PHarol SGPS S A : Declaration of financial Intermediary Proposals

DECLARATION OF PARTICIPATION AT THE GENERAL MEETING OF SHAREHOLDERS

To [identify the Financial Intermediary with whom they have opened the individual securities accounts where their Shares are registered]

_______________________________________

Address: ________________________________

Postal Code: _____________________________

Email: __________________________________

_________________, ____/____/2021

Subject: Letter to the Financial Intermediary - Annual General Meeting of Shareholders of PHAROL, SGPS S.A. on April 30th, 2021 - Second Date

Name / Firm: _______________________________________________________________

Email: _________________________________

Address / Registered Office: ___________________________________________________

Postal Code: _____________________________

Tax id. Number: __________________________

NIB: ______________________

Acting as Shareholder of PHAROL, SGPS S.A. ("PHAROL") holding ____________ Shares,

with voting rights, registered within the bank account associated with the above mentioned NIB, hereby notifies of his/her/its intention to participate at the General Meeting of Shareholders on 30 April 2021, at 3:30 (GMT).

For these purposes, hereby requests to send to the Chairman of the Meeting, by 11:59 p.m. (GMT) on 23 April 2021, information on the number of Shares registered (mentioning his/her/its tax id. number and the number of the securities account) on the referred account at 00:00 hours (GMT) on 23 April 2021, and for such purpose they may use the e-mail address [e-mail], in the terms mentioned in the General Meeting Notice.

Best regards,

_____________________________________________________

(signature as in identity card / signature of company's representative equal to the bank form)

Note:

This declaration must be sent by the Shareholders to the Financial Intermediary with whom they have opened an individual securities account where the Shares are registered.