Medistim

Proxy Solicitation & Information Statement • Apr 6, 2017

Power of attorney

The undersigned, _____, that owns _______ shares in
Medistim ASA herby give		power of attorney to attend and vote for
my shares at the general meeting in Medistim ASA the 26th	of April 2017.
________	________
Place	Date
________	________
Shareholders signature		Shareholders name in block letters

(Companies must attach a copy of company registration of newer date to prove correct signature.)

Medistim ASA POWER OF ATTORNEY ORDINARY GENERAL MEETING 5 APRIL 2017

Shareholder who does not return the form "NOTICE OF ATTENDANCE – ORDINARY GENERAL MEETING 26th of APRIL 2017" (Form sent 4th of April)), and therefore wishes to authorise another person to act on his or her behalf at the ordinary general meeting on 26th of April 2017 must complete this power of attorney form and return it to: Medistim ASA, Økernveien 94, 0479 Oslo or to ir@medistim.com.

The power of attorney should be received by us no later than 25th of April 2017 at 16:00 hours (CET). The undersigned hereby grants (please tick):

Chairperson of the board Øyvin Brøymer, or the person he appoints, or

Name of attorney (use capital letters)

power of attorney to attend and vote for my/our shares at the ordinary general meeting of Medistim ASA to be held on 26th of April 2017. If the power of attorney form is submitted without stating the name of the attorney, the power of attorney will be deemed to have been given to the chairperson of the board of directors Øyvin Brøymer or the person he appoints. The votes shall be cast in accordance with the instructions below. Please note that if the alternatives below are not ticked off, this will be deemed to be an instruction to vote "in favour" of the proposals in the notice, provided, however, that the attorney determines the voting to the extent proposals are put forward in addition to, instead of, or as adjustments to the proposals in the notice.

	In			attorney's
Item:	favour	Against	Abstain	discretion
1. Approval of the notice, registration of shareholders or
persons represented by proxy.
2. Appointment of person to chair the meeting, to sign
the protocol, to co-sign the protocol and protocol
secretary proposed in the general meeting.
3. Approval of annual report for 2016.
4. Approval of profit and loss and balance sheet 2016.
5. Approval of the distribution of the profit for the year.
6. The Board of Director's declaration on salary and
other remuneration to the management.
7. Approval of fee to the auditor for 2016.
8. Election of board members. Two of the board
members are on election. This is according to The
Nomination Committee's suggestion.
9. Fees to the Board. This is according to the
Nomination Committee's suggestion.
10. The members the Nomination Committee. This is
according to the Nomination Committee's suggestion.
11. Compensation to the Nomination Committee. This is
according to the Nomination Committee's suggestion.
12. Approval of the Board of Director's suggestion to the
general meeting to renew the Board of Director's
authorization to increase share capital.
13. Approval of the Board of Director's suggestion to
renew the power of attorney to purchase own shares

The shareholder's name and address: ______________________________________ (please use capital letters).If the shareholder is a company, please attach documentation in the form of certificate of registration, or separate power of attorney, if applicable, to this power of attorney.

____ ______ ____________________

Date Place shareholder's signature