Request For Admission Card printable pdf download

Request For Admission Card

Please return this form to:

Computershare A/S

Kongevejen 418

2840 Holte

Denmark

Extraordinary general meeting of Alm. Brand A/S – CVR no. 77333517 to be held on Thursday,

5 August 2010, at 9:00 a.m. in the auditorium at the company’s address, Midtermolen 7, 2100

Copenhagen Ø, Denmark.

Request for admission card:

Admission cards may be requested and proxies may be nominated electronically via

or by completing and submitting this form in the enclosed envelope or by fax to +45 45 46 09 98. If you

PLEASE TICK:

I wish to attend the general meeting and hereby request an admission card.

I also wish to request an admission card for a companion/adviser

Name and address:

I wish to attend the general meeting and to nominate the following person as proxy:

Name: ________________________________________________________

Nomination of proxy:

Please fill in the back of the proxy form. Proxies can also be nominated electronically via

by use of your VP Securities account no. (custody account number) and password on

or before Monday, 2 August 2010, at 4:00 p.m.

Shareholder info:

____________________________________________

____________

Name

____________________________________________

____________

Address

________________________________

VP Securities account no.

Please note that the company and the registrar are not responsible for any delay in submitting the material. This

form must be received by Computershare A/S, Kongevejen 418, 2840 Holte, Denmark on or before Monday, 2 August

2010, at 4:00 p.m. – please return the form either by fax to +45 45 46 09 98 or by using the enclosed envelope.

Request For Admission Card