AFFIRMATION
On the basis of the conditions, including the agreement, for the Special Scheme of Section 3.2 of the Decree of 22 February 2018, No. 2018-20130, as last amended by Decree of 18 September 2023, No. 2023-20339.
{Macro value = "Txt_security" Macro}
{Macro value = "Txt_paydate" Macro}
{Macro value = "Txt_shares" Macro}
{Macro value = "Txt_taxWithheldinEUR" Macro}
The Beneficial Owner Confirms the Following:
I declare that I am the beneficiary and concurrently also the beneficial owner of the proceeds that are the subject of the application, and that the proceeds have not – by means of a substitute payment in lieu of dividend or any other quid pro quo, in whole or in part – benefitted, nor will they benefit another person who: 1) has a lesser right (or no right) to an offset, refund or reduction than myself and 2) their original share position is retained directly or indirectly after the dividend date.
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Signature
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Name
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Date and Place