Pozavarovalnica Sava

Proxy Solicitation & Information Statement • Oct 15, 2020

---

title: "_____________"
author: "Nika Matjan"
date: 2015-10-13 09:40:00+00:00
processor: python-docx+mammoth
status: success

---

_____________________________________________________________________________________

(Shareholder details: name of individual or company name)

_____________________________________________________________________________________

(Address)

_____________________________________________________________________________________

(Town and postal code)

Sava Re d.d.

Dunajska 56

1000 Ljubljana

PROXY FORM FOR ATTENDANCE AT THE

37TH GENERAL MEETING OF SHAREHOLDERS OF SAVA RE D.D.

I, the undersigned _______________________________________________________________

Name of individual, or company name of shareholder and name of legal representative

hereby appoint

________________________________________________________________________________

Name and residence of proxy holder

as my proxy to attend and to vote for me and on my behalf at the 37th general meeting of Sava Re d.d. to be held on Monday, 16 November 2020, at 1 p.m. at the Janus Hall of the Austria Trend Hotel Ljubljana, Dunajska cesta 154, 1000 Ljubljana, for __________ shares of the issuer Sava Re d.d. with ticker symbol POSR, the holder of which I am.

The proxy is to provide personal identification upon request.

____________________

(Place and date)

_________________________

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