Proxy Solicitation & Information Statement • Apr 16, 2021
Proxy Solicitation & Information Statement
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The undersigned:
| Natural person | ||||
|---|---|---|---|---|
| Surname and first name: | ||||
| Address: | ||||
| owner of | share(s) in the National Bank of Belgium, | |||
| hereby gives proxy to: | ||||
| Surname and first name: | ||||
| Address: | ||||
| Legal person: | ||||
| Name and legal form: | ||||
| Registered office: | ||||
| Company number: | ||||
| Lawful representative: | ||||
| Mr/Ms | position: | and | ||
| Mr/Ms | position: | |||
| owner of | share(s) in the National Bank of Belgium, | |||
| hereby gives proxy to: | ||||
| Mr/Ms | position: | |||
| to | ||||
| - Belgium, to be held on Monday 17 May 2021 at 14.00 pm, |
represent the mandator at the Ordinary General Meeting of Shareholders of the National Bank of | |||
| - to take part in all deliberations in accordance with the agenda, |
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| cast all votes which the representative considers appropriate, - |
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| - | in the event of a conflict of interests as mentioned below, to vote in accordance with the specific | |||
| votvoting instructions indicated below, and | ||||
| - everything necessary or appropriate. |
for that purpose, to sign any documents, elect domicile, make substitutions and generally do | |||
| Pursuant to Article 7:143, §4 of the Companies and Associations 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 |
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| valid. | ||||
| Conflicts of interest exist in particular if the representative: | ||||
| shareholder; | 1° is the Bank, is a shareholder who controls the Bank or is another entity controlled by such a | |||
| shareholder who controls the Bank or a controlled entity referred to in 1°; | 2° is a member of the Bank's Board of Directors, or a member of the management bodies of 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 | |||
| person, or of a relation of such a person. | 4° is related to a natural person referred to in 1° to 3° or is the spouse or legal partner of such a | |||
| the agenda. | 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 con flicts of interest. They will not be valid unless voting instructions are indicated for each item on |
Proposals for decisions: election of Marc Leemans, Pieter Timmermans, Georges Van Keerberghen, Thierry Bodson, Géraldine Thiry, Louise Fromont and Helga Coppen as regents
(tick the appropriate box if you are in the situation of a potential conflict of interests - se- see box above)
Election of Mr Marc Leemans
In the case of extra items added to the agenda and proposals for decisions relating to them in accordance with Article 7:130 of the Companies and Associations Code after notification of this proxy, the representative:

is authorised to vote on the new items entered on the agenda
must abstain
| Done at | (date) | ||
|---|---|---|---|
| THE SHAREHOLDER |
(Signature)
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