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………………………………………………………………………………………………………………………………………………………………………