarding the creation of preference shares. It also includes important legal notes about signing, joint shareholders, and attorney representation, aligning with Australian Securities Exchange guidelines.

Running head: COMPANY LAW
Proxy Form
Name of the student:
Name of the university:
Author note

1COMPANY LAW
Proxy Form
Heavenx Pty Ltd
ABN 866590332
Corporate office:
26, Boston Road, Queensland, 4000
Phone [phone]
Fax [phone]
Website: www.heavenx.com
As the member of Heavenx Pty Ltd I have the right to vote in the meeting. Under such right I
hereby transfer my power of voting
APPOINTMENT OF A PROXY
 The chair of the meeting (CLICK IF THE CHAIR IS YOUR PROXY)
If not please write the name of the person or company who is to be appointed as a proxy.
___________________________________________ (Name of the proxy)
____________________________________________ (Additional Information)
Exceptional clause:

2COMPANY LAW
However if I do not appoint any person as my proxy I hereby admit that the chair shall act as
my proxy and continue the voting process as directed by me or as permissible by law in
relation to the meeting which is going to be held as the Ball room at 21, Raisin Road, Cape
York, Queensland 4000 on 5th February Monday.
Directions for Voting
My proxy will only be considered as valid by the company if I provide this form with my due
signature 48 Hrs before the meeting to the company.
The following the resolution for which voting is to be done
Resolutions
Resolution Yes No Abstain
Creation of class PRF
(preference shares) by
amending the
constitution

3COMPANY LAW
SIGNATURE OF SHAREHOLDERS
Share holders joint shareholder
____________________________ _________________________
Signature of the director/ secretary
__________________________________
Note:
 This form mandatorily requires signature of the shareholder.
 All the terms and conditions of the proxy form are relevant in nature.
 The means and objective of the proxy form is legal in nature.
 The provisions of the proxy form has prepared according to the guidelines of
Australian Securities Exchange.
 Where the shareholding is on a joint basis any shareholder may give consent

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 Where the form is signed by an attorney, the company has to have a previous record
of the power of attorney in its Share registry or it is to give certified copy along with
the proxy form.
 In case the form is executed by an organization it has to be complying with the
Corporation Act 2001 (Cth) or the constitution of the company.

5COMPANY LAW