Form of proxy

Please tick (✓) in the appropriate box below to indicate how you wish your vote(s) to be cast. Date: (Notes e, f, g and h) Signature: Notes: a. Full name(s) and address(es) are to be inserted in BLOCK CAPITALS. The names of all joint registered holders should be stated. b. Please insert the number of shares registered in your name(s). If no number is inserted, this form of proxy will be deemed to