Petrol Group — Proxy Solicitation & Information Statement 2017

Mar 10, 2017

PETROL, Slovenska energetska družba, d.d., Ljubljana Dunajska c. 50, 1000 Ljubljana tel.: 01 47 14 234 www.petrol.si

Authorisation Form

(shareholder's name, surname, company name)

_________________________________

_________________________________

_________________________________

(address)

(place and postal code)

PETROL d.d., Ljubljana Dunajska cesta 50 1527 LJUBLJANA

AUTHORISATION

for registration, participation and exercise of voting rights at the 27th General Meeting of PETROL d.d., Ljubljana

I, the undersigned: _________________________________________________________

(shareholder's or representative's name and surname, shareholder's company name)

hereby authorise

__________________________________________________________________________________ (proxy's name, surname, address and PIN)

to register on my behalf for participation at the General Meeting, participate on my behalf and exercise my voting rights at the 27th General Meeting of shareholders of PETROL d.d., Ljubljana, to be held at 1.00 p.m. on Monday, 10th April 2017, at the premises of the company in Ljubljana, Dunajska cesta 48, conference hall, based on __________ shares issued by PETROL d.d., Ljubljana, designated as PETG, held by me. The proxy should produce a personal document if requested to do so.

________________________________________________________________________

Date and place:_________________

(shareholder's or representative's personal signature, legal entity's stamp/seal, if used)