Med Life S A : Correspondence vote ballot for the OGMS – Individual shareholders

Correspondence vote ballot

for the Ordinary General Shareholders Meeting of MED LIFE S.A.

of 29.04.2024/30.04.2024

- individual shareholder -

The undersigned ...................................... identified with IC/IB/passport series......... no. ........................ issued by ........................ on ........................ , PIN ..................................................., domiciled in .................................................................... holder at the Reference Date of 22.04.2024 of a number of ………………. Shares (the "Shareholder"), representing …….. % of the total number of shares issued by MED LIFE S.A., a joint stock company managed in a one tier system and functioning under the laws of Romania, having its headquarters in Romania, Bucharest, Calea Grivitei no. 365, Cex building, district 1, registered with the National Office of the Trade Registry associated with the Bucharest Tribunal, under no. J40/3709/1996, EUID ROONRC.J40/3709/1996, sole registration code 8422035, having a share capital subscribed and paid of 132,870,492 RON (hereinafter the "Company")

(Note: the spaces below for the representative shall be completed if the correspondence vote is cast through a proxy)

Represented by:

......................................, citizen of.............................., born in..........................., on the date of....................................., identified with IC/IB/passport series......... no. ........................ issued by ........................ on ........................ , PIN .............................................................., domiciled in .................................................................... ...................................................................., based on the general / special proxy no. ............ dated ......................... (the "Representative")

OR

............................................, a company incorporated and operating in accordance with laws of .............................., with registered seat in .............................................................., registered with the Trade Registry / equivalent entity for non-resident legal persons under no. .............................................., sole registration code (CUI) / equivalent registration number for non-resident legal persons........................................., legally represented by............................................................., based on the general / special proxy no. ............ dated ......................... (the "Representative")

Taking into consideration the convening notice for the Company's ordinary general shareholders meeting to be assembled in the first calling on 29.04.2024, at 10:00 hours (Romanian time) at the headquarters of the Company located in Bucharest, Calea Grivitei no. 365, Cex building, district 1 or, as applicable, in the second calling, if the meeting cannot be assembled at the first calling on 30.04.2024, 10:00 hours (Romanian time) at the headquarters of the Company located in Bucharest, Calea Grivitei no. 365, Cex building, district 1 ("OGSM")

Taking into consideration the agenda of the OGSM included in the convening notice as well as the support documentation and materials made available in connection with the agenda.

Using this correspondence vote ballot, I hereby cast my vote in respect of the proposals included on the agenda of the OGSM, as follows:

1. Approval of the individual annual financial statements of the Company as at 31.12.2023, prepared in accordance with International Financial Reporting Standards, based on the reports presented by the Board of Directors and the Company's financial auditor.

For |_| Against |_| Abstaining |_|

2. Approval of the consolidated annual financial statements as at 31.12.2023, prepared in accordance with International Financial Reporting Standards, based on the reports presented by the Board of Directors and the Company's financial auditor.

For |_| Against |_| Abstaining |_|

3. Approval to discharge members of the Board of Directors of their responsibilities for the 2023 financial year.

For |_| Against |_| Abstaining |_|

4. Approval of the aggregate amount of RON 8,800,000/year (net amount) as the general limit of (i) all additional remuneration that may be granted to members of the Board of Directors and (ii) all remuneration of the executive managers of the Company.

For |_| Against |_| Abstaining |_|

5. Consultative vote on the 2023 Remuneration Report with respect to the Company's members of the Board of Directors and executive directors, as presented to the shareholders.

For |_| Against |_| Abstaining |_|

6. Approval of the revenue and expenditure budget and the business programme of the Company at individual level for the financial year 2024.

For |_| Against |_| Abstaining |_|

7. Approval of the consolidated revenue and expenditure budget and business programme for the financial year 2024.

For |_| Against |_| Abstaining |_|

8. The empowerment of the Chairman of the Board of Directors of the Company to draw up and sign on behalf of the Company, to file any documents and to issue any required affidavits and to fulfil any formalities regarding the OGSM resolutions, such as publication formalities, including to pay any taxes, to request and receive any documents / deeds issued by any competent authorities, as well as to authorise other person to carry out the mandate in connection with the aforementioned.

For |_| Against |_| Abstaining |_|

(Note on completing the correspondence vote ballot: Cast your vote by ticking with an "X" one of the options "FOR", "AGAINST" or "ABSTAINING". If more than one option is ticked with "X" or if no option is ticked, the vote will be cancelled.)

This correspondence vote ballot:

a) Is valid only for the OGSM of 29.04.2024 and, if applicable, for the second convening of the same OGSM on 30.04.2024, at 10:00 hours (Romania time);

b) The deadline for the registration thereof with the Company, on paper or by e-mail (pursuant to Law no. 455/2001 on electronic signature) is 26.04.2024, at 17:00 hours (Romania time);

c) Is drawn up in 2 original copies, on which one copy is retained by the Shareholder / Representative and one copy is submitted to / sent at the registration desk of the Company in Bucharest, Calea Grivitei no. 365, Cex building, district 1, in sealed with the clear inscription in capital letters "FOR THE GENERAL SHAREHOLDERS MEETING OF MED LIFE S.A. OF 29/30 APRIL 2024" before 26.04.2024, at 17:00 hours (Romania time) or by email with the extended electronic incorporated signature, as regulated under Law no. 455/2001 on electronic signature at the address [e-mail], specifying in the subject line: "FOR THE GENERAL SHAREHOLDERS MEETING OF MED LIFE S.A. OF 29/30 APRIL 2024" before 26.04.2024, at 17:00 hours (Romania time);

d) The correspondence vote may be cast by a representative only when the latter:

(i) has been granted by the shareholder a special/general proxy that shall be submitted with the Company before 26.04.2024, at 17:00 hours (Romania time), in compliance with the formalities set forth in the convening notice; or

(ii) the representative is a credit institution providing custodian services, in compliance with art. 105 par. (11) of Law no. 24/2017.

I hereby attach to this voting ballot:

(i) A copy of the identification document of the shareholder (IB or IC for Romanian citizens or passport for foreign citizens),

(ii) Only where the correspondence vote is cast by the Representative, copy of the identification document of the individual Representative (IB or IC for Romanian citizens or passport for foreign citizens). If the Representative is a legal person, I hereby attach a) the confirmation certificate of the Representative, in original or certified copy, issued by the Trade Registry, within the validity term or any other document, in original or certified copy, issued by a competent authority in the home state, within the validity term and b) a copy of the identification document of the legal representative (IB or IC for Romanian citizens or passport for foreign citizens) of the Representative - legal person.

Date.........................................

NAME AND SURNAME OF THE SHAREHOLDER ………………………….........................

NAME AND SURNAME / CORPORATE NAME OF THE REPRESENTATIVE …………………............... (if applicable)

Signature of the shareholder / representative .....................................

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