European Medical Solutions

Proxy Solicitation & Information Statement • Nov 28, 2018

PROXY FORM

Any shareholder wishing to be represented at the extraordinary general meeting to be held on 17 December 2018 at the Company's registered office, with the agenda set out below must use the present proxy form. Any other proxy form will not be accepted.

The signed proxy form must be sent to the Company by 11 December 2018 at 5.00 pm at the latest (CET). This form may be communicated to the company by mail marked for the attention of Asit Biotech, Monsieur Grégory Nihon, 5 avenue Ariane à 1200 Brussels, by email to gregory.nihon@biotech.be, or by fax to +32 2 264 03 99.

It is important to note that the undersigned shareholder must also comply with the registration formalities set out in the convening notice.

Moreover, the designation of a proxy holder must comply with applicable Belgian legislation, in particular with regard to conflicts of interest.

The undersigned :
name:
address:
represented pursuant to its
articles of association by
holder of :	shares of the company
corporate name :	ASIT BIOTECH SA
registered office :	1200 Brussels, avenue Ariane 5

Hereby appoints asspecial proxy holder:

Mister/Miss and/or M. Thierry Legon and/or M. Everard van der Straten, each with the power to act alone,

To whom it grants all powers necessary for representing him/her at the extraordinary general meeting of the said company, that will be held on 17 December 2018 at 3.00 pm (CET), 5 avenue Ariane, 1200 Brussels, and which will deliberate on the following agenda:

1. Acknowledgment of the special report of the Board of directors established in accordance with article 604 of the Company code

□ For ◘ Against ◘ Abstention

2. Renewal of the authorised capital

Proposed resolution: approve the renewal of the authorisation to use the authorised capital for a new period of 5 years under the terms and conditions provided by the Board report established pursuant to article 604 of the Company Code and, in the event the resolution is adopted, subsequent amendment of the article 15 of the Articles of association relating to the authorised capital in order to update it.

□ For ◘ Against ◘ Abstention

3. New topics on the agenda at the request of shareholders:

o Mister Gerd Zettlmeissl

3.1. Revocation of four directors:

Proposed resolution: the assembly decides to revoke the four following directors with immediate effect:

□	For	◘ Against	◘ Abstention
	o	Mister Thierry Legon
□	For	◘ Against	◘ Abstention
	o	Mister Jean Duchateau
□	For	◘ Against	◘ Abstention
	o	Mister Everard van der Straten
□	For	◘ Against	◘ Abstention

3.2. Appointment of two directors:

Proposed resolution: the assembly decides to appoint the two following directors: o Mister Louis Champion, residing at 75015 Paris (France), Avenue

Milleret de Brou 1 and,

□ For ◘ Against ◘ Abstention

o Mister Michel Baijot, residing at 1150 Bruxelles, Avenue des Cormorans 26,

□ For ◘ Against ◘ Abstention

With immediate effect and for a duration of three years. The remuneration of these directors will remain unchanged as the one approved by the last General Assembly.

3.3. Revocation of one director:

Proposed resolution: the assembly decides to revoke the following director with immediate effect:

o RE Finance Consulting SA, represented by Mister Yves Désiront

□ For ◘ Against ◘ Abstention

4. Power

Proposed resolution: Grant powers to the Board of directors, with the right to sub-delegate,

in order to implement the above resolutions, and more specifically to establish of the updated Articles of Association.

□ For ◘ Against ◘ Abstention

In case no voting instructions have been given, the undersigned shareholder is deemed to accept the proposed resolutions.

As a consequence:

The proxy holdershall:

• − participate in the meeting and, as the case may be, vote in favour of its postponement;
• − attend any other meeting with the same agenda if the first meeting may not validly deliberate, has been postponed, or has not been validly convened;
• − take part in all deliberations and vote, amend, or reject, in name of the undersigned, any proposition in relation to the agenda; and
• − to this end, make and execute all acts, minutes and items, registers, take up residence, substitute and generally undertake any action that is necessary or useful.

Signed at , on 2018

Signature :