Personal attendance 01

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PERSONAL ATTENDANCE

_________________________________ (first and last name/company name of the shareholder) _________________________________________ (shareholder personal registration number – EMŠO / registration number ) _________________________________________ (shareholder address/seat) _________________________________________ (first and last name of shareholder's statutory representative, if the shareholder is a legal person)

Pivovarna Laško, d.d. Trubarjeva 28 3270 Laško

ATTENDANCE APPLICATION for the 25th General Meeting of the company Pivovarna Laško, d.d., Trubarjeva 28, 3270 Laško Shareholder (first and last name/company name)__________________________________ _________________________________________________________, personal registration number – EMŠO / registration number: ________________________________________, (address/seat) ___________________________________________, hereby register my attendance at the 25th General Meeting of the company Pivovarna Laško, d.d., Trubarjeva 28, 3270 Laško, taking place on Monday, April 11, 2016, at 15:00, in the business premises of Pivovarna Laško, d.d. I shall attend the Assembly in person. In _________________, on this _______________ (place) (date) _______________________ _____

(shareholder first and last name/company name and signature of shareholder or


statutory representative and stamp for legal person)


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