E-DIVIDEND MANDATE ACTIVATION FORM

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AffixCurrentPassportWrite your name at the back ofyour passport photograph(to be stamped by your banker)E-DIVIDEND MANDATE ACTIVATION FORMONLY CLEARING BANKS ARE ACCEPTABLEINSTRUCTIONPlease complete all section of this form to make it eligible for processing and return to theaddress below.The RegistrarAfrica Prudential Registrars Plc220B, Ikorodu Road, Palmgrove, Lagos.I/We hereby request that henceforth, all my/our Dividend Payment(s) due to me\us frommy/our holdings in all the companies ticked at the right hand column be credited directly tomy /our bank detailed below:Bank Verification Number (BVN):Bank Name:Bank Account Number:Account Opening Date:DDM MYYYYSHAREHOLDER ACCOUNT INFORMATIONSurname/Company’s NameFirst NameOther NameAddressCityStateCountryPrevious Address (if any)Clearing House Number (CHN) (if any)Name of Stockbroking FirmCMobile Telephone 1Mobile Telephone 2E-mail AddressCompany Seal (if applicable)Signature:Signature:Joint/Company’s SignatoriesCLIENTELE1. AFRICA PRUDENTIAL REGISTRARS PLC2. ABBEY MORTGAGE BANK PLC3. AFRILAND PROPERTIES PLC4. A & G INSURANCE PLC5. MIXTA REAL ESTATE PLC (formerlyARM Properties Plc)6. A.R.M LIFE PLC7. ADAMAWA STATE GOVERNMENT BOND8. BECO PETROLEUM PRODUCTS PLC9. BUA GROUP10. BENUE STATE GOVERNMENT BOND11. CAP PLC12. CAPPA AND D'ALBERTO PLC13. CEMENT COY OF NORTHERN NIG. PLC14. CSCS PLC15. CHAMPION BREWERIES PLC16. COMPUTER WAREHOUSE GROUP17. EBONYI STATE GOVERNMENT BOND18. GOLDEN CAPITAL PLC19. INFINITY TRUST MORTGAGE BANK PLC20. INTERNATIONAL BREWERIES PLC21. INVESTMENT & ALLIED ASSURANCE PLC22. JAIZ BANK PLC23. KADUNA STATE GOVERNMENT BOND24. NEM INSURANCE PLC25. NEXANS KABLEMETAL NIG. PLC26. OMOLUABI SAVINGS AND LOANS PLC27. PERSONAL TRUST & SAVINGS LTD28. P.S MANDRIDES PLC29. PORTLAND PAINTS & PRODUCTS NIG. PLC30. PREMIER BREWERIES PLC31. RESORT SAVINGS & LOANS PLC32. ROADS NIGERIA PLC33. SCOA NIGERIA PLC34. TRANSCORP HOTELS PLC35. TRANSCORP PLC36. TOWER BOND37. THE LA CASERA CORPORATE BOND38. UACN Plc39. UBA BALANCED FUND40. UBA BOND FUND41. UBA CAPITAL PLC42. UBA EQUITY FUND43. UBA MONEY MARKET FUND44. UNITED BANK FOR AFRICA PLC45. UNIC PLC46. UAC PROPERTY DEVELOPMENT COMPANY PLC47. UTC NIGERIA PLC48. WEST AFRICAN GLASS IND PLCDISCLAIMER"In no event shall Africa Prudential Registrars be liable for any damages , losses or liabilities including without limitation, direct or indirect,special, incidental, consequential damages, losses or liabilities, in connection with your use of this form or your inability to use theinformation, materials, or in connection with any failure, error, omission, defect, delay in operation or transmission, or system failure,even if you advice us of the possibility of such damages, losses of expenses, whether express or implied in respect of such information."Africa Prudential Registrars Plc@APRPlcA/C No.

