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FORM OF VOTE BY CORRESPONDENCE for the Ordinary and Extraordinary General Meeting of Shareholders of Societies AsigurareReasigurare Astral S.A. to be held on 27/28 May 2015 The subscribed...................................................................................................................................................... (corporate name), with the registered office at .................................................................................................................
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Write your complete and current residential address, including street name and number, city or town, state or province, and postal code.
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Place of domicile is the legal residence of an individual.
Individuals who have changed their legal residence or moved to a new location are required to file place of domicile.
Place of domicile can be filled out by providing the new legal residence address and any supporting documentation.
The purpose of place of domicile is to update the individual's legal residence address for official purposes.
The information reported on place of domicile includes the new legal residence address and any supporting documentation.
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