Exhibit 99.3

 

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James Hardie

James Hardie Industries plc

ARBN 097 829 895

Incorporated in Ireland. The liability of members is limited

Registration Number: 485719

Registered Office: Second Floor, Europa House,

Harcourt Centre, Harcourt Street, Dublin 2, Ireland

 

JHX
MR SAM SAMPLE
FLAT 123
123 SAMPLE STREET
THE SAMPLE HILL
SAMPLE ESTATE
SAMPLEVILLE VIC 3030

  

 

Lodge your Voting Instruction Form:

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Online:

www.investorvote.com.au

 

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By Mail:

Computershare Investor Services Pty Limited

GPO Box 242 Melbourne

Victoria 3001 Australia

 

    

Alternatively you can fax your form to

(within Australia) 1800 783 447

(outside Australia) +61 3 9473 2555

 

Online Subscribers:

For Intermediary Online subscribers only

(custodians) www.intermediaryonline.com

 

    

For all enquiries call:

(within Australia) 1300 855 080

(outside Australia) +61 3 9415 4000

           Voting Instruction Form - 2017 Annual General Meeting (AGM)

   

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Vote online or view the Annual Report, 24 hours a day, 7 days a week:

www.investorvote.com.au

   

LOGO    Complete your Voting Instruction Form

 

LOGO    Access the Annual Report

 

LOGO    Review and update your security holding

 

    

 

Your secure access information is:

Control Number: 999999

 

SRN/HIN: I9999999999             PIN: 99999

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PLEASE NOTE: For security reasons it is important that you keep your SRN/HIN confidential.

 

                LOGO For your voting instruction to be effective it must be received by 6:45pm (Sydney time) on Sunday, 6 August 2017

 

How to Vote

By signing this Voting Instruction Form, you direct CHESS Depositary Nominees Pty Limited (CDN) to appoint the Chairman of the meeting or a person designated by you as its Nominated Proxy to vote the shares in the company held by CDN on your behalf in respect of the resolutions to be considered at the AGM to be held in Dublin on Tuesday, 8 August 2017 and at any adjournment of that meeting, as indicated on this form, and to vote or abstain in respect of any procedural resolution as the Nominated Proxy (as applicable) thinks fit.

 

If you want to apportion your vote, you must clearly enter the portion to be voted in a particular manner in the box opposite the resolution in Step 2 overleaf. This may be done by specifying the number of shares underlying your CUFS holding or the percentages of that holding. If you vote in excess of 100% of your holding for the resolution, your vote on the resolution will be invalid. If you mark more than one box for the resolution, except to show a portion in the manner discussed above, your vote on that resolution will be invalid.

 

If you lodge the Voting Instruction Form prior to the AGM, and complete your voting directions on that form, your voting instructions may only be changed if you submit a further Voting Instruction Form before the closing date at 6:45pm (Sydney time) on Sunday, 6 August 2017

 

There will be no voting facilities for the teleconference of the meeting.

 

Attending the Meeting

Persons seeking to attend the AGM will be required to provide appropriate identification to receive an entry card.

 

Appointing the Chairman as Proxy (Option A)

 

To instruct CDN to appoint the Chairman of the meeting as its Nominated Proxy to vote the shares underlying your CUFS:

Step 1 - Place a cross in the box next to Option A.

Step 2 - Place a mark or specify the number of shares or percentage of your holding to be voted in one of the boxes opposite the resolution. The shares underlying your CUFS will be voted in accordance with this direction.

If you do not mark ‘For’, ‘Against’, or ‘Abstain’ in respect of resolutions 1, 2, 3, 4, 5, 6 and 7 you acknowledge that the Chairman of the meeting will vote as he decides. The Chairman intends to vote undirected proxies in favour of each of these resolutions. If you mark the ‘Abstain’ box, you are directing the Chairman (as CDN’s Nominated Proxy) not to vote on the resolution(s) and your votes will not be counted in computing the required majority.

 

Appointing a proxy of your choice ‘Nominated Proxy’ (Option B)

To instruct CDN to appoint a Nominated Proxy of your choice (other than the Chairman of the meeting) or failing your nominee’s attendance at the AGM, the Company Secretary who may vote the shares underlying your CUFS at James Hardie’s AGM:

Step 1 - Write the person you appoint in the box at the top of the form overleaf.

Step 2 - Place a mark or specify the number of shares or percentage of your holding to be voted in one of the boxes opposite the resolution.

    * If the Nominated Proxy is a corporate and the written instruction will be submitted by a representative of the corporate, the appropriate ‘Certificate of Appointment of Corporate Representative’ form will need to be provided along with the written instructions. A Corporate Representative form may be obtained from Computershare or online at www.investorcentre.com under the help tab, ‘Printable Forms’.
   

You may instruct CDN to appoint yourself or your nominee as a Nominated Proxy, or failing your or your nominee’s attendance at the AGM, the Company Secretary as it’s Proxy.