AffixCurrentPassportE-DIVIDEND MANDATE ACTIVATION FORMWrite your name at the back ofyour passport photographTICK(To be stamped by Bankers)NAME OF COMPANYBOC GASES NIGERIA PLCOnly Clearing Banks are acceptableInstructionGREIF NIGERIA PLCPlease complete all section of this form to make it eligible for processingand return to the address belowThe Registrar,ALL CROWN REGISTRARS LIMITED190, Ikorodu Road,Onipanu, Shomolu,Lagos.I\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:Bank Verification NumberBank NameBank Account NumberAccount Opening DateShareholder Account InformationSurname / Company’s NameFirst NameOther NamesAddress :CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company Seal (If applicable)Joint\Company’s SignatoriesHelp Desk Telephone No/Contact Centre Informationfor Issue resolution or clarification: 234-08023428713ALL CROWN REGISTRARS LIMITEDwebsite:www.allcrownregistrarltd.com; E-mail: SACCOUNT NO.

TICK NAME OF COMPANYACORN PET. PLCAFRIK PHARMACEUTICALS PLCAG HOMES SAVINGS & LOANSAG LEVENTISARBICO PLCASHAKACEM PLCBANKERS WAREHOUSEBETA GLASSCAPITAL HOTEL PLCELLAH LAKESEVANS MED PLCFCMB BONDFCMB GROUP PLCFIDSON BONDG. CAPPA PLCGUINEA PLCIMB ENERGY MASTER FUNDJOS INT. BREWERIES PLCKOGI SAVINGS & LOAN LTDLAFARGE AFRICA PLCLAFARGE BONDLAW UNION & ROCK PLCLEGACY FUNDLIVESTOCK FEEDS PLCMORISON PLCMRS OIL PLCNAHCO BONDNAHCO PLCNEWPAK PLCN.G.C PLCNGC STERILENPF MICROFINANCE BANKNULEC INDUSTRIES PLCOKOMU OIL PALM PLCPREMIER PAINT PLCREAN PLCSKYE BANK PLCTOTAL NIG. PLCTRANEX PLCWOMEN INVESTMENT FUNDSHAREHOLDER’SACCOUNT NO.

AffixCurrent Passport(To be stamped byBankers)Write your name at theback of your passportphotographE-DIVIDEND MANDATE ACTIVATION FORMTICKInstructionsNAME OF COMPANYOnly Clearing Banks are acceptableDIAMOND BANK PLCPlease complete all section of this form to make it eligible for processingand return to the address belowThe RegistrarCenturion Registrars33C, Cameron Road,Ikoyi, LagosLagos StateI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:C & I LEASING PLCLINKAGE ASSURANCE PLCNIGERIA WIRE INDUSTRIES PLCUNION DICON SALT PLCVITAL PRODUCTS LIMITEDBank Verification NumberBank NameBank Account NumberAccount Opening DateShareholder Account ITYCOUNTRYPREVIOUS ADDRESS (IF ANY)CHN (IF ANY)MOBILE TELEPHONE 1MOBILE TELEPHONE 2EMAIL ADDRESSSIGNATURECOMPANY SEAL (IF ANY)JOINT\COMPANY’SSIGNATORIESHelp Desk: customercare.centurionregistrars.comTel no: 234-01-2902996, 4663631, 4543311, 07045355922web: www.centurionregistrars.com // e-mail: customercare@centurionregistrars.comSHAREHOLDERA/C NO.

