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Delfin Group

Pre-Annual General Meeting Information Nov 10, 2021

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date: 2021-11-09 07:22:00+00:00
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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]

  1. If the Authorizer is a natural person, signature and its decipher must be indicated. If the Authorizer is a legal entity, the position, signature, its decipher of the representative and a stamp (if applicable) must be indicated.

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