HansaMatrix — Proxy Solicitation & Information Statement 2020

Apr 22, 2020

---

author: "Liga Baltina"
date: 2020-04-22 13:43:00+00:00
processor: python-docx+mammoth
status: success

---

Application form

AS “HansaMatrix” shareholders meeting

for remote participation

22 May, 2020 at 3.00 p.m.

Name of the Shareholder / Name, Surname
Registration number / Personal identification number
Country of Residence
Number of shares / Number of votes
Representative of the Shareholder
Shareholder representative registration number / Personal identification code
The email address to which the connection link will be sent
Phone

I hereby certify the accuracy of the information provided and undertake not to transfer the provided connection link of the meeting to another person.

______________________________ / signature if the document is signed in paper format /

______________________________ / the date if the document is signed in paper format/

THIS DOCUMENT IS SIGNED ELECTRONICALLY WITH SAFE ELECTRONIC SIGNATURE AND CONTAIN TIME STAMP / if the document is signed with an electronic signature /

• This application must be sent to the Company by the end of 21 May 2020.
• The ZOOM platform (www.zoom.us) will be used for the meeting
• Personal data will be processed only for personal identification, in compliance with the provisions of applicable laws and regulations.