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Fon SE — Proxy Solicitation & Information Statement 2019
Apr 19, 2019
5618_rns_2019-04-19_13ce9972-ad8b-4652-9ef8-89f67ddb03ac.pdf
Proxy Solicitation & Information Statement
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NOTICE FOR WITHDRAWAL OF THE AUTHORISATION DOCUMENT ISSUED TO EXERCISE THE SHAREHOLDER'S RIGHTS 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 [enter the name/names], personal ID code/date of birth [enter the data], hereinafter referred to as the Shareholder,
notifies hereby of the withdrawal of the authorisation document issued on [enter the date] 2019, by which [enter the name of the representative], personal ID code/date of birth [enter the data], was authorised to exercise the shareholder's rights at the extraordinary general meeting of shareholders of FON SE (Estonian registry code 14617916) which will be held on 13 May 2019.
___________________/ signature
[Enter the name of the Shareholder or the legal representative of the Shareholder]