Pozavarovalnica Sava

Proxy Solicitation & Information Statement • Apr 20, 2020

---

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

---

_____________________________________________________________________________________

(Shareholder details: name or company name)

_____________________________________________________________________________________

(Address)

_____________________________________________________________________________________

(Town and postal code)

Sava Re d.d.

Dunajska 56

1000 Ljubljana

PROXY FORM FOR ATTENDANCE AT THE

36TH GENERAL MEETING OF SHAREHOLDERS OF SAVA RE D.D.

I, the undersigned _______________________________________________________________

Name 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 36th general meeting of Sava Re d.d. to be held on Tuesday, 16 June 2020, at 14.00 at the Andromeda 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)