Union Assurance PLCCSELK: UAL.N0000

39th Annual General Meeting

· Issued by Union Assurance PLC via Colombo Stock Exchange

Filed with CSE · · 1 page · English

Full Name of the Shareholder: ... Shareholder’s Address: ... Shareholder’s NIC No./Passport No./Co. Reg. No.: ... Shareholder’s Contact Nos: Residence: Mobile : Shareholder’s E mail address: IF PROXY IS APPOINTED Full name of Proxy holder: ... Proxy holder’s NIC No./Passport No.: ... Telephone Number: Residence: Mobile : Email address: .. Shareholder’s signature Date Notes: • Please perfect the Re

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