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: |