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SpareBank 1 SMN — Proxy Solicitation & Information Statement 2011
Jan 20, 2011
3751_rns_2011-01-20_956a8576-b3f9-4a2e-a771-24f316f36a89.pdf
Proxy Solicitation & Information Statement
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FORM OF PROXY
SpareBank 1 SMN
Konsernadministrasjonen
N-7467 Trondheim
As the owner of ___ Equity Capital Certificates issued by SpareBank 1 SMN
I/we
(name of authorising party)
hereby authorise
_______ or the Chair of the
(name of proxy)
Supervisory Board Terje Skjønhals or order
Power of attorney to attend on my behalf the meeting of the Equity Capital Certificates holders in SpareBank 1 SMN, on Wednesday 2nd February 2011, at 10 a.m., and to cast a vote for my Equity Capital Certificates.
Place: _____ Date: _______
(Binding signature of authorising party)
This proxy must only be used if the Equity Capital Certificates holder does not attend the meeting in person. The name of the person attending as proxy must be stated in the proxy. The Chair of the Supervisory Board or the Chair of the Board of Directors may, for example, be appointed proxy. A general or blanket proxy is not valid.
This Form of Proxy should be returned, duly completed, to SpareBank 1 SMN, konsernadministrasjonen, N-7467 Trondheim, and must be registered as received by the Bank by 10 am on Monday 31 of January 2011.
Telefax: +47 73 58 64 95 or [email protected]
ATTENDANCE FORM
SpareBank 1 SMN
Konsernadministrasjonen
N-7467 Trondheim
The undersigned hereby gives notification of intention to attend the Election Meeting of the Owners of Equity Capital Certificates in SpareBank 1 SMN
Wednesday 2nd of February 2011 AT 10.00 A.M
at SpareBank 1 SMNs’s premises, Søndre gt 4, Trondheim, Norway.
A. Name of owner of Equity Capital Certificates (s): _________
B. Authorised representative, title and name: _________
(To be completed if the name entered under A is that of an enterprise, institution or organisation)
C. Number of Equity Capital Certificates owned: _________
Place/date _____ Binding signature _______
This Attendance Form should be returned, duly completed, to SpareBank 1 SMN, konsernadministrasjonen, N-7467 Trondheim, and must be registered as received by the Bank by 10 a.m. on Monday 31 of January 2011.
Telefax +47 73 58 64 95 [email protected]