INDEXO — AGM Information 2023

Nov 1, 2023

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date: 2023-11-01 12:48:00+00:00
processor: python-docx+mammoth
status: success

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Application form for the participation
at the Extraordinary General Meeting of Shareholders
to be held on 23 November 2023 at 10:00 of IPAS “Indexo”

Registration number: 40203042988

Legal address: Elizabetes iela 13 - 1A, Rīga, LV-1010, Latvija

Name, last name or company name of the shareholder
Shareholder’s personal identity code (if the person does not have a personal identification number - the date of birth, the number, the date of issue, the country of issuance and the issuing authority of the passport or other identification document) or registration number
Number of shares owned (represented)
Name, last name of the proxy or representative of the shareholder (if applicable)
Registration number or personal identity number of the proxy or representative of the shareholder (if applicable) (If the person does not have a personal identification number - the date of birth, the number, the date of issue, the country of issuance and the issuing authority of the passport or other identification document)
Method of voting (present in person / voting in writing before the shareholder meeting)
Participation in an shareholders' meeting (plans to participate in person at shareholders meeting/ does not plan to participate in person at shareholders meeting)
Phone number for contacting
E-mail for contact and receipt of the link for shareholders meeting video streaming

I hereby certify the accuracy of the information provided here and in case of my participation remotely undertake not to transfer the provided participation link of the meeting to another person.

______________________________ / signature in case the document is signed physically in paper form

______________________________ / date in case the document is signed physically in paper form

THIS DOCUMENT HAS BEEN SIGNED WITH A SECURE ELECTRONIC SIGNATURE AND CONTAINS A TIME STAMP / in case the document is signed with safe electronic signature