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RYVU Therapeutics S.A. — Proxy Solicitation & Information Statement 2024
May 29, 2024
5798_rns_2024-05-29_3e68b0f8-d492-4c2b-89e1-c588a0abe06a.pdf
Proxy Solicitation & Information Statement
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POWER OF ATTORNEY
for representation at the General Meeting
I. SHAREHOLDER DATA
| Name: | |
|---|---|
| Address: | |
| Court of Registration and Division: | |
| KRS no: | |
| Capital: | |
| Foreign Entity Registration Data: | |
| Phone: | |
| Email: |
II. PROXY DATA
| Name: | |
|---|---|
| Name: | |
| Series and number of identity card/passport: | |
| PESEL: | |
| Phone: | |
| Email: |
I hereby grant to the Proxy indicated above, i.e. _________________________, the power of attorney to represent me, a Shareholder, at the Annual General Meeting of Ryvu Therapeutics S.A. with its registered office in Krakow, Poland, convened for June 27th, 2023. This power of attorney authorizes the Proxy
| to exercise on my behalf all the rights to which I am entitled from ___ shares of | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Ryvu Therapeutics S.A. in accordance with the registered certificate of the right to participate in the | |||||||||
| Annual | General | Meeting | of | Ryvu | Therapeutics _______________ |
S.A. | issued | by: | |
__________ nr __________________________. The proxy is authorized/not authorized1 to appoint further proxies.
Knowing the criminal consequences of making false statements, I/we confirm that the above information is true and correct.
_________________________________________________________________________________ _________________________________________________________________________________
Additional Notes:
Place and date of issue ____________________
1 Delete as necessary.
Signature of Shareholder ____________________