Mawson_West_SEDAR_Proxy_E02.indd
MAWSON WEST LIMITED
8th Floor, 100 University Avenue Toronto, Ontario M5J 2Y1 www.computershare.com
Security Class
Holder Account Number
Fold
Form of Proxy - Annual General and Special Meeting to be held on May 31, 2016
This Form of Proxy is solicited by and on behalf of Management.
Notes to proxy
1. Every holder has the right to appoint some other person or company of their choice, who need not be a holder, to attend and act on their behalf at the meeting or any adjournment or postponement thereof. If you wish to appoint a person or company other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided (see reverse).
-
If the securities are registered in the name of more than one owner (for example, joint ownership, trustees, executors, etc.), then all those registered should sign this proxy. If you are voting on behalf of a corporation or another individual you must sign this proxy with signing capacity stated, and you may be required to provide documentation evidencing your power to sign this proxy.
-
This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy.
-
If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder.
5. The securities represented by this proxy will be voted as directed by the holder, however, if such a direction is not made in respect of any matter, this proxy will be voted as recommended by Management.
-
The securities represented by this proxy will be voted for, against or abstained in respect of each of the matters described herein, as applicable, in accordance with the instructions of the holder, on any ballot that may be called for and, if the holder has specified a choice with respect to any matter to be acted on, the securities will be voted accordingly.
-
This proxy confers discretionary authority in respect of amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the meeting or any adjournment or postponement thereof.
-
This proxy should be read in conjunction with the accompanying documentation provided by Management.
Appointment of Proxy
Voting 100% of your holding: Direct your proxy how to vote by marking one of the boxes opposite each item of business. If you do not mark a box your proxy may vote as they choose. If you mark more than one box on an item your vote will be invalid on that item.
Voting a portion of your holding: Indicate a portion of your voting rights by inserting the percentage or number of securities you wish to vote in the For, Against or Abstain box or boxes. The sum of the votes cast must not exceed your voting entitlement or 100%.
Appointing a second proxy: You are entitled to appoint up to two proxies to attend the meeting and vote on a poll. If you appoint two proxies you must specify the percentage of votes or number of securities for each proxy, otherwise each proxy may exercise half of the votes. When appointing a second proxy write both names and the percentage of votes or number of securities for each in the space provided (see reverse).
A proxy need not be a securityholder of the Company. Attending the Meeting
Bring this form to assist registration. If a representative of a corporate securityholder or proxy is to attend the meeting you will need to provide the appropriate "Certificate of Appointment of
Corporate Representative" prior to admission. A form of the certificate may be obtained from Computershare or online at www.investorcentre.com under the information tab, "Downloadable Forms".
Proxies submitted must be received by 11.00 am (Perth time) on 29 May 2016.
Lodge your vote:
Fold
By mail:
Computershare Investor Services Inc. 100 University Ave. 8th Floor
Toronto ON M5J 2Y1
By fax:
1-866-249-7775 (Within North America) 416-263-9524 (Outside North America)
Appointment of Proxyholder
I/We being a member(s) of Mawson West Limited hereby appoint:
OR
the Chairman of the Meeting
Please note: Leave this box blank if you have selected the Chairman of the
Meeting. Do not insert your own name(s).
or failing the individual or body corporate named, or if no individual or body corporate is named, the Chairman of the Meeting, 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 to the extent permitted by law, as the proxy sees fit) at the Annual General and Special Meeting of Mawson West Limited to be held at Ground Floor, 20 Kings Park Road, West Perth, Western Australia on 31 May 2016, at 11.00 am (Perth time) and at any adjournment or postponement of that Meeting.
Items of Business PLEASE NOTE: If you mark the Abstain box for an item, you are directing your proxy not to vote on your behalf on a show of hands or a poll and your votes will not be counted in computing the required majority.
For Against Abstain
-
Resolution
Election of Anthony Lloyd as a director of the Company
-
Resolution
Election of Jesus Fernandez as a director of the Company
Fold
-
Resolution
Election of Philippe Monier as a director of the Company
-
Resolution
Election of Mark Stowell as a director of the Company
-
Resolution
Election of Dennis Wilkins as a director of the Company
-
Resolution
Approval of the issue of Shares to Galena on the exercise of Warrants
Fold
The Chairman of the Meeting (where appropriately authorised) intends to vote all undirected proxies in favour of each item of business.
Signature(s) Date
D
Authorized Signature(s) - This section must be completed for your
instructions to be executed. .
D / MM / YY
Interim Financial Statements - Mark this box if you would like to receive Interim Financial Statements and accompanying Management's Discussion and Analysis by mail.
Annual Financial Statements - Mark this box if you would like to receive the Annual Financial Statements and accompanying Management's Discussion and Analysis by mail.
If you are not mailing back your proxy, you may register online to receive the above financial report(s) by mail at www.computershare.com/mailinglist.
193915
AR1