GENERAL SERVICES PTE LTD

(Company Registration No. 12345678Z)

(Incorporated In Singapore)

FORM OF PROXY

I, _______________ of Messrs. ______________(Address), being legal executor of the will of the late
Malayan, 17-20, Konakadai-9-Chome, 22, Inage-Ku, Chiba-City, Japan, a registered member of
GENERAL SERVICES PTE LTD hereby appoint:

Mr / Ms
or failing him/ her Mr / Ms

as my proxy to vote for me and on my behalf at the Annual General Meeting of the Company to be held
at on and
at every adjournment thereof.

Executor

Date:

NOTES:

(i) A member entitled to vote at the Meeting is entitled to appoint a proxy or corporate
representative to attend and vote in his stead.

(ii) A proxy or corporate representative need not be a member of the Company.

(iii) Any instrument appointing a proxy should be deposited at the registered office of the Company,
12 Tannery Road #09-04, HB Centre 1, Singapore 374422, not less than forty-eight hours
before the time for holding the meeting.