SHAREHOLDER’S RECORD UPDATE FORM - GTL … Address Bank Account Number Bank Sort Code BVN Number...

SHAREHOLDER’S RECORD UPDATE FORM Date: [DD]-[MM]-[YYYY]

1) PERSONAL INFORMATION Surname/Company Name

Other Names (Individual Shareholders)

Mailing Address

Contact Address

E-Mail Address

GSM Number 1 GSM Number 2

CSCS Clearing House Number Shareholder’s Account Number

2) BANK DETAILS (E-DIVIDEND PAYMENTS) I/We hereby request that henceforth all dividends due to me/us from all companies indicated in the box be credited into my/our

account with the following bank details.

Bank Name

Branch Address

Bank Account Number Bank Sort Code

BVN Number

Shareholder’s Signature Shareholder’s Signature AUTHORISED SIGNATURE & STAMP OF

BANKERS

Incorporation Number (Corporate Shareholder) RC

Company Seal

Kindly return the duly completed from to the Registrar; GTL Registrars Limited No 2, Burma Road Apapa, Lagos. Completed forms can be submitted electronically via email info@gtlregistrars.com or through any if our branches on our website: www.gtlregistrars.com. Note: Shareholders with outstanding dividend warrants should send a mail to info@gtlregistrars.com, visit GTL Registrars Limited or call +234-(0)1-2917747, +234-(0)1-2793160-2.

“GTL REGISTRARS LIMITED hereby disclaims liability or responsibility for errors/omissions/misstatements in any document transmitted electronically.”

Passport Photograph

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Please tick as appropriate √

Abplast Products PLC

Aluminium Extrusion PLC

Cashew Nut Processing Industries PLC

Chellarams PLC

Christlieb PLC

DANA Group Of Companies Plc Series Tranche 1 & 2

DN Meyer PLC

DN Tyre & Rubber PLC

Ecobank Transnational Incorporated

Ekiti State Bond Tranche 1 & 2

EKOCORP PLC

Eterna Oil PLC

First Aluminium PLC

General Telecoms PLC

GlaxoSmithKline Nigeria PLC

Global Biofuels Nigeria Limited

Great Nigeria Insurance PLC

Ikeja Hotels PLC

Impresit Bakolori PLC

Industrial &General Insurance PLC

IPWA PLC

John Holts PLC

Julius Berger Nigeria PLC

Kajola Integrated &Investment Company PLC

Lennards Nigeria PLC

Local Contractors Receivables Bond

Tranche 1,2 & 3

Mobil Oil Nigeria PLC

Nestle Nigeria PLC

Nigeria Cement Company PLC

Nigeria Reinsurance

Nigerian Enamelware Company PLC

Nigerian Lamps Industries

Nigerian Wire & Cable PLC

Okitipupa Oil Palm PLC

Oluwa Glass COMPANY

Seven-Up Bottling Company PLC

The Tourist Company of Nigeria PLC

Tripple Gee & Company PLC

UBA Fixed N20 Billion Bond Series 1 Bond

UBN Property Limited

Unilever Nigeria PLC

Union Assurance Company Limited (NOW Ensure Insurance)

Union Bank of Nigeria PLC

Union Homes REITS

Union Homes Savings & Loans PLC

University Press PLC

WEMA Bank PLC

PLEASE NOTE THAT THE SECTION FOR YOUR BANK ACCOUNT DETAILS HAS TO BE COMPLETED BY YOUR BANK I/We confirm that all the information supplied is to the best of my/our

knowledge correct and hereby indemnify GTL Registrars Limited against any

loss that may arise from their adoption of the details supplied.