To:
THE AZUR SELECTION SOCIÉTÉ ANONYME
19 Stratarchou Alexandrou Papagou Street,
PC 16673,
Voula, Greece
Tel., +30 2109615810,
Email: info@azurselection.com
FORM OF REVOCATION OF AUTHORIZATION FOR REPRESENTATION IN THE EXTRAORDINARY GENERAL MEETING OF THE SHAREHOLDERS OF "THE AZUR SELECTION SOCIÉTÉ ANONYME" ON 28.03.2024
The undersigned shareholder of the company under the tradename "THE AZUR SELECTION SOCIÉTÉ ANONYME" (the "Company")
Full Name / Tradename
Address/Registered seat
ID Number/ Commercial Registry
Number
Number of shares
No of Investor Share in the DSS
Telephone
with the present document recall the following person(s):
1………………………………………………………………………………………………………………….
2………………………………………………………………………………………………………………….
3.…………………………………………………………………………………………………………………
Who/whom I appointed, with my statement from ………….., as representative(s) for the
exercise of my share rights at the upcoming Extraordinary General Meeting
PV: 3788086.1 | 1 |
(Place) ……………………………… (Date) …………………… 2024
------------------------------------
(signature)
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(Name)/ (Tradename) or stamp
PV: 3788086.1 | 2 |
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The Azur Selection SA published this content on 04 March 2024 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 04 March 2024 16:07:05 UTC.