Pre-Annual General Meeting Information • Nov 10, 2021
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Form of Power of Attorney
According to the Article 54(2)1) of the Financial Instrument Market Law
_____________________________
Date and place of issue of Power of Attorney
POWER OF ATTORNEY
_________________________________________________________________ Natural person (name, surname, personal identity code or date of birth, address) or legal entity (name, registration number, legal address, representative, basis of representation)
as the authorizer (hereinafter – the Authorizer) hereby authorizes
_________________________________________________________________ Natural person (name, surname, personal identity code or date of birth, address) or legal entity (name, registration number, legal address, representative, basis of representation)
as the attorney (hereinafter – Attorney) to represent the interests of Authorizer at the
_________________________________________________________________
date and type of shareholders’ meeting (annual or extraordinary shareholders’ meeting)
of AS “DelfinGroup”, registration number: 40103252854, legal address: Skanstes iela 50A, Riga, LV-1013, Latvia,
with ______________________________ of the shares owned by the Authorizer.
(all or a specific number of shares)
The Power of Attorney is issued _____________________reauthorization rights.
(with or without)
The Power of Attorney is in force until _________________________.
(date)
_______________________________________
Signature of the Authorizer[1]
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