ADRIS GRUPA d

Application Form for Participation in the General Assembly

GENERAL ASSEMBLY OF ADRIS GRUPA d.d.

Application for participation

Name and surname or shareholder company/OIB

Residence or registered office of shareholder

Name and surname or proxy company/OIB

Residence or registered office of proxy company

Total number of shares of the shareholder/all shareholders represented by proxy

List of all shareholders represented by proxy

Number of account of the shareholder/each of the shareholder represented by proxy opened with the CDCC

I'm applying to participate in the General Assembly of ADRIS GRUPA d.d., Rovinj, Obala Vladimira Nazora 1, which is scheduled to convene on 10 June 2022 at 1 p.m. This application is also valid for the next General Assembly, which, in the absence of a quorum at the convened General Assembly, will be held as stated in the published invitation for participation.

Date:

Shareholder/proxy signature:

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Adris grupa dd published this content on 13 April 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 22 April 2022 09:47:03 UTC.