AffixCurrentPassport(To be stampedPhotoby bankers)Please write your name at theback of your passportphotographE-DIVIDEND MANDATE ACTIVATION FORME-MANDATE ACTIVATION FORMOnly Clearing Banks are acceptableInstructionPlease complete all sections of this form to make it eligible for processingand return to the address belowKindly tick & quote your shareholder account no in the boxbelowTickName of CompanyThe Registrar,ShareholderNumberDataMax Registrars Limited2C, Gbagada Expressway,By Beko Ransome Kuti Park,Anthony Oke Bus Stop, Gbagada,P.M.B 10014, Shomolu,Lagos State.AXA Mansard Insurance Plc.Guaranty Trust Bank Plc.I/ We hereby request that you forward until further notice, all future dividend/ interest towhich I/we become entitled for the company indicated, to the branch of the Banknamed below.IFC - Naija BondImperial Mortgage Bank LimitedBank Verification NumberKogi State BondBank NameMainstream Energy SolutionsBank Account NumberSeplat Petroleum Development Plc.Account Opening DateSterling Assurance (Sterling Trust Fund).Shareholder Account Information* Surname / Company’s NameFirst NameOther Names* Please ensure that the name on your Bank Account corresponds withthat in our records as any contrary Name(s) would void your requestAddress:CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email Address**Signature(s)** The signature(s) must correspond with your specimen held in ourrecords as any contrary signature(s) or non-existence in our recordswould void your request.Joint\Company’s SignatoriesCompany Seal/ Incorporation Number (Corporate Shareholder)When completed on behalf of corporate body,each signatory should state the representativecapacity e.g. Company Secretary, Directors etc.I/We confirm that all information supplied is to the best of my/our knowledge correct and hereby covenant to indemnify andforever keep indemnified the security issuer, the directors, the security registrar, the directors and officers of thesecurity registrar from and against all losses in respect thereof and all claims, actions, proceedings, demands, cost,expenses whatsoever which may be made or brought against them by reason of compliance with this request.Help desk , Telephone No. 01-712000-11, 0700DATAMAX or send e-mail to datamax@datamaxregistrars.comWebsite: www.unitedsecuritieslimited.com ; E mail:- info@unitedsecuritieslimited.com or the completed update form can also be submitted through any Access Bank PLC nearest to you.DATAMAX REGISTRARS LIMITEDWebsite: www.datamaxregistrars.com; E-Mail: datamax@datamaxregistrars.com or the completed form can be submitted through any GTBank nearest to you.ansmitted electronically” DataMax Registrars Limited hereby disclaims liability or responsibility for any errors/omissions in any document transmitted electronically.

AffixCurrent PassportEDC REGISTRARS LIMIITED(To be stamped by Bankers)Please write your name at theback of your passportphotographE-DIVIDEND ACTIVATION FORMInstruction:Only Clearing Banks are acceptablePlease complete all sections of this form to make it eligible forprocessing and return to the address belowTHE REGISTRAREDC REGISTRARS LIMITED RC 475195154 IKORODU ROAD, ONIPANU, LAGOSI/We hereby request that henceforth, all my/our Dividend Payment(s)due to me/us from my/our holdings in all the companies ticked at theright hand column be credited directly to my/our bank detailed below:Bank Verification NumberKindly tick & quote your shareholder account no.in the box below:TickName of CompanyAdswitch PlcAfromedia PlcCourteville Bus. Solutions PlcBank NameCutix PlcBank Branch/AddressDangote Flour Mills PlcBank Account NumberImo State Government BondPlateau State Government BondAccount Opening DateResourcery PlcShareholder Account InformationSurname/Company name First name Other NamesAddress:CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone (1)Tel (2)E-mail AddressSignature(s)Joint/Company’s SignatoriesCompany Seal (if applicable)Authorised Signature of Bank/StampFor enquiries, please call 01-4538671-4 or send email toEdcRegComplaints@ecobank.comShareholderNumber

