Exhibit 99.3
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ARRIS RESOURCES INC. | 
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| 9th Floor, 100 University Avenue Toronto, Ontario M5J 2Y1 www.computershare.com |
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Form of Proxy - Special Meeting to be held on December 8, 2009 at 10:00 a.m. (Vancouver Time) |
This Form of Proxy is solicited by and on behalf of Management.
Notes to proxy
1. | Every holder has the right to appoint some other person or company of their choice, who need not be a holder, to attend and act on their behalf at the meeting or any adjournment or postponement thereof. If you wish to appoint a person or company other than the persons whose names are printed herein, please insert the name of your chosen proxyholder in the space provided (see reverse). |
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2. | If the securities are registered in the name of more than one owner (for example, joint ownership, trustees, executors, etc.), then all those registered should sign this proxy. If you are voting on behalf of a corporation or another individual you must sign this proxy with signing capacity stated, and you may be required to provide documentation evidencing your power to sign this proxy. |
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3. | This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy. |
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4. | If this proxy is not dated, it will be deemed to bear the date on which it is mailed by Management to the holder. |
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5. | The securities represented by this proxy will be voted as directed by the holder, however, if such a direction is not made in respect of any matter, this proxy will be voted as recommended by Management. |
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6. | The securities represented by this proxy will be voted in favour or withheld from voting or voted against each of the matters described herein, as applicable, in accordance with the instructions of the holder, on any ballot that may be called for and, if the holder has specified a choice with respect to any matter to be acted on, the securities will be voted accordingly. |
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7. | This proxy confers discretionary authority in respect of amendments or variations to matters identified in the Notice of Meeting or other matters that may properly come before the meeting or any adjournment or postponement thereof. |
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8. | This proxy should be read in conjunction with the accompanying documentation provided by Management. |
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Proxies submitted must be received by 10:00 a.m. (Vancouver Time) on Friday, December 4, 2009.
VOTE USING THE TELEPHONE OR INTERNET 24 HOURS A DAY 7 DAYS A WEEK!
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•Call the number listed BELOW from a touch tone | •Go to the following web site: |
telephone. | www.investorvote.com |
1-866-732-VOTE (8683) Toll Free | |
If you vote by telephone or the Internet, DO NOT mail back this proxy.
Voting by mailmay be the only method for securities held in the name of a corporation or securities being voted on behalf of another individual.
Voting by mail or by Internetare the only methods by which a holder may appoint a person as proxyholder other than the Management nominees named on the reverse of this proxy. Instead of mailing this proxy, you may choose one of the two voting methods outlined above to vote this proxy.
To vote by telephone or the Internet, you will need to provide your CONTROL NUMBER, HOLDER ACCOUNT NUMBER and ACCESS NUMBER listed below.
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CONTROL NUMBER | HOLDER ACCOUNT NUMBER | ACCESS NUMBER |
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Appointment of Proxyholder | | | |
I/We, being holder(s) of ARRIS RESOURCES INC. hereby appoint: Lucky Janda, President, or failing this person, Sandeep Poonia, Director, | OR | Print the name of the person you are appointing if this person is someone other than the Chairman of the Meeting. | |
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as my/our proxyholder with full power of substitution and to attend, act and to vote for and on behalf of the shareholder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and all other matters that may properly come before the Special Meeting of shareholders of ARRIS RESOURCES INC. to be held at 1250 West Hastings Street, Vancouver, British Columbia, on Tuesday, December 8, 2009 at 10:00 a.m. (Vancouver Time), and at any adjournment or postponement thereof.
VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.
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| For | Against |
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1.Forward Split 1:5 | | |
To approve the special resolutions regarding the forward split 1:5 as further described in the Notice of Meeting and Information Circular. | ¨ | ¨ |
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2.Arrangement Resolution - QMI Seismic Inc. | | |
To approve the special resolutions set out in Schedule "A" to the information circular regarding the Arrangement between the Company and QMI SEISMIC INC., as further described in the Notice of Meeting and Information Circular. | ¨ | ¨ |
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3.Arrangement Resolution - CLI Resources Inc. | | |
To approve the special resolutions set out in Schedule "A" to the information circular regarding the Arrangement between the Company and CLI RESOURCES INC., as further described in the Notice of Meeting and Information Circular. | ¨ | ¨ |
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4.Arrangement Resolution - Arris Holdings, Inc. | | |
To approve the special resolutions set out in Schedule "A" to the information circular regarding the Arrangement between the Company and ARRIS HOLDINGS, INC., as further described in the Notice of Meeting and Information Circular. | ¨ | ¨ |
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5.Stock Option Plan for QMI Seismic Inc. | | |
To consider and, if thought fit, to pass, with or without variation, an ordinary resolution to affirm, ratify and approve a stock option plan for QMI SEISMIC INC. | ¨ | ¨ |
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6.Stock Option Plan for CLI Resources Inc. | | |
To consider and, if thought fit, to pass, with or without variation, an ordinary resolution to affirm, ratify and approve a stock option plan for CLI RESOURCES INC. | ¨ | ¨ |
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7.Stock Option Plan for Arris Holdings, Inc. | | |
To consider and, if thought fit, to pass, with or without variation, an ordinary resolution to affirm, ratify and approve a stock option plan for ARRIS HOLDINGS, INC. | ¨ | ¨ |
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| For | Withhold |
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8.Appointment of New Auditor | | |
To appoint ACAL Group, Chartered Accountants, as Auditor of the Company. | ¨ | ¨ |
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| For | Against |
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9.Name Change | | |
To approve the change of name of the Company conditional upon approval of the Board of Directors. | ¨ | ¨ |
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10.Transaction of Other Business | | |
To transact such other business as may properly come before the Meeting or any adjournment(s) or postponement(s) thereof. | ¨ | ¨ |
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Authorized Signature(s) - This section must be completed for your instructions to be executed. | Signature(s) | Date |
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I/We authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, this Proxy will be voted as recommended by Management. | | DD / MM / YY |