Pozavarovalnica Sava

Registration Form • Aug 1, 2016

---

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

---

_____________________________________________________________________________________

(Shareholder details: name or company name)

_____________________________________________________________________________________

(Address)

_____________________________________________________________________________________

(Town and postal code)

Pozavarovalnica Sava, d.d.

Dunajska 56

1000 Ljubljana

REGISTRATION

FOR THE 31ST GENERAL MEETING OF SHAREHOLDERS OF

SAVA REINSURANCE COMPANY

I, the undersigned _________________________________________________,

Name or company name of shareholder and name of legal representative

hereby register

for the 31st general meeting of Sava Reinsurance Company to be held on Tuesday, 30 August 2016, 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)