AffixCurrentPassport(To be stamped by Bankers)E-DIVIDEND RMWrite your name at the back ofyour passport photographOnly Clearing Banks are acceptableInstructionPlease complete all section of this form to make it eligible for processingand return to the address belowTICKNAME OF COMPANYThe Registrar,Apel Capital & Trust Ltd.8, Alhaji Bashorun StreetOff Norman Williams Str, S.W Ikoyi Lagos.SHAREHOLDER’SACCOUNT NO.ABACUS MONEY MARKETFUNDI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:ANINO INT’L PLCCHAPEL HILL DENHAMMONEY MARKET FUNDBank Verification NumberBank NameEQUITY ASSURANCE PLCBank Account NumberAccount Opening DateFIRST ALUMINUM PLCShareholder Account InformationINTERLINKEDTECHNOLOGIES PLCSurname / Company’s NameFirst NameOther NamesAddress :INTERNATIONALBREWERIES PLCLASACO ASSURANCEPLCLEAD UNIT TRUST SCHEMECityCountryStateMBA MUTUAL TRUSTSCHEMEPrevious Address (If any)MASS TELECOMINNOVATION PLCCHN (If any)Mobile Telephone 1NCR (NIGERIA) PLCMobile Telephone 2NEM INSURANCE PLCEmail AddressSignature(s)PARAMOUNT EQUITYCompany Seal (If applicable)THE INITIATES PLCJoint\Company’s SignatoriesEmail: registrars@apel.com.ngW:www.apel.com.ngPHARMA DEKO PLCTel : 234 (1) 293 2121 234 (0) 704 6126698 NameCompanyw.xxxxxxxx.com; E-mail: info@xxxxxxxxxxx.comAddress : 8, Alhaji Bashorun Street,Off Norman Williams Crescent,S.W. Ikoyi Lagos

AffixCurrentPassportE-DIVIDENDE-DIVIDEND ACTIVATION FORM(To be stamped by Bankers)Write your name at the back ofyour passport photographTICKOnly Clearing Banks are acceptableInstructionPlease complete all section of this form to make it eligible for processingand return to the address belowThe Registrar,First Registrars & Investor Services Ltd.2,Abebe Village Road,IganmuP. M. B. 12692 Lagos. Nigeria.I\We hereby request that henceforth, all my\our dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:Bank Verification NumberBank NameBank BranchBank AddressBank Account NumberAccount Opening DateAccount Type (Tick)CurrentSavingsShareholder Account InformationSurnameFirst NameOther NamesAddress :CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company’s SealJoint\Company’s SignatoriesFirst Registrars & Investor Services Limited.connecting you to your