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Below is the Proxy Revocationtemplate body. If necessary, please put the personal information, company information, such as text to replace the specific content you need. you can download the .doc template file on the end of the article by click download link.



The undersigned, as owner of the securities of [YOUR COMPANY NAME] described below, hereby revokes any and all proxies and substitutions of proxies, including the proxy executed on [DATE], naming [NAME] as proxy, and further revokes any and all authority heretofore given to any person or persons to attend meetings, vote, consent, or otherwise act on behalf of the undersigned in any manner whatsoever with respect to such securities.

Dated:  [DATE]



Securities Information:

Certificate No.:       

Number of Shares:     

Class of Shares:     

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