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Get Power Of Attorney Form The Representative ... - Mekonomen

Dinary General Meeting of Mekonomen Aktiebolag (publ) on 25 February 2011. Representative Name of representative Civil registration number/Date of birth Postal address Post code and district Telephone number Shareholder s signature Name of shareholder/Company Civil registration number/Date of birth/Corporate registration number District and date Telephone number Signature* * If the shareholder is a legal entity, the power of attorney form must be signed by the authorised signatory fo.

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