Announcement PDF Proxy Form Energy Technologies Limited ("the Company") ABN 38 002 679 469 I/We being a member/s of the Company and entitled to attend and vote of Hereby appoint of or failing him/her, or if no person is named, the Chairman of the Meeting, as my/our proxy to attend and to vote on my/our behalf at the Extraordinary General Meeting of the Company to be held at 102 Old Pittwater Road, Brookvale th on 28 July 2015 at 10.30am, and at any adjournment thereof. If two proxies are appointed, the proportion of the member’s voting rights which this proxy is appointed to represent is set out below. % or shares Instructions on Voting If you wish to direct your proxy how to vote in respect of the proposed resolutions, please indicate the manner in which your proxy is to vote by ticking the appropriate box below, otherwise your proxy may vote as he/she thinks fit. Should you chose to appoint a proxy, you are encouraged to direct that proxy as to how to vote by marking either For, Against or Abstain on the proxy form for each item of business. If you mark the abstain box for a particular item you are directing your proxy not to vote on a show of hands or on a poll and your votes will not be counted in computing the required majority on a poll on that item. The Chairman of the Meeting intends to vote undirected proxies by shareholders who are not Excluded Shareholders in favour of all resolutions. For Against Abstain














BUSINESS OF THE MEETING RESOLUTION 1 The issue of convertible notes (ratification and oversubscription) RESOLUTION 2 The issue of convertible notes (new notes) RESOLUTION 3 The issue of convertible notes under an unsecured convertible note facility to interests associated with Alfred J Chown RESOLUTION 4 The issue of convertible notes under an unsecured convertible note facility to interests associated with Gary A Ferguson RESOLUTION 5 The issue of convertible notes under an unsecured convertible note facility to interests associated with Philip W Dulhunty Dated this _______ day of _____________________ 2015 INDIVIDUAL SECURITY HOLDER SECURITY HOLDER SECURITY HOLDER Signature Signature Signature DIRECTOR / COMPANY SECRETARY SOLE DIRECTOR / SOLE COMPANY SECRETARY Signature Signature Address for return of proxies: 102 Old Pittwater Road, Brookvale or fax to +61 (2) 9939 9812 Attention: Gregory Knoke. This form must be signed by the security holder. If a joint holding, all security holders must sign. If signed by the security holder’s attorney, the power of attorney must have been previously noted by the Company or a certified copy attached to this form. If executed by a company, the form must be executed in accordance with the security holder’s constitution and the Corporations Act 2001 (Cth). The Company advises that Chapter 2C of the Corporations Act 2001(Cwlth) requires information about you as a security holder (including your name, address and details of securities you hold) to be included in the public register of the entity in which you hold securities. This information must continue to be included in the Company's register of members even if you cease to be a security holder. Information is collected to administer your security holding and if some or all of the information is not collected then it might not be possible to administer your security holding. The Company may disclose this information for purposes related to your shareholding, including in circumstances permitted under the Chapter 2C of the Corporations Act 2001. You can obtain access to your personal information in the Company's register of members in accordance with Chapter 2C of the Corporations Act 2001. page 2