Mithra Pharmaceuticals S.A.

AGM Information • Apr 19, 2016

In order to be admitted to the general meeting on 19th May 2016, MITHRA PHARMACEUTICALS SA must be in possession of this notice of attendance by Friday 13th May 2016 at the latest

NOTICE OF ATTENDANCE

I, the undersigned

Currently owner of the above-described shares in MITHRA PHARMACEUTICALS SA on the record date, advise the said company of my intention to attend the Ordinary General Meeting that will be held on Thursday 19th May 2016 at 5 p.m, rue Saint-Georges 5, 4000 Liège (BELGIUM), with all shares registered at the record date, that is, 5th May 2016 at midnight.

Signed at , on the 2016.

Signature(s)