General Power Of Attorney

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Power of Attorney Form
POWER OF ATTORNEY
1.
Shareholder's first name and surname / company
2.
Shareholder's domicile / company headquarters
3.
Shareholder's personal identification number /
company's registration number
4.
Total number of shares
5.
Account number in the depository of the Central
Depository & Clearing Company
I hereby authorize and provide power of attorney to the following person to submit,
on my behalf and for my account, Application for Participation in the General
Assembly of Brodogradilište Viktor Lenac d.d. Rijeka, Martinšcica bb, convened on
10th June, 2010 at the headquarters premises of the Company, represent me and
participate in the work of the Assembly, on my behalf and for my account, and vote
on my behalf in all the topics of the agenda.
1.
Attorney's first name and surname / company
2.
Attorney's domicile / company headquarters
3.
Attorney's personal identification number
company's registration number
Date:_________ 2010
Signature of Shareholder:_______________________

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