Proxy Solicitation & Information Statement • Mar 12, 2019
Proxy Solicitation & Information Statement
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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
for registration, participation and exercise of voting rights at the 29th 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, participate on my behalf, and exercise my voting rights at the 29th General Meeting of shareholders of PETROL d.d., Ljubljana, to be held at 10.00 a.m. on Thursday, 18th April 2019, 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)

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