E-DIVIDEND MANDATE/REPLACEMENT FORM - …

1 Please take this as authority to credit my/our under-mentioned account with any dividend payment(s)/lost/misplaced/stale/unclaime d dividend warrants due on my/our shareholding in the aforementioned company(ies) the particulars of which are stated below from the date hereof:(Other Names)(Surname)Shareholder's Name:*Shareholder's Account No. (if Known):Address:*Mobile Number:*e-mail Address:*Branch:*Account Type:*Fax Number:Bank Name:*Bank Account No:*Age of account*:Bank Stamp & Authorized Signatory(ies)Shareholder(s) Signature & dateNote:The provision of information on your Bank Name, Bank Account No., E-mail address and Mobile number are very important to enable us process your request. All asterisked fields () are compulsory.*Shareholders in the North and South-south region of the country are advised to contact our Abuja or Port-Harcourt Liaison Office for all enquiries concerning shareholding in any of our client companies (see addresses below).

2 Others (please specify in the boxes provided)The Managing Director/RegistrarAfrica Prudential Registrars Plc220B, Ikorodu Road, MANDATE/REPLACEMENT FORMDear Shareholder, Please use the name(s) in which your shares are held, with the signature on your Application or Transfer you prefer this service, kindly fill the spaces provided below and return to are pleased to advise you of our new E-DIVIDEND service, which enables direct credit of your dividend(s) [new dividend payments/lost/misplaced/stale/unclaimed dividend warrants to your bank account regardless of the bank or account type, Current/Savings Accounts. Thank be completed by banker11, Lafia Close, Area 8, Garki, : 09-2900873 Plot 137,Olu-Obasanjo Road(2nd floor), Port Harcourt,Rivers : 084 -303457 AbujaPort-HarcourtLagos220B, Ikorodu Road, : 07080606400E-mail: NO.]

3 649007 Company(ies) where share is held (please tick appropriate boxes like this ) UBA PlcUTC Nigeria PlcSCOA Nigeria PlcNEM Insurance PlcJaiz Bank PlcAbbey Mortgage Bank PlcResort Savings and Loans PlcTranscorp PlcComputer Warehouse Group PlcUBA Balanced FundUBA Bond FundKaduna State Government BondAfriland Properties PlcA & G Insurance Life PlcBeco Petroleum Products PlcUNIC Insurance PlcCAP PlcCSCS Plc Golden Capital PlcUBA Money Market FundInfinity Trust Mortgage Bank Plc Investment & Allied Assurance PlcOmoluabi Savings & Loans PlcWest African Glass Industries PlcCement Company of Northern Nig. PlcCappa & D'Alberto PlcChampion Breweries PlcInternational Breweries PlcRoads Nigeria PlcARM Properties Plc Portland Paints & Products Nig. PlcUBA Capital PlcUBA Equity Fund Benue State Government BondEbonyi State Government BondPersonal Trust & Savings Mandrides PlcPremier Breweries PlcTower BondThe La Casera Company Corporate Bond UAC Nigeria PlcUAC Property Development Company PlcAdamawa State Government BondTaraba State Government BondAfrica Prudential Registrars Plc