MANDATE FOR E-DIVIDEND PAYMENT

1 Date (DD/MM/YYYY) The Registrar United Securities Limited 10, Amodu Ojikutu Street, Victoria Island, Lagos Dear Sir/Madam Kindly find below my /our bank details for the purpose of electronic payments of dividends due to me / us. I / We confirm that all information supplied is to the best of my / our knowledge correct and hereby indemnify United Securities Limited against any loss that may arise from their adoption of the details as supplied hereunder. Surname /Company Name: Other Names (for individual Shareholder) Present Postal Address City State E-Mail Address 1:- E-Mail Address 2.

2 - Mobile (GSM) Phone Number Bank Name (SECTION TO BE COMPLETED BY YOUR BANK) Bank Address Bank Account Number Bank Sort Code I/We hereby request that from now, all dividend warrant (s) due to me / us from my / our holdings in all the companies indicated above be mandated to my / our Bank named above.. PLEASE NOTE THAT THE SECTION FOR YOUR BANK ACCOUNT DETAILS HAS TO BE COMPLETED BY YOUR BANK Kindly return the duly completed form to the Registrar, United Securities Limited at the address stated below United Securities Limited.

3 RC 126257 10, Amodu Ojikutu Street, Off Saka Tinubu Street, Victoria Island, 12753 Lagos, Nigeria. Tel: +234 (1) 271-4566, 271-4567 Website: ; Email: UNITED SECURITIES LIMITED hereby disclaims liability or responsibility for any errors/omissions/misstatements in any document transmitted electronically Kindly tick & quote your shareholder account no in the box below TICK NAME OF COMPANY ACCOUNT NO Access Bank Plc Afrinvest WA Ltd AIICO Insurance PLC BSS Industries Ltd Caverton Offshore Support group Dangote Cement Plc First Securities Discount House Food Emporium Int`l Limited Gombe State Government IHS Nigeria Plc

4 MCNichols Consolidated Plc NDEP Plc NIPCO Plc Red Star Express Plc Three Point Industries Ltd Trust Bond Mortgage Bank Plc WAPIC Insurance Plc MANDATE FOR E-DIVIDEND PAYMENT Shareholder`s signature or Thumbprint Shareholder`s signature or Thumbprint AUTHORISED SIGNATURE & STAMP OF BANKERS Company Seal/ Incorporation number (Corporate Shareholder)