wealth.website:www.firstregistrarsnigeria.com; E-mail: info@firstregistrarsnigeria.comNAMES OF COMPANYABC TRANSPORT PLCACAP CANARY GROWTH FUNDAFRICAN DEVELOPMENT BANK BONDAFRICAN PAINTS PLCASSET & RESOURCE MANAGEMENT COMPANYLTD(FUND)ARM AGGRESSIVE GROWTH FUNDARM ETHICAL FUNDASO-SAVINGS AND LOANS PLCAUSTIN LAZ AND COMPANY PLCBANK PHB PLC (NOW KEYSTONE BANK LIMITED)BAYELSA STATE GOVERNMENT BONDBCN PLC-MARKETING COMPANYBOC GASES NIGERIA PLCCADBURY NIGERIA PLCCHAMS PLCCOSTAIN WEST AFRICA PLCCORE INVESTMENT SCHEME (COINS)CORE VALUE ACCOUNT (COVA)CR SERVICES (CREDIT BUREAU) PLCCROSS RIVERS STATE GOVT BONDDAAR COMMUNICATIONS PLCDEAP CAPITAL MANAGEMENT & TRUST PLCDELTA STATE GOVT BONDDV BALANCED FUNDEDO STATE GOVT BONDFAMAD NIGERIA PLCFBN FIXED INCOME FUNDFBN HOLDINGS PLCFBN HERITAGE FUNDFBN MONEY MARKET FUNDFBN NIGERIA EUROBOND (USD) FUNDFBN NIGERIA SMART BETA FUNDFIDELITY BANK PLCFIDELITY BANK PLC BONDFORTIS MICROFINANCE BANK PLCFRIESLANDCAMPINA WAMCO NIGERIA PLCHONEYWELL FLOUR MILLS PLCINDORAMA ELEME PETROCHEMICALS COMPANYSTAFF COOP SOCIETY LTDJULI PLCLAGOS STATE BOND 167.5 BILLION 2ND DEBTISSUANCE PROGRAMME N80 BILLION 4%(SERIES 1 BOND)LAGOS STATE BOND 167.5 BILLION 2ND DEBTISSUANCE PROGRAMME N87.5 BILLION 13.5%(SERIES 2 BOND)LEARN AFRICA PLCLOTUS HALAL EQUITY EXCHANGE TRADEDFUNDNIGERIA POLICE MORTGAGE BANK PLCNIGERIAN BREWERIES PLCOANDO PLCONDO STATE GOVT BONDOYO STATE GOVT BONDPARTNERSHIP INVESTMENT CO.PLCPRESCO PLCPRESTIGE ASSURANCE PLCPZ-CUSSONS NIGERIA PLCRAK UNITY PETROLEUM PLCREDEEMED GLOBAL MEDIA COMPANYSIM CAPITAL ALLIANCE VALUE FUNDSTACO INSURANCE PLCSTANBIC IBTC BANK PLC FLOATING RATE&FIXED RATE SUBORDINATED UNSECUREDNOTES BOND TRANCHE A & BSTANBIC IBTC BOND FUNDSTANBIC IBTC ETF 30 FUNDSTANBIC IBTC ETF 40 FUNDSTANBIC IBTC BALANCED FUNDSTANBIC IBTC DOLLAR FUNDSTANBIC IBTC ETHICAL FUNDSTANBIC IBTC GUARANTEED INCOME FUNDSTANBIC IBTC HOLDINGS PLCSTANBIC IBTC MONEY MARKET FUNDSTANBIC IBTC NIGERIAN EQUITY FUNDSTANDARD ALLIANCE INSURANCE PLCSTARCOMMS PLCUBA FIXED RATE SUBORDINATED UNSECUREDNOTES BONDUNION DIAGNOSTIC AND CLINICAL SERVICESPLCUPDC REITSVANTAGE BALANCED FUND (INCOME &ACCUMULATED)VANTAGE GUARANTEED INCOME FUNDWEST AFRICAN ALUMINIUM PRODUCTS (WAAP)ZAMFARA STATE BONDSHAREHOLER’SACCOUNTNUMBER

