Proxy Solicitation & Information Statement • Nov 21, 2016
Proxy Solicitation & Information Statement
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Shareholder's full name and address
at 16:00 CET on December 13, 2016 at Felix konferansesenter, Aker Brygge, Oslo, Norway. ------------------------------------------------------------------------------------------------------------------------------------------------
This form must reach Nordea Bank Norge ASA no later than 17.00 CET on December 11, 2016. Within this deadline, registration may be done by returning this completed form to Nordea, Issuer Services, P O Box 1166 Sentrum, N-0107 Oslo, Norway. Fax: +47 22 48 63 49. Email: [email protected].
The undersigned will attend Apptix ASA's Shareholder's reference number, pin code and Extraordinary General Meeting on Dec 13, 2016 and full name
vote for my/our shares and/or
vote for shares specified in the attached proxy(ies). ____________ __________________________
Date Shareholder's signature When signing on behalf of a shareholder, documentation in the form of a power of attorney/proxy must be attached.
If you are unable to attend the Extraordinary General Meeting in person, you may use this form to appoint a proxy. The undersigned shareholder in Apptix ASA
Shareholder's reference number and full name
hereby appoints:
Johan Lindqvist, Chairman of the Board of Directors Other (name): ………………………………….
as my proxy to attend and vote for my/our shareholding at Apptix ASA Extraordinary General Meeting on December 13, 2016. The following will apply for this proxy:
| This proxy is discretionary | Agenda items: |
|---|---|
| This proxy is non-discretionary meaning that it must be voted for the proposal(s): | |
| This proxy is non-discretionary meaning that it must be cast against the proposal(s): | |
| This proxy is non-discretionary meaning that a blank vote must be cast against the proposal(s): |
(The proposals for each item on the agenda will appear on the Calling Notice. If none of the boxes have been crossed out and/or given voting instructions, this implies that the designated proxy can vote for the proxy's choice of that particular item(s).)
Date Shareholder's signature When signing on behalf of a shareholder, documentation in the form of a power of attorney/proxy must be attached.
___________ ______________________
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