Mithra Pharmaceuticals S.A.

AGM Information • Oct 30, 2019

NOTICE OF ATTENDANCE

In order to be admitted to the extraordinary general meeting on 29th November 2019, MITHRA PHARMA-CEUTICALS SA must be in possession of the present notice of attendance by 23 November 2019 at the latest.

The undersigned : (complete)

With his/her/its registered address at : (complete)

advise MITHRA PHARMACEUTICALS of his/her/its intention to attend the Extraordinary General Meeting that will be held on Friday 29th 2019 at 2 p.m, rue de l'Expansion 57 à 4400 Flémalle (Belgium), with all the shares registered at his/her/its name in the shareholders' register of the company at the record date (that is Friday 15 November 2019 at midnight) and all the shares mentioned in the statement of ownership (at the said record date) sent to Mithra Pharmaceuticals (if participation with a different number of shares, please mention it hereafter).

Signed at……………………………………………. , on the……………………………………………. .

Signature(s)