G Capital : GCAPITAL - Hardcopy Request Form 2022

HARDCOPY REQUEST FORM

G CAPITAL BERHAD

[Registration No. 199501000977 (330171-P)]

(Incorporated in Malaysia)

Dear Shareholders,

If you require a printed copy of the following documents, please complete this request form and return this form through email to [e-mail] fax it to [phone]

Annual Report 2022

Circular in relation to proposed renewal of existing shareholders' mandate for recurrent related party transactions of a revenue or trading nature ("RRPT")

Statement for a proposed renewal of share buy-back authority

(Please tick (√) for the above which document(s) are your require a printed copy)

PARTICULARS OF SHAREHOLDER

Name of Shareholder	:
NRIC No./Passport No./
Company Registration No.	:
CDS Account No.	:
Mailing Address	:

Contact No.

:

Signature	:
Date	: