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COPY OF PROXY FORM GRANTING RIGHT TO PARTICIPATE IN THE SHAREHOLDERS MEETING With regard to the ordinary shareholders meeting of Amplicon S.p.A. convened on 17 April 2013 at 10:00 a.m. CET, in single
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ing fac-similemodulodelega17 04 13 is a form used for delegation purposes.
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The purpose of ing fac-similemodulodelega17 04 13 is to officially delegate authority or responsibilities to another party.
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