R E G I S T R A T I O N
A N D
P R O X Y
A U T H O R I S A T I O N
Shareholder (name and surname/company name): Address: Personal Identification Number/Registration Number: REGISTRATION I hereby register my attendance of the 24th General Meeting of Shareholders, which will be held on 12 November 2015 at 09:00 in the hall of the Laško Cultural Centre, Trg svobode 6, Laško. I will attend the General Meeting by proxy. (Warning: Registration for the General Meeting with the use of this form is valid only if the shareholder duly completes the PROXY AUTHORISATION, i.e. circles a single proxy – number, enters the date and signs the form, and returns the form by post to the registered office of the Company in due time, by 8 November 2015 at the latest. PROXY AUTHORISATION I hereby authorise: (Warning: You can authorise only ONE of the proxies listed below, by CIRCLING the number in front of the name of the proxy that you wish will represent you at the General Meeting. If you do not select (circle) one of the proxies listed below and sign the form, the authorisation as well as the registration for the General Meeting shall be invalid.) 1.
KEBE Andrej, president of the Minority Shareholders Association of Pivovarna Laško (DMDPL)
2. STANKOVIĆ Rajko, president Slovenia (MDS Association) 3.
of
the
Minority
Shareholders
Association
of
PanSlovenian Shareholders Association (VZMD)
4. AUER Stojan, president of the Institute for Representation and Education of Small Shareholders Maribor (MD) to exercise on my behalf at the 24 th General Meeting of Shareholders of Pivovarna Laško, d.d., the voting right pertaining to ___________ shares of Pivovarna Laško, d.d., held by me, by voting for all proposed resolutions in accordance with the voting proposals of the proxy for each specific resolution, as listed under Section I of the Proxy Authorisation, unless I explicitly instruct the Proxy to act otherwise under Section I herein. In case of submitted counter-proposals (pursuant to Article 300 of the Companies Act (ZGD-1)), the shareholder hereby authorises the proxy to vote on counter-proposals at his own discretion. By granting this proxy authorisation I hereby revoke all and any prior given authorisation for representation at the 24th General Meeting of the Company.
Date: ______________________Shareholder's signature:______________________________
(*legal entities must
also provide a stamp) READ CAREFULLY: With this Proxy Authorisation I hereby authorise the selected proxy to attend the General Meeting and vote in accordance with the voting proposals listed below for each specific proposed resolution in Section I of this Proxy Authorisation, or at his own discretion in the event of counter-proposals, submitted after the issuing of this Proxy Authorisation. If you wish to give the selected proxy different voting instruction as proposed by the proxy, you can do so, by circling "For" or "Against" below each specific
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