Pre-Annual General Meeting Information • Apr 7, 2017
Pre-Annual General Meeting Information
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("bpost SA/NV")
This duly completed, dated and signed paper form must be returned by May 4, 2017, 4.00 pm (Belgian time) at the latest to:
Euroclear Belgium Att.: Issuer Relations Department Boulevard du Roi Albert II, 1 1210 Brussels (Belgium) Email: [email protected]
The undersigned (name and first name / name of the company):
…………………………………………………………………………………………………………………………………………………………………....
Legally represented by (name, first name, title) - to be completed only if the undersigned is a legal person:
…………………………………………………………………………………………………………………………………………………………………....
…………………………………………………………………………………………………………………………………………………………………....
With address / registered offices at:
Confirms his/her intention to participate with all these shares in the Ordinary General Meeting of Shareholders of the Company that will be held in Brussels on 10 May 2017 at 10 am (Belgian time) with all abovementioned shares.
Done at:
On:
(signature(s))
___________________
Name*: Title:
*If signature on behalf of a company, specify name, first name and title of natural person(s) and provide supporting documentation confirming representation powers. In the absence thereof, the undersigned declares and certifies to bpost SA/NV to have the necessary power of attorney to sign this form on behalf of the shareholder.
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