Pozavarovalnica Sava

Pre-Annual General Meeting Information • Feb 3, 2017

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title: "_____________"
author: "Nika Matjan"
date: 2015-10-13 08:25:00+00:00
processor: python-docx+mammoth
status: success

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_____________________________________________________________________________________

(Shareholder details: name or company name)

_____________________________________________________________________________________

(Address)

_____________________________________________________________________________________

(Town and postal code)

Sava Re, d.d.

Dunajska 56

1000 Ljubljana

REGISTRATION FOR

THE 32ND GENERAL MEETING OF SHAREHOLDERS OF SAVA RE, D.D.

I, the undersigned _________________________________________________,

Name or company name of shareholder and name of legal representative

hereby register

for the 32nd general meeting of Sava Re, d.d. to be held on Tuesday, 7 March 2017 at 13:00 at the Horus Hall of the Austria Trend Hotel Ljubljana, Dunajska cesta 154, 1000 Ljubljana, Slovenia.

I will attend the general meeting (please circle below as applicable)

• in person
• by proxy

______________

(Place and date)

_________________________

(Signature of shareholder or legal representative with official stamp of entity, or seal if used)

Enclosures:

• proxy form (if represented by proxy)
• extract from the register of companies (for legal entities only)