Mithra Pharmaceuticals S.A. — AGM Information 2017

Apr 18, 2017

MITHRA PHARMACEUTICALS SA Registered office : rue Saint-Georges 5, 4000 Liège (Belgium) RLP Liège (division Liège) 0466.526.646

NOTICE OF ATTENDANCE

In order to be admitted to the general meeting on 18 May 2017, MITHRA PHARMACEUTICALS SA must be in possession of the present notice of attendance by 12 May 2017 at the latest.

The undersigned : (complete)

With his/her/its registered address at : (complete)

advise MITHRA PHARMACEUTICALS of his/her/its intention to attend the Ordinary General Meeting that will be held on Thursday 18 May 2017 at 5 p.m, rue Saint-Georges 5, 4000 Liège, with all the shares registered at his/her/its name in the shareholders' register of the company at the record date (that is 4 May 2017 at midnight) and all the shares mentioned in the statement of ownership (at the said record date) sent to Mithra Pharmaceuticals (if participation with a different number of shares, please mention it hereafter).

Signed at , on the .

Signature(s)

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