REGISTRATION FORM
I, the undersigned __________________________________________________________, (name and family name/legal entity's title) Identification number: ____________________________________________, Address: _________________________________________________________________,
REGISTER to participate in the 23rd Annual General Meeting of Krka, d. d., Novo mesto to be held on 6 July 2017 at 1 p.m., at Hotel Šport in Otočec.
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Date: __________________________
Shareholder's signature