Pozavarovalnica Sava

Proxy Solicitation & Information Statement • May 23, 2022

---

title: "_____________"
author: "Nika Matjan"
date: 2015-10-13 08:25:00+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

REGISTRATION FORM

FOR THE 38TH GENERAL MEETING OF SHAREHOLDERS OF SAVA RE D.D.

The undersigned _________________________________________________,

Name or company name of shareholder and name of legal representative

hereby register

for the 38th general meeting of Sava Re, d.d. to be held on Thursday, 23 June 2022, at 10am at the Janus 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)

_________________________

(Handwritten signature of the shareholder or his/her legal representative with the stamp or seal of the legal entity, if used)

Enclosures:

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