Mithra Pharmaceuticals S.A.

AGM Information • Apr 8, 2019

NOTICE OF ATTENDANCE

In order to be admitted to the general meeting on 16th May 2019, MITHRA PHARMACEUTICALS SA must be in possession of the present notice of attendance by 10 May 2019 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 and Extraordinary General Meeting that will be held on Thursday 16 May 2019 at 2 p.m, rue de l'Expansion 57 à 4400 Flémalle (Belgium), with all the shares registered at his/her/its name in the shareholders' register of the company at the record date (that is 2 May 2019 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)