Atlantis SE — Proxy Solicitation & Information Statement 2021

Jan 29, 2021

AUTHORISATION DOCUMENT TO EXERCISE THE RIGHTS OF SHAREHOLDER AT THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF ATLANTIS SE

enter the date 2021

enter the name of the shareholder, registry code/personal ID code/date of birth enter the data, address enter the data, who is represented by enterthe name/names, personal ID code/date of birth enter the data, hereinafter referred to as the Shareholder,

authorises hereby enterthe name of the representative, personal ID code/date of birth enter the data, hereinafter referred to as the Representative, to vote atthe extraordinary general meeting of ATLANTIS SE (Estonian registry code 14633855) which will be held on 22 February 2021 and to exercise the othershareholder's rights at the extraordinary general meeting of shareholders on behalf of the Shareholder.

(In case the Shareholder gives the Representative the instructions to exercise the shareholder's rights at the extraordinary general meeting of FON SE, please indicate which rights those are).

This authorisation document is valid only for exercising the shareholder's rights at the extraordinary general meeting of ATLANTIS SE which will be held on 22 February 2021. The representative is not entitled to delegate the authorisation.

_________________/signature

Enter the name of the Shareholder or the legal representative of the Shareholder