AGM Information • Apr 15, 2016
AGM Information
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share(s) in the NATIONAL BANK OF BELGIUM, hereby declare that I assign The undersigned: Surname, first name Domicile: owner of power to: Surname, first name
Pursuant to Article 547bis, §4 of the Companies Code, in the event of any potential conflict of interests between a shareholder and his appointed representative, the representative is not authorised to exercise the voting right on behalf of the shareholder unless he has specific voting instructions for each item on the agenda. Without that, proxies will not be valid.
Conflicts of interest exist in particular if the representative:
1° is the Bank, is a shareholder who controls the Bank or is another entity controlled by such a shareholder;
2° is a member of the Bank's Board of directors, or a member of the management bodies of a shareholder who controls the Bank or a controlled entity referred to in 1°;
3° is an employee or external auditor of the Bank or of the Bank's controlling shareholder or of a controlled entity referred to in 1°;
4° is related to a natural person referred to in 1° to 3° or is the spouse or legal partner of such a person, or of a relation of such a person.
Proxies returned to the Bank without indicating a representative will be deemed to be addressed to the chairman of the Board of Directors and consequently fall within the scope of potential conflicts of interest. They will not be valid unless voting instructions are indicated for each item on the agenda.
to
Proposals for decisions:
(tick the appropriate box if you are in the situation of a potential conflict of interests - see box above)
Regents: Renewal of the term of office of Mr Gérald Frère
| For Mr Gérald Frère | ||||
|---|---|---|---|---|
| For Mr Dimitri Lhoste | ||||
| Against | ||||
| Abstention | ||||
| Renewal of the term of office of Mr Rudy De Leeuw | ||||
| For Mr Rudy De Leeuw | ||||
| For Mrs Marina Carlier | ||||
| Against | ||||
| Abstention | ||||
| Replacement of Mrs Sonja De Becker | ||||
| For Mr Pieter Verhelst | ||||
| For Mr Rudolf Gotzen | ||||
| Against | ||||
| Abstention | ||||
| Replacement of Mr Jean-Louis Six | ||||
| For Mr Jean-François Robe | ||||
| For Mr Eric Mathay | ||||
| Against | ||||
| Censors: | Renewal of the term of office of Mrs Mia De Schamphelaere | |||
|---|---|---|---|---|
| For | |||
|---|---|---|---|
| Against | |||
| Abstention | |||
| Election of Mr Herman Matthijs to replace Mr Luc Carsauw | |||
| For | |||
| Against | |||
| Abstention | |||
| Election of Mr Eric Mathay to replace Mr David Szafran | |||
| For | |||
| Against | |||
| Abstention | |||
| Election of Mr Grégoire Koutentakis to replace Mrs Christine Lhoste | |||
| For | |||
| Against | |||
| Abstention |
In the case of extra items added to the agenda and proposals for decisions relating to them in accordance with Article 533ter of the Companies Code after notification of this proxy, the
| is authorised to vote on the new items entered on the agenda | |||||
|---|---|---|---|---|---|
| must abstain | |||||
| Done at | (date) | ||||
| THE SHAREHOLDER (Signature) (1) |
(1) If the form is completed electronically, it must bear an electronic signature conforming to the legal requirements concerning electronic signatures.
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