Proxy Solicitation & Information Statement • Dec 23, 2016
Proxy Solicitation & Information Statement
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The attorney-in-fact (proxy) is hereby appointed with the authority to:
(make an X in the box for the applicable tasks that the attorney-in-fact/proxy shall be able to carry out on your behalf)
| Name of attorney-in-fact/proxy | Attorney-in-fact/proxy personal identification number |
|---|---|
| Name of shareholder: | |
| Person or company name | Personal ID number or org. number |
| Place: | |
| Date: | |
| Name: | Name: |
For company shareholders, please make sure the proxy is signed by person(s) holding company signature (Norwegian: firmasignatur). In addition, please attach copy of company certificate.
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