 

If you instruct CDN to appoint a person nominated by you as Nominated Proxy but do not mark ‘For’, ‘Against’, or ‘Abstain’, the Nominated Proxy may vote as he or she determines at the AGM.

 

If you mark the ‘Abstain’ box for a resolution, you are directing the Nominated Proxy not to vote on the resolution(s).

 

If you appoint a Nominated Proxy and your Nominated Proxy does not attend the AGM, the Company Secretary will vote in accordance with the instructions on the Voting Instruction Form or, for undirected proxies, in accordance with the Nominated Proxy’s written instructions* provided to the Company Secretary, care of Computershare facsimile to 1300 534 987 from inside Australia or +61 3 9473 2408 from outside Australia or by email to [email protected]. If the Nominated Proxy does not provide written instructions to the Company Secretary care of Computershare by the earlier of (i) the time of commencement of voting on the resolutions at the AGM and (ii) 7:15am (Dublin time) / 4:15pm (Sydney time) on Tuesday, 8 August 2017 then the Company Secretary intends voting in favour of the resolutions.

 

If you do not select either of Option A or Option B, and the Voting Instruction Form is validly signed, you will be deemed to have marked Option A.

 

Signing Instructions for Postal Forms

Individual: Where the CUFS holding is in one name, the CUFS holder must sign.

Joint Holding: Where the CUFS holding is in more than one name, all of the CUFS holders must sign.

Power of Attorney: If you have not already lodged the Power of Attorney with the registry, please attach a certified photocopy to this form when you return it.

Companies: Where the company has a Sole Director who is also the Sole Company Secretary, this form must be signed by that person. If the company does not have a Company Secretary, a Sole Director can also sign alone. Otherwise this form must be signed by a Director jointly with either another Director or a Company Secretary. Please sign in the appropriate place to indicate the office held.

 

Comments & Questions

If you have any comments or questions for the company, please write them on the enclosed Question Form and return with this Voting Instruction Form.

 

GO ONLINE TO VOTE,                      LOGO

or turn over to complete the form

 

Samples/000001/000001/i12

 


MR SAM SAMPLE

FLAT 123

123 SAMPLE STREET

THE SAMPLE HILL

SAMPLE ESTATE

SAMPLEVILLE VIC 3030

      Change of address. If incorrect, mark this box and make the correction in the space to the left.    LOGO

 

LOGO     Voting Instruction Form

   Please mark LOGO to indicate your directions

 

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CHESS Depositary Nominees Pty Limited (CDN) will vote as directed

(please mark box A OR insert a name in the space provided at B below)                                              

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I/We, being a CUFS holder of the company, hereby instruct:

 

    Option A

                Option B    

Please write the name of the person (other than the Chairman) you would like to attend and vote at the meeting in Dublin on your behalf. If you wish to attend, speak and vote at the meeting in Dublin, write your own name.

 

  CDN to appoint the Chairman of the meeting as its proxy      or      

CDN to appoint the following Nominated

Proxy as it’s proxy:

   
                 
                 
              or failing attendance at the AGM of the person or body corporate so named, the Company Secretary

to attend, speak and vote the shares underlying my/our holding of CUFS at the AGM of James Hardie Industries plc to be held on Tuesday, 8 August 2017 in James Hardie’s Corporate Headquarters, The Cork Room, Europa House, 2nd Floor, Harcourt Centre (Block 9), Harcourt Street, Dublin 2, Ireland at 6:45am (Dublin time), and any adjournment of the meeting.

If you complete neither of the options above, and the Voting Instruction Form has been validly signed, then you will be deemed to have marked Option A.

THE BOARD OF DIRECTORS RECOMMEND A VOTE ‘FOR’ THE RESOLUTIONS.

 

 

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Items of Business

 

 

   ORDINARY BUSINESS    For    Against    Abstain
   1.    Receive and consider the Financial statements and reports for fiscal year 2017         
   2.    Receive and consider the Remuneration Report for fiscal year 2017         
   3. (a)    Elect Steven Simms as a director         
   3. (b)    Re-elect Brian Anderson as a director         
   3. (c)    Re-elect Russell Chenu as a director         
   3. (d)    Re-elect Rudolf van der Meer as a director         
   4.    Authority to fix the External Auditor’s Remuneration         
   SPECIAL BUSINESS         
   5.    Increase non-executive director fee pool         
   6.    Grant of Return on Capital Employed Restricted Stock Units to Louis Gries         
   7.    Grant of Relative Total Shareholder Return Restricted Stock Units to Louis Gries         

 

 

LOGO    This section must be signed in accordance with the instructions overleaf to enable your directions to be implemented.

 

Individual or Securityholder

    Securityholder 2     Securityholder 3
             
             

Sole Director and Sole Company Secretary

    Director     Director/Company Secretary

 

Contact

Name

   

    Contact    

    Daytime    

    Telephone    

     

Date

           /                /        
                

 

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