Krka

PROXY STATEMENT

I, the undersigned __________,
(name and family name/legal entity's title)
Identification number: ________,
Address: ____________,
herewith register to participate in the 23rd Annual General Meeting of shareholders of
Krka, d. d., Novo mesto and

AUTHORIZE

Name and family name: ____________,
Identification number: __________,
Address: ____________,
to represent me at the 23rd Annual General Meeting of Krka, d. d., Novo mesto to be held on 6 July 2017 at 1 p.m. at Hotel Šport in Otočec, and to use his or her best judgment to decide on all items of the agenda.
I vest my powers in my proxy exclusively for the 23rd General Meeting of the shareholders of Krka, d. d., Novo mesto.
Date: ____ _____
Signature of the authorizing shareholder

I accept the authorization for representation. ______________________________

Signature of the proxy