Proxy Solicitation & Information Statement • Mar 31, 2015
Proxy Solicitation & Information Statement
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bpost Company limited by shares under public law
Centre Monnaie/Muntcentrum, 1000 Brussels
Enterprise no. 214.596.464 (RLE Brussels)
("bpost SA/NV")
This duly completed, dated and signed original paper form must be returned by mail by May 7, 2015 at the latest to:
bpost SA/NV Att.: Mr. Paul Vanwambeke Centre Monnaie/Muntcentrum 1000 Brussels (Belgium)
…………………………………………………………………………………………………………………………………………………………………....
…………………………………………………………………………………………………………………………………………………………………....
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The undersigned (name and first name / name of the company):
Legally represented by (name, first name, title):1
With address / registered offices at:
1 To be completed only if the undersigned is a legal person.
Confirms his/her intention to participate in the Ordinary General Meeting of Shareholders of the Company that will be held in Brussels on 13 May 2015 at 10am with all abovementioned shares.
Done at:
On:
(signature(s))
___________________
Name*: Title:
*If signature on behalf of a company, specify name, first name and title of natural person(s) and provide supporting documentation confirming representation powers. In the absence thereof, the undersigned declares and certifies to bpost SA/NV to have the necessary power of attorney to sign this form on behalf of the shareholder.
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