City Service SE — Proxy Solicitation & Information Statement 2015

Oct 15, 2015

POWER OF ATTORNEY TO REPRESENT AT THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF CITY SERVICE AS, ON 6 NOVEMBER, 2015

INFORMATION ABOUT THE SHAREHOLDER (PRINCIPAL)

Name, surname of the shareholder (natural person); name of the shareholder (legal entity):

Identity number of the shareholder (natural person); code of the shareholder (legal entity):

Number of shares owned by the right of ownership:

INFORMATION ABOUT THE AUTHORISED AGENT

Name, surname of the authorised agent (natural person); name of the shareholder (legal entity):

Identity number of the authorised agent (natural person); code of the shareholder (legal entity):

Number of shares on which such authorization is granted:

The principal shall hereby authorize the authorised agent:

to represent the Principal as the Shareholder of City Service AS (enterprise code 12827710, registered office at Narva mnt. 5, Tallinn, Harju county, 10117, Estonia) at the extraordinary general meeting of shareholder of City Service AS and vote at his own discretion on all and any issues put on the agenda for consideration at the Company's general meeting of shareholders, as well as sign, obtain and present all and any documents in relation to the above commission, make any statements on behalf of the Principal, put forward any proposals, on behalf of the Principal propose candidates to the management bodies of the Company and carry out any other actions in relation to this commission or for the interest of the Principal refrain from such actions.

This power of attorney is valid only at the extraordinary meeting of shareholders of City Service AS, on 6 November, 2015.

(date)

(name, surname and signature of the shareholder/principal)