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Compliance Format

Proxy Form MGT-11

The statutory Form MGT-11 by which a member appoints a proxy to attend and vote at a general meeting on his behalf, under Section 105 of the Companies Act, 2013.

FORM No. MGT-11 — PROXY FORM

Pursuant to Section 105(6) of the Companies Act, 2013 read with Rule 19(3) of the Companies (Management and Administration) Rules, 2014

Name of the Company (CIN)[Company Name Ltd] ([CIN])
Registered Office[Registered Office Address]
Name of Member(s)[Member Name]
Registered Address[Address]
E-mail ID[Email]
Folio No. / Client ID / DP ID[Folio / DP-Client ID]

I/We, being the member(s) holding [No.] shares of the above named company, hereby appoint:

1. Name: [Name]Address: [Address]E-mail: [Email]Signature: ______, or failing him
2. Name: [Name]Address: [Address]E-mail: [Email]Signature: ______, or failing him

as my/our proxy to attend and vote (on a poll) for me/us and on my/our behalf at the [No.] Annual/Extraordinary General Meeting of the Company to be held on [DD/MM/YYYY] at [Time] at [Venue] and at any adjournment thereof in respect of the resolutions set out below:

Resolution No.ResolutionForAgainst
1[Adoption of accounts][ ][ ]
2[Declaration of dividend][ ][ ]
3[Re-appointment of director][ ][ ]

Signed this [DD] day of [Month], [YYYY].

Signature of shareholder: ____________________
Signature of Proxy holder(s): ____________________
[Affix Re. 1 Revenue Stamp]

Compliance note: This form, duly completed and signed, must be deposited at the registered office of the Company not less than 48 hours before the commencement of the meeting. A person can act as proxy for up to 50 members holding not more than 10% of the total voting share capital; a proxy need not be a member.

Before you use it — fill in / check

  • Company name
  • Meeting/period
  • Detail
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.