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Biotalys
Registration Form • Feb 26, 2024
3921_rns_2024-02-26_f36a88c7-64d5-4dc6-8434-5f6a915c0d4a.pdf
Registration Form
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Unofficial English translation – For convenience purposes only
Biotalys NV
Buchtenstraat 11, 9051 Ghent
RPR 0508.931.185 (Ghent)
(the "Company")
NOTICE OF REGISTRATION FOR THE SPECIAL SHAREHOLDERS MEETING DATED FRIDAY 29 MARCH 2024
This is an unofficial English translation, for information purposes only. Please only sign and return the original Dutch version.
This notice of registration should be used by all shareholders who wish to participate in the special shareholders meeting in person, by power of attorney or by letter.
The signed and completed notice (Dutch version) much reach the Company at the latest on 25 March 2024 at midnight (24.00 h Belgian Time):
per mail at: Biotalys NV, Buchtenstraat 11, 9051 Ghent (Belgium) attention, Chairman of the Board of Directors
or per e-mail to: [email protected]
All holders of dematerialised shares must attach to the notice a certificate issued by a recognised account holder or central custodian institution, confirming the number of shares that have been registered in their name on the registration date, (15 March 2024 at midnight, 24.00h (Belgian Time)) with which the shareholder wants to participate to the shareholders meeting.
The Undersigned,
| Family Name | |
|---|---|
| First Name | |
| Address | |
| or (for legal entities), | |
| Name |
| Legal entity type | |
|---|---|
| Address | |
| Legal Entities Registration number/VAT/similar | |
| Represented by (name, first name and capacity) |
owner of the following number of securities issued by the Company:
| Number of registered shares | |
|---|---|
| Number of dematerialised shares | |
| Number of registered subscription rights1 |
hereby notifies his/her/its intent to attend the shareholders meeting of the Company which will take place on Friday 29 March 2024 at 15.00h (Belgian Time) at the registered office of the Company at Buchtenstraat 11, 9051 Ghent.
Done at………………………………………………………..on……………………………………2024.
Signature:…………………………………………………
1 Only applicable to holders of subscription rights issued under the long term incentive plans of the Company for its and its subsidiary's personnel. The Company has not issued any other subscription rights. Holders of subscription rights are only entitled to an advisory vote.