Notes: Please delete as appropriate and insert the number of shares of the Company registered in your name(s) to which this proxy form relates. If a number is inserted, this proxy form will be deemed to relate only to those shares. If no number is inserted, this proxy form will be deemed to relate to all the shares of the Company registered in your name(s). If more than one proxy is appointed, the number of shares in respect of which each such proxy so appointed must be specified. Full name(s) and address(es) (as shown in the register of members) to be inserted in BLOCK CAPITALS. The names of all joint registered shareholders should be stated.