Nicox : Form to request documents provided for in articles R 225-81 of the French “Code de commerce” AGO 2023

REQUEST FOR DOCUMENTS

Ordinary Shareholder Meeting of February 14, 2023.

I,

LAST Name : ……………………………………………………………………………………

FIRST Name: ……………………………………………………………………………………….

Address……………………………………………………………………………………………

…………........................................................................................................................................

Email: ................................................................................................................................

Owner of ………………....registered shares* And/ or ……………………….….....

bearer shares, Of NICOX SA

Hereby acknowledge that I have received the documents pertaining to the
aforementioned General meetings pursuant to article R.225-81 of the Code de Commerce,
Request that the documents and information pertaining to the General Shareholder
Meeting of February 14, 2023, as provided for under article R.225-83 of the same Code be
addressed to my attention:
❑ By Email	❑ By Post
(if not specified, the documents will be sent by email)

Signed in …………………...…….….., on ………….………. 2023

Signature

• Pursuant to article R.225-88 paragraph 3 of the Code de Commerce, holders of registered shares may submit a request to the company for a copy of all documents and information stipulated in article R.225-81 and R.225- 83 of of the Code de Commerce for each subsequent general meeting. The shareholder must mention her/his desire to exercise thisright in the present request.