Monument Mining Limited — Regulatory Filings 2021

Sep 28, 2021

MONUMENT MINING LIMITED

(the "Issuer")

Request for Financial Statements

National Instrument 51-102 provides shareholders with the opportunity to elect annually to have their name added to the Issuer's supplemental mailing list in order to receive (i) annual financial statements and MD & A and (ii) interim financial statements and MD & A of the Issuer. The documents will be accessible under the Issuer's profile at [www.sedar.com]. However, if you wish to receive any such mailings, please check the applicable box below.

I wish to receive annual financial statements and MD & A  I wish to receive interim financial statements and MD & A 

COMPLETE AND RETURN THIS FORM TO:

Monument Mining Limited Suite 1580, 1100 Melville Street Vancouver, BC V6E 4A6

NAME: ADDRESS: POSTAL CODE: ___________________________ I confirm that I am the BENEFICIAL owner of shares of the Issuer. ( Common) I confirm that I am the REGISTERED owner of shares of the Issuer. ( Common) SIGNATURE OF SHAREHOLDER: __________________________DATE: CUSIP: 61531Y 10 5