Institute of Corporate Governance of Uganda Proxy Form

INSTITUTE OF CORPORATE GOVERNANCE OF UGANDA

PROXY FORM

I,………………………………………………………………………………being a member of the Institute of Corporate Governance of Uganda entitled to attend and vote at any general meeting of the Institute hereby appoint ……………………………………………………………….

or failing him…………………………………………………………………

or failing him…………………………………………………………………

as my proxy to attend on my behalf at the ……………………………………………………………………….meeting held on……………………..and at any adjournment thereof.

Signed this………………….………………………………………………Day of ………………………………2021

SIGNATURE………………………………………………………………….

Registered Member

Address………………………………………………………………………………………………………………………………………………………………………