Acceptance/renunciation Form (Page 2 of 2) in pdf

15.0 ACCEPTANCE/RENUNCIATION FORM

Care should be taken to comply with the instructions set out on the front of this form. If you are in doubt as to what action to

take, you should immediately consult your Stockbroker, Bank Manager, Solicitor, Accountant or any other professional adviser

for guidance.

FULL ACCEPTANCE OF RIGHTS

I/We accept in full, the provisional allotment shown on the front of this Acceptance/Renunciation Form

DETAILS OF SHAREHOLDER’S

PROVISIONAL ALLOTMENT

Signature: …………………………………………………………………………………

Date: ……………………………………………….… 20...

Name (in block letters): ………………………………………………………………… Bank Name: ……………………………………………………

Signature (for joint allottee): ………………………………………………………… Branch: ……………………………………………………………

Name (in block letters): ………………………………………………………………… Account Number: ………………………………………………

Daytime Telephone No.: …………………………………………………………………

CSCS Account No.: …………………………………………………………………………

OFFICIAL SEAL (FOR CORPORATE ALLOTTEES ONLY)

Name of Stockbroker: …………………………………………………………………….

RC NO.: _________________________

REQUEST FOR ADDITIONAL ORDINARY SHARES

I/We also apply for the following additional shares:

This section should be

Number of Additional Ordinary Shares

Additional amount payable at

completed if you wish

applied for

N7.50 per share

to apply for additional

I/We agree to accept the same or smaller number of additional shares in respect of which allotment may be made to

me/us, in accordance with the Provisional Allotment Letter contained in the Rights Circular.

iii)

I/We enclose my/our cash/cheque/bank draft for N…………… being the total of the amount payable as shown on the

front of this form, and

the additional amount payable as shown in item (ii) above.

Cheque details: Name of bank/branch:………………………………………… Cheque number:……………………………………………..

RENUNCIATION OR PARTIAL ACCEPTANCE

Number of Ordinary Shares accepted

Amount Payable at

Number of Ordinary

N7.50 per Share

Shares Renounced

I/We accept only the number of Ordinary Shares shown in Column 1 above and enclose my/our cheque/bank draft for

the value shown in Column 2 above.

Cheque details: Name of bank/branch: …………………………………………. Cheque number: …………………………………………

ii)

I/We hereby renounce my/our rights to the Ordinary Shares shown in Column 3, being the balance of the Ordinary

Shares allotted to me/us.

Acceptance/renunciation Form Page 2

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