Krka

Registration Form • May 28, 2018

REGISTRATION FORM

I, the undersigned __________,
(name and family name/legal entity's title)
identification number _____________,
address ___________,

REGISTER to participate in the 24th Annual General Meeting of Krka, d. d., Novo mesto to be held on 5 July 2018 at 1 p.m., at Hotel Šport in Otočec.

I acknowledge that processing of personal data is mandatory for organization of the 24th Annual General Meeting and that Krka, d. d., Novo mesto will keep the personal data from this form together with the data from the shareholder register until expiry of the legally binding period for storing such data for this purpose. The Krka's personal data protection policy and the rights of individuals are available on the Krka's web page (www.krka.biz).

______________________________

Date __________________________

Shareholder's signature