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Financials MANDATE FOR E-DIVIDEND PAYMENT Date (DD/MM/YYYY) The Registrar, United Securities Limited, 10, Amodu Ojikutu Street, Victoria Island, Lagos, Nigeria. 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:Mobile (GSM) Phone Number Bank Name (SECTION TO BE COMPLETED BY YOUR BANK) Bank Address Bank Account Number Bank Sort Code Name of Company Kindly tick & quote your shareholder account no. in the box below Shareholder Account No. 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. Shareholder`s signature or thumbprint Shareholder`s signature or thumbprint Company Seal/ Incorporation number (Corporate Shareholder) AUTHORISED SIGNATURE & STAMP OF BANKERS PLEASE NOTE THAT THE SECTION FOR YOUR BANK ACCOUNT D ETAILS 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. RC 126257 10, Amodu Ojikutu Street, Off Saka Tinubu Street, Victoria Island, P.M.B 12753 Lagos, Nigeria. Tel: +234(1)271-4566, 271-4567 Website: www.unitedsecuritieslimited.com; Email: info@unitedsecuritieslimited.com UNITED SECURITIES LIMITED hereby disclaims liability or responsibility for any errors/omissions/misstatements in any document transmitted electronically. Annual Report 2016 225

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