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Fon SE — Proxy Solicitation & Information Statement 2019
Nov 12, 2019
5618_rns_2019-11-12_07073af9-4fbe-46ae-b983-b0cb17aa54a6.pdf
Proxy Solicitation & Information Statement
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AUTHORISATION DOCUMENT TO EXERCISE THE RIGHTS OF SHAREHOLDER AT THE EXTRAORDINARY GENERAL MEETING OF SHAREHOLDERS OF FON SE
enter the date 2019
enter the name of the shareholder, registry code/personal ID code/date of birth enter the data, address enter the data, who is represented by enterthe name/names, personal ID code/date of birth enter the data, hereinafter referred to as the Shareholder,
authorises hereby enterthe name of the representative, personal ID code/date of birth enter the data, hereinafter referred to as the Representative, to vote atthe extraordinary general meeting of FON SE (Estonian registry code 14617916) which will be held on 6 December 2019 and to exercise the othershareholder's rights at the extraordinary general meeting of shareholders on behalf of the Shareholder.
(In case the Shareholder gives the Representative the instructions to exercise the shareholder's rights at the extraordinary general meeting of FON SE, please indicate which rights those are).
This authorisation document is valid only for exercising the shareholder's rights at the extraordinary general meeting of FON SEwhich will be held on 6 December 2019. The representative is not entitled to delegate the authorisation.
_________________/signature
Enter the name of the Shareholder or the legal representative of the Shareholder