+ GIPPSLAND LIMITED
TO BE RENAMED ARROWHEAD RESOURCES LIMITED
ACN: 004 766 376
«HOLDER_NAME»
«ADDRESS_LINE_1»
«ADDRESS_LINE_2»
«ADDRESS_LINE_3»
«ADDRESS_LINE_4»
«ADDRESS_LINE_5»
REGISTERED OFFICE:
SUITE 3
11 SHEPPARD WAY MARMION WA 6020
All Correspondence to:
Gippsland Limited
PO Box 2277
Marmion WA 6020
F: +61 8 9315 2233
E: [email protected]
Code:
+
GIP
Holder Number:
«HOLDER_NUMBER
PROXY FORM
THIS DOCUMENT IS IMPORTANT. IF YOU ARE IN DOUBT AS TO HOW TO DEAL WITH IT, PLEASE CONTACT YOUR STOCK BROKER OR LICENSED PROFE SSIONAL ADVISOR.
SECTION A: Appointment of Proxy
I/We, the above named, being registered holders of the Company and entitled to attend and vote hereby appoint:
The meeting chairperson OR
or failing the person named, or if no person is named, the Chairperson of the meeting or the chairpersons nominee, as my/our Proxy to act generally at the meeting on my/our behalf and to vote in accordance with the following directions (or if no directions have been given and subject to the relevant laws, as the Proxy sees fit) at the General Meeting of the Company to be held at 10:00am WST on Tuesday 29 September 2015 at The Vic Boardroom, 226 Hay Street, Subiaco WA 6008, Australia and at any adjournment of that meeting.
SECTION B: Voting Directions
Please mark "X" in the box to indicate your voting directions to your Proxy.
CHAIR'S VOTING INTENTIONS IN RELATION TO UNDIRECTED PROXIES
The Chairperson of the Meeting intends to vote undirected proxies in FAVOUR of all the resolutions. In exceptional circumstances, the Chairperson of the Meeting may change his/her voting intention on any resolution, in which case an ASX announcement will be made.
RESOLUTION For Against *Abstain
1. RATIFICATION OF PRIOR ISSUE
2. RATIFICATION OF PRIOR ISSUE
3. CONSOLIDATION OF CAPITAL
4. ISSUE OF SHARES TO RELATED PARTY - GANDEL METALS PTY LTD
5. ISSUE OF SHARES TO RELATED PARTY - VENTUREWORKS JDK PTY LTD
6. CHANGE OF COMPANY NAME
7. REPLACEMENT OF CONSTITUTION
If no directions are given my proxy may vote as the proxy thinks fit or may abstain. * If you mark the Abstain box for a particular resolution, you are directing your Proxy not to vote on your behalf on a show of hands or on a poll and your votes will not be counted in computing the required majority on a poll.
SECTION C: Signature of Security Holder(s)
This section must be signed in accordance with the instructions overleaf to enable your directions to be implemented.
Individual or Security Holder
Sole Director & Sole Company Secretary
Security Holder 2
Director
Security Holder 3
Director/Company Secretary
Proxies must be received by Gippsland Limited no later than 10:00am WST on Sunday 27 September 2015.
+ GIPPX1290915 1 1 GIP GIPPX1290915 +
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My/Our contact details in case of enquiries are:
Name: Number:
( )
1. NAME AND ADDRESS
This is the name and address on the Share Register of the Company. If this information is incorrect, please make corrections on this form. Shareholders sponsored by a broker should advise their broker of any changes. Please note that you cannot change ownership of your shares using this form.
2. APPOINTMENT OF A PROXY
If the person you wish to appoint as your Proxy is someone other than the
Chairperson of the Meeting please write the name of that person in Section A.
If you leave this section blank, or your named Proxy does not attend the meeting, the Chairperson of the Meeting will be your Proxy. A Proxy need not be a shareholder of the Company.
3. DIRECTING YOUR PROXY HOW TO VOTE
To direct the Proxy how to vote place an "X" in the appropriate box against each item in Section B. Where more than one Proxy is to be appointed and the proxies are to vote differently, then two separate forms must be used to indicate voting intentions.
4. APPOINTMENT OF A SECOND PROXY
You are entitled to appoint up to two (2) persons as proxies to attend the meeting and vote on a poll. If you wish to appoint a second Proxy, an additional Proxy form may be obtained by contacting the Company's share registry or you may photocopy this form.
To appoint a second Proxy you must:
a) On each of the Proxy forms, state the percentage of your voting rights or number of securities applicable to that form. If the appointments do not specify the percentage or number of votes that each Proxy may exercise, each Proxy may exercise half of your votes; and
b) Return both forms in the same envelope.
5. SIGNING INSTRUCTIONS
Individual: where the holding is in one name, the Shareholder must sign. Joint Holding: where the holding is in more than one name, all of the Shareholders must sign.
Power of Attorney: to sign under Power of Attorney you must have already lodged this document with the Company's share registry. If you have not previously lodged this document for notation, please attach a certified photocopy of the Power of Attorney to this form when you return it.
Companies: where the Company has a Sole Director who is also the Sole Company Secretary, this form must be signed by that person. If the Company (pursuant to section 204A of the Corporations Act 2001) does not have a Company Secretary, a Sole Director may sign alone. Otherwise this form must be signed by a Director jointly with either another Director or Company Secretary. Please indicate the office held in the appropriate place.
If a representative of the corporation is to attend the meeting the appropriate "Certificate of Appointment of Corporate Representative" should be lodged with the Company before the meeting or at the registration desk on the day of the meeting. A form of the certificate may be obtained from the Company's share registry.
6. LODGEMENT OF PROXY
Proxy forms (and any Power of Attorney under which it is signed) must be received by Security Transfer Registrars Pty Ltd no later than the date and time stated on
the form overleaf. Any Proxy form received after that time will not be valid for the scheduled meeting.
Gippsland Limited
Postal Address PO Box 2277
Marmion WA 6020
Facsimile +61 8 9315 2233
Email [email protected]
PRIVACY STATEMENT
Personal information is collected on this form by Security Transfer Registrars Pty Ltd as the registrar for securities issuers for the purpose of maintaining registers of security holders, facilitating distribution payments and other corporate actions and communications. Your personal details may be disclosed to related bodies corporate, to external
service providers such as mail and print providers, or as otherwise required or permitted by law. If you would like details of your personal information held by Security
Transfer Registrars Pty Ltd or you would like to correct information that is inaccurate please contact them on the address on this form.
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