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SHAREHOLDER’S RECORD UPDATE FORM - gtlregistrars.com

SHAREHOLDER'S RECORD UPDATE FORM. Date: [DD]-[MM]-[YYYY]. PERSONAL INFORMATION Passport Photograph 1. *Surname/Company Name 2. *Other name(Individual Shareholders) Please tick as appropriate . 11 PLC. Abplast Products PLC. Aluminium Extrustion PLC. Cashchew Nut Processing Industries PLC. 3. *Mailing Address Chellarams PLC. Christlieb PLC. DANA Group of Companies PLC Series 1 & 2. DN Tyre & Rubber PLC. Ecobank Transnational Incorporated (Naira). Ecobank Transnational Incorporated (USD). 4. *Contact Address Ekiti State Bond Tranche 1 & 2. EKOCORP PLC. Ensure Insurance (erstwhile Union Assurance Company Limited Eterna PLC. FAN Milk PLC. General Telecoms PLC. 5. *E-mail Address GlaxoSmithkinle Nigeria PLC.)

Date: [DD]-[MM]-[YYYY] PERSONAL INFORMATION 1.*Surname/Company Name 2.*Other name(Individual Shareholders) 3. *Mailing Address 4.*Contact Address General Telecoms PLC

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Transcription of SHAREHOLDER’S RECORD UPDATE FORM - gtlregistrars.com

1 SHAREHOLDER'S RECORD UPDATE FORM. Date: [DD]-[MM]-[YYYY]. PERSONAL INFORMATION Passport Photograph 1. *Surname/Company Name 2. *Other name(Individual Shareholders) Please tick as appropriate . 11 PLC. Abplast Products PLC. Aluminium Extrustion PLC. Cashchew Nut Processing Industries PLC. 3. *Mailing Address Chellarams PLC. Christlieb PLC. DANA Group of Companies PLC Series 1 & 2. DN Tyre & Rubber PLC. Ecobank Transnational Incorporated (Naira). Ecobank Transnational Incorporated (USD). 4. *Contact Address Ekiti State Bond Tranche 1 & 2. EKOCORP PLC. Ensure Insurance (erstwhile Union Assurance Company Limited Eterna PLC. FAN Milk PLC. General Telecoms PLC. 5. *E-mail Address GlaxoSmithkinle Nigeria PLC.)

2 Global Biofuel Nigeria Limited Great Nigeria Insurance PLC. Ikeja Hotels PLC. 6. * Number 1 * Number 1 Impresit Bakolori PLC. Industrial & General Insurance PLC. IPWA PLC. John Holts PLC. Julius Berger Nigeria PLC. 7. CSCS Clearing House Number 8. Shareholders Account Number Kajola Intergrated & Investment Company PLC. Lennards Nigeria PLC. Local Contractors Receivables Bond Tranche 1, 2&3. Meyer PLC. 9. * Occupation 10. Nationality Municipality Waste Management Contractors Limited Series I,II & III. Nestle Nigeria PLC. Nigeria Cement Company PLC. Nigeria Reinsurance 11. *Name of Stockbroking Firm Nigerian Enamelware Company PLC. Nigerian Lamp & Industries Nigerian Wire & Cable PLC.

3 Okitipupa Oil Palm PLC. 12. *Next of Kin 13. Relationship to Next of Kin Oluwa Glass Company The Tourist Company of Nigeria PLC. Tripple Gee & Company PLC. UBA Fixed N20 Billion Bond Series 1 Bond DECLARATION UBN Property Company PLC. I hereby declare that the information I have provided is true and correct and that I shall be held Unilever Nigeria PLC. personally liable for any of my personal details. Union Bank of Nigeria PLC. Shareholders Signature 2nd Joint Account holders Signature Union Homes REITS. Union Homes Savings & Loans PLC. University Press PLC. WEMA Bank PLC. Wema Funding SPV Plc Bond Series I. Incorporation Number Company Seal (Corporate Shareholder) RC.

4 Kindly return the duly completed form to the Registrar; Greenwich Registrars & Data Solutions No. 274 Murtala Muhammed Way, Yaba, Lagos. Completed forms can be submitted electronically via email: or through any of our branches on our website: Note: Shareholders with outstanding dividend warrants should send a mail to visit GTL Registrars Limited or call +234-(01)-2793160-2. GREENWICH REGISTRARS & DATA SOLUTIONS hereby disclaims liability or responsibility for errors/omissions/misstatements in any document transmitted electronically


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