EX-99.21 22 tm2034111d1_ex99-21.htm EXHIBIT 99.21

 

Exhibit 99.21

 

ORLA MINING LTD.

 

8th Floor, 100 University Avenue

Toronto, Ontario M5J 2Y1

www.computershare.com

 

Security Class

 

Holder Account Number

 

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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).

 

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.

 

3.This proxy should be signed in the exact manner as the name(s) appear(s) on the proxy.

 

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.

 

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.

 

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.

 

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.

 

Proxies submitted must be received by 9:00 am, Vancouver Time, on Monday, May 11, 2020

 

VOTE USING THE TELEPHONE OR INTERNET 24 HOURS A DAY 7 DAYS A WEEK!

 

        

Call the number listed BELOW from a touch tone telephone.

1-866-732-VOTE (8683) Toll Free

 

 

Go to the following web site:

www.investorvote.com

Smartphone?

Scan the QR code to vote now.

 

  You can attend the meeting virtually by visiting the URL provided on the back of this proxy.

 

If you vote by telephone or the Internet, DO NOT mail back this proxy.

 

Voting by mail may 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 Internet are 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 listed below.

 

CONTROL NUMBER 

 

 

 

 

 

 

Appointment of Proxyholder
I/We being holder(s) of Orla Mining Ltd. hereby appoint(s):
Jason Simpson, President and Chief Executive Officer of the Corporation, or failing him, Etienne Morin, Chief Financial Officer of the Corporation              
OR Print the name of the person you are
appointing if this person is someone
other than the Chairman of the Meeting.
   

 

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 Annual General and Special Meeting of shareholders of the Corporation to be held via live webcast at https://78449.themediaframe.com/dataconf/productusers/ola/mediaframe/37060/indexl.html on Wednesday, May 13, 2020 at 9:00 am (Vancouver time) and at any adjournment or postponement thereof.

 

VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES.

 

1.Election of Directors

 

                  
For Withhold   For Withhold   For Withhold  
                  
01. Charles Jeannes 02. Richard Hall 03. Jason Simpson  
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04. Jean Robitaille 05. George Albino 06. Tim Haldane  
                  
07. David Stephens 08. Elizabeth McGregor        

 

For Withhold  
2.Appointment of Auditors      
Appointment of Ernst & Young LLP as Auditor of the Corporation for the ensuing year and authorizing the Directors to fix their remuneration.  

 

  For Against  
3. Adoption of Replacement Restricted Share Unit Plan      
To consider, and if deemed advisable, to pass an ordinary resolution to approve the adoption of a new restricted share unit plan of the Corporation, as more particularly described in the accompanying management information circular.   

 

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  Signature(s) Date
Authorized Signature(s) – This section must be completed for your
instructions to be executed.

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.
   

 

 

Annual Financial Statements – Mark this box if
you would NOT like to receive the Annual Financial
Statements and accompanying Management’s Discussion
and Analysis by mail.

 

If you are not mailing back your proxy, you may register online to receive the above financial report(s) by mail at www.computershare.com/mailinglist.

 

R D M Q295202 A R 5