Siguldas CMAS

Proxy Solicitation & Information Statement • Apr 3, 2025

---

title: "Pilnvaras veidlapa"
author: "user"
date: 2023-03-20 07:53:00+00:00
processor: python-docx+mammoth
status: success

---

Form of power of attorney

According to the Clause 54 Part two Point one of Financial instruments market law

______________________________

Place and date of issuance

POWER OF ATTORNEY

_____________________________________________________________________ Natural person (name, surname, personal identification number or date of birth, place of residence) or legal person (company name, registration number, legal address, representative, grounds of representation) as principal

authorizes

_____________________________________________________________________ Natural person (name, surname, personal identification number or date of birth, place of residence) or legal person (company name, registration number, legal address) as proxy

_________to represent interests of principal at________

(the exact scope of the competence can be shown if needed)

_____________________________________________________________________ Date of shareholders meeting and type – annual or extraordinary general meeting

of Joint stock company ‘Siguldas ciltslietu un mākslīgās apsēklošanas stacija’ (registration number: 40003013295, legal address: ‘Kalnabeites 8’, Sigulda, Siguldas novads, LV-2150)

with ________________________________ shares belonging to the principal.

(all or showing exact amount of shares)

The power of attorney is issued ___________ subdelegation rights.

(with or without)

The power of attorney shall continue effective ____________________________.

(date)

________________________________________

Principal – natural person: signature

Principal – legal person: signature, stamp