Protector Forsikring

AGM Information • Aug 5, 2015

Registration form for attendance to the Extraordinary General Meeting 26 August 2015

The undersigned shareholder in Protector Forsikring ASA will attend the company's Extraordinary General Meeting 26 August 2015 and vote for the shares.

Name of shareholder
Attending representative
(To be filled in if the shareholder is an organization or if the shareholder is attending by proxy.)
Number of shares
Signature ¹
	Place/date	Signature (repeated in block letters)

This attendance form must be received by Protector Forsikring ASA on Monday 24 April 2015 at 12:00 (CET) at the latest.

Please send the attendance form to; Protector Forsikring ASA, P.O.Box 1351 Vika, N-0113 Oslo, e-mail: rrf@protectorforsikring.no

Proxy: Extraordinary General Meeting 26 August 2015

If you are prevented from attending the Extraordinary General Meeting 26 August 2015, you can be represented by a proxy. You may then use this form of proxy.

The undersigned shareholder in Protector Forsikring ASA hereby authorizes (tick box):

[ ] The chairman of the board Jostein Sørvoll or anyone authorized by him, or

[ ] ________________________________ (specifically named person)

to attend and vote for my/our shares at the Extraordinary General Meeting of Protector Forsikring ASA on 26. August 2015. If the proxy does not name a specific proxy holder the proxy will be regarded as given to the Chairman of the Board of Directors or to anyone authorized by the Chairman of the Board of Directors. The voting shall take place in accordance with the instructions below. Please note that if a box has not been ticked, this will be regarded as an instruction to vote in favor of the proposals in the call, however so that the proxy holder shall decide on the vote to the extent that your proposals are made in addition to or in place of the proposals in the call.

Resolution	For	Against	Withheld	The proxyholder decides the vote
1. Election of Jostein Sørvoll as chair of the meeting and two additional persons to sign the minutes of the meeting jointly with the chairperson
2. Approval of the notice and agenda
3. Authorisation to the Board to raise subordinated loans and other external debt financing
4. Amendments of the articles of association

The shareholder's name and adress:
Date:
Place:
Signature of the shareholder: ¹

Please send the proxy form to arrive no later than 12:00 (CET), Monday 24 August 2015, to:

Protector Forsikring ASA, P.O.Box 1351 Vika, N-0113 Oslo, e-mail: rrf@protectorforsikring.no

¹ If the shareholder is a company, the registration form/proxy form must be signed by a person/persons authorized to sign on behalf of the company and a copy of the updated certificate of registration.