Registration Form • May 12, 2014
Registration Form
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Notification of your intention to attend the Annual General Meeting on 3 June 2014 shall be given on this registration form. The form must be received by Nordea Bank Norge ASA, Issuer Services, P.O. Box 1166 – Sentrum, 0107 Oslo, Norway not later than two business days before the Annual General Meeting, i.e. by 09:00 a.m. (Norwegian time) on 30 May 2014. Notice can also be given to Nordea Bank Norge ASA by fax at + 47 22 48 63 49 or, by email to [email protected] or by registration by internet at the website: www.emgs.com. Please use the pin code included in the cover letter for the calling notice.
The undersigned will attend the Annual General Meeting of Electromagnetic Geoservices ASA on 3 June 2014 and (tick as appropriate):
Vote my/our ________________ (please specify the number) shares
Vote ________________ (please specify the number) shares in accordance with the enclosed power(s) of attorney
______________ __________________ ___________________________________
Shareholder's name and address:
__________________________________________________________________________ (in capital letters)
Date Place Shareholder's signature
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