PharmaSGP : Sample Form for Revocation of Power of Attorney

Convenience Translation

ANNUAL GENERAL MEETING ON 26 JUNE 2024

	WITHDRAWAL OF POWER OF ATTORNEY
Person of the declarant
Last name or company*		Number of shares*
			Registration confirmation no.*
First name*

Postal code/Place*

* Mandatory fields (Please refer to the admission ticket for the Annual General Meeting, which will be sent to you after proper registration).

Revocation of power of attorney
I/We	herewith revoke the power of attorney
given	by me/us
on _________________________________ to

• the proxies appointed by PharmaSGP Holding SE and bound by instructions, Norma Laaziri, Munich, and Cosima Neckenig, Munich,
• Ms/Mr __________________________________________

authorised third party

resident in	__________________________________________
	Postal code/Place

to represent myself/us at the Annual General Meeting of PharmaSGP Holding SE convened for 26 June 2024 and to exercise my/our shareholder rights, in particular my/our voting rights, on my/our behalf.

Place, Date

Signature(s)/Person of the declarant