Aeffe

Proxy Solicitation & Information Statement • Mar 13, 2020

APPOINTED REPRESENTATIVE DECLARATION

IN CASE OF DELIVERY OR TRANSMISSION OF THE COPY OF PROXY

(Art. 135-novies, comma 5, D.Lgs. n. 58/1998)

I undersigned		(name)________					(surname)
		________			born		in
		_________		on	//______,	resident	at
		_____ in______ n. ______ (1),
		Tax code ______________
[eventual]	legal	representative	of	___		(company's	name)
		_________,		with	registered	offices	at
		___________in
		__________			n.	______, Tax	code
		_______ (2)

in his/her capacity as (thick the appropriate box):

Appointed Representative

Appointed Representative Substitute

to the partecipation to the shareholders meeting of the company AEFFE S.p.A., that will be on ____________________, at ______, in first and only calling, on my own responsibility, pursuant art. 135 novies, comma 5, D. Lgs. n. 58/1998

GUARANTEE

						(i) that the copy of the proxy for the partecipation to the above mentioned shareholders meeting complies to
the			original		one	delivered/transmitted to
						____________ and
(ii)	the	identity	of	the	delegator	_________
						____________(3).

and

(iii) the full and valid powers of the person signer of the proxy

¹ Please indicate the data of the appointed representative/ appointed representative substitute. In case the latter is a legal subject, please indicate the data of the legal representative.

² Please complete in case the appointed representative/ appointed representative substitute is a legal subject. 3

Please indicate the data of the delegator (if natural person: name, surname, place and date of birth, tax code; if legal subject: company's name, complete address of registered office, tax code), as they are indicated in the communication for the participation to the meeting pursuant art. 83-sexies of D. Lgs. 58/1998.

I acknowledge that, pursuant art. 135-novies, comma 5, D. Lgs. n. 58/1998, the delegate conserves the original proxy and keeps track of the vote's instructions eventually received for one year starting from the end of the shareholders meeting works.

I STATE

furthermore the vote's right of the proxy here enclosed is not exercited in a discretionary way but following written vote's instructions.

_______________, _____________________

Signature of Appointed Representative /Appointed Representative Substitute

PRIVACY

The data contained in this declaration will be processed by AEFFE SpA (The "Company") – responsible of their use - to manage the operations of the meeting, in accordance with current laws regarding the protection of personal data. Such data may be known by employees of the Company specifically authorized to process them for the abovementioned purposes: this data may be disclosed or communicated to specific parties in fulfillment of an obligation by law, regulation or rule Community, or in accordance with instructions issued by authority to do so by law or by the vigilance and control.

You have the right, pursuant to EU Regulation 2016/679, to know - at any time - what are your data known by the Company, their origin and how they are used; also you have the right to ask that the Company update, amend, supplement or delete, block them. In this case, you can contact Aeffe S.p.A. - Via delle Querce 51 47842 San Giovanni in Marignano