Long form proxy form for a general meeting of a private company or unlisted public company
Long form proxy form for a general meeting of a private company or unlisted public company

The following Corporate guidance note provides comprehensive and up to date legal information covering:

  • Long form proxy form for a general meeting of a private company or unlisted public company

Company number: [insert number]

[insert company name] [LIMITED OR PLC]

(the Company)

Form of proxy for general meeting

Before completing this form please read the explanatory notes

I/We,

Name of shareholder(s) ......................................................................
......................................................................
  In the case of joint shareholders, the names of all joint holders should be shown

being a member/members of the Company, appoint

Name of proxy .................................................................................................................................................. (complete in block capitals)
Tick this box if this proxy appointment is one of multiple appointments ..................
For the appointment of more than one proxy, please refer to note3 below.
number of Shares to which this proxy relates ..................
Note: Leave blank if you are only appointing one proxy in respect of all your shares

or, if no one is named in the box as proxy, the chair of the meeting as my/our proxy to exercise all or any of my/our rights to attend and speak for me/us and on my/our behalf at the general