Pre-Annual General Meeting Information • Nov 5, 2015
Pre-Annual General Meeting Information
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Shareholder's full name and address
An Extraordinary General Meeting of Apptix ASA will take place
at 11:00 CET on November 26, 2015 at Felix konferansesenter, Aker Brygge, Oslo, Norway. ------------------------------------------------------------------------------------------------------------------------------------------------
This form must reach Nordea Bank Norge ASA no later than 17.00 CET on November 24, 2015. Within this deadline, registration may be done at www.apptix.com/investors/agm-registration or Address: Nordea Bank Norge ASA, Issuer Services, P O Box 1166 Sentrum, N-0107 Oslo, Norway. Fax: +47 22 48 63 49. Email: [email protected].
The undersigned will attend Apptix ASA's Shareholder's reference number, pin code and Extraordinary General Meeting on Nov 26, 2015 and full name
vote for my/our shares and/or
vote for shares specified in the attached proxy(ies). ____________ __________________________
Date Shareholder's signature When signing on behalf of a shareholder, documentation in the form of a power of attorney/proxy must be attached.
If you are unable to attend the Extraordinary General Meeting in person, you may use this form to appoint a proxy. The undersigned shareholder in Apptix ASA
Shareholder's reference number and full name
hereby appoints:
Johan Lindqvist, Chairman of the Board of Directors Other (name): ………………………………….
as my proxy to attend and vote for my/our shareholding at Apptix ASA Extraordinary General Meeting on November 26, 2015. The following will apply for this proxy:
| This proxy is discretionary | Agenda items: |
|---|---|
| This proxy is non-discretionary meaning that it must be voted for the proposal(s): | |
| This proxy is non-discretionary meaning that it must be cast against the proposal(s): | |
| This proxy is non-discretionary meaning that a blank vote must be cast against the proposal(s): |
(The proposals for each item on the agenda will appear on the Calling Notice. If none of the boxes have been crossed out and/or given voting instructions, this implies that the designated proxy can vote for the proxy's choice of that particular item(s).)
Date Shareholder's signature
When signing on behalf of a shareholder, documentation in the form of a power of attorney/proxy must be attached.
___________ ______________________
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