Proxy Solicitation & Information Statement • Mar 22, 2021
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 1000 LJUBLJANA
for registration, participation and exercise of voting rights at the 33rd 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 33rd General Meeting of shareholders of PETROL d.d., Ljubljana, to be held at 10.00 a.m. on Thursday, 22nd April 2021, in Linhart Hall at Cankarjev dom, Prešernova cesta 10, 1000 Ljubljana, 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.
If the shareholder has already registered for the General Meeting of shareholders this power of attorney may also be forwarded to the company e-mail address: [email protected], otherwise it should be mailed in the original to the company address.
________________________________________________________________________
Date and place:_________________
(shareholder's or representative's personal signature, legal entity's stamp/seal, if used)

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