Irrevocable Proxy[1]

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Irrevocable Proxy TO: (the “Corporation”) The undersigned, shareholder of the Corporation, hereby irrevocably appoints (the "Proxy") as proxy of the undersigned to attend and vote on behalf of the undersigned at the Meeting of Shareholders of the Corporation to be held on at and at any adjournment or adjournments thereof in the same manner, to the same extent and with the same power as if the undersigned were present at the said meeting or such adjournment or adjournments thereof. The rights granted herein by the undersigned to the Proxy are irrevocable and may not be terminated by the undersigned. Dated:

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