Pozavarovalnica Sava

Proxy Solicitation & Information Statement • May 23, 2022

---

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 38TH 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 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, 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)

_________________________

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