AffixCurrentPassportE-DIVIDEND MANDATE ACTIVATION FORM(To be stamped by Bankers)Write your name at the back ofyour passport photographTICK NAME OF COMPANYOnly Clearing Banks are acceptableInstructionPlease complete all section of this form to make it eligible for processingand return to the address belowThe Registrar,Flour Mills Registrars Limited34, Eric Moore Road, Iganmu (Bagco Building) SurulereP.O.Box 341, Apapa, Lagos State.I\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:Bank Verification NumberBank NameBank Account NumberAccount Opening DateShareholder Account InformationSurname / Company’s NameFirst NameOther NamesAddress :CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company Seal (If applicable)Joint\Company’s SignatoriesHelp Desk Telephone No/Contact Centre Informationfor Issue resolution or clarification: 234-1-7732568Flour Mills Registrars Limitedwebsite:www.fmnregistrar.com; E-mail: registrars@fmnregistrar.comSHAREHOLDER’SACCOUNT NO.

AffixCurrentPassport(To be stamped by Bankers)Write your name at the back ofyour passport photographE-DIVIDEND MANDATE ACTIVATION FORMTICKCOMPANY NAMEAbplast Products PLCOnly Clearing Banks are acceptableAluminium Extrusion PLCInstructionPlease complete all section of this form to make it eligible for processing and return to theaddress belowThe RegistrarGTL REGISTRARS LIMITEDNo 2, Burma RoadApapaLagosCashew Nut Processing IndustriesPLCChellarams PLCChristlieb PLCDANA Group Of Companies PlcSeries Tranche 1 & 2DN Meyer PLCDN Tyre & Rubber PLCI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right hand columnbe credited directly to my \ our bank detailed below:Ecobank TransnationalIncorporatedEkiti State Bond Tranche 1 & 2EKOCORP PLCBank Verification NumberEterna Oil PLCFirst Aluminium PLCBank NameGeneral Telecoms PLCBank Account NumberGlaxoSmithKline Nigeria PLCGlobal Biofuels Nigeria LimitedAccount Opening DateShareholder Account InformationSurname/Company NameGreat Nigeria Insurance PLCIkeja Hotels PLCFirst NameOther NameImpresit Bakolori PLCIndustrial &General Insurance PLCIPWA PLCAddressJohn Holts PLCJulius Berger Nigeria PLCKajola Integrated &InvestmentCompany PLCLennards Nigeria PLCCityStateCountryLocal Contractors ReceivablesBond Tranche 1,2 & 3Mobil Oil Nigeria PLCNestle Nigeria PLCPrevious Address (If any)Nigeria Cement Company PLCNigeria ReinsuranceNigerian Enamelware CompanyPLCNigerian Lamps IndustriesCSCS Clearing House NumberNigerian Wire & Cable PLCOkitipupa Oil Palm PLC*Mobil Number 1*Mobil Number 2Oluwa Glass COMPANYSeven-Up Bottling Company PLCThe Tourist Company of NigeriaPLCTripple Gee & Company PLCEmail AddressShareholder’s SignatureCompany Seal (If applicable)UBA Fixed N20 Billion Bond Series1 BondUBN Property LimitedUnilever Nigeria PLCUnion Assurance Company Limited(NOW Ensure Insurance)Union Bank of Nigeria PLCJoint/Companies SignaturesUnion Homes REITSUnion Homes Savings & Loans PLCHelp Desk Telephone No/Contact CentreInformation for Issue resolution or clarification:234-(0)1-2917747, 234-(0)1-2793160-2.GTL Registrars LimitedWebsite: www.gtlregistrars.com. Email info@gtlregistrars.comUniversity Press PLCWEMA Bank PLCSHAREHOLDERSACCOUNT NO.

eyuAffix CurrentPassportWrite your name at the backof your passport photographE-DIVIDEND MANDATE ACTIVATION FORMTICKOnly Clearing Banks are acceptableNAME OF COMPANYSHAREHOLDERACCOUNT NOCORNERSTONE INSURANCE PLCInstructionPlease complete all section of the forms to make eligible forprocessing and return to the address belowThe Registrar,Lighthouse Registrars LimitedKingsway Building, 3rd Floor, 2/4 Davies StreetP.O. Box 60276 Lagos Nigeria.I/We hereby request that henceforth, all my/our dividendpayment due to me/us from our holdings in CornerstoneInsurance plc be credited to my/our bank detailed below:Clearing House NoBank Verification NoBank NameBank BranchBank AddressBank Account NumberAccount Opening DateAccount Type (Tick)CurrentShareholders Account InformationSurnameAddress:CitySavingsOther NamesFirst NameStateCountryPrevious Address (if any)Mobile Telephone 1Email AddressSignature(s)Mobile Telephone 2Company’s Seal(If applicable)Joint/Company’s SignatoriesHelp Desk Telephone No/Contact Centre Information for Issue resolution or clarification: 2348087901770Lighthouse Registrars LtdWebsite: www.lighthousereg.com; E-mail: info@lighthousereg.com

MainstreetBank Registrars LtdAffixCurrentPassportE-DIVIDEND MANDATE ACTIVATION FORM(To be stamped by Bankers)Write your name at the back ofyour passport photographTICK NAME OF COMPANYAFRICAN ALLIANCE INSURANCE PLCOnly Clearing Banks are acceptableInstructionPlease complete all section of this form to make it eligible for processingand return to the address belowThe Registrar,UNIVERSAL INSURANCE PLCGOLDEN GUINEA BREWERIES PLCMULTIVERSE RESOURCES PLCOMATEK VENTURES PLCNIGERIAN ROPES PLCNIGER STATE GOVERNMENT BONDMainstreetBank Registrars Limited2A Gbagada Expressway,Anthony, P.M.B. 12974Lagos.I\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:Bank Verification NumberBank NameBank Account NumberAccount Opening DateShareholder Account InformationSurname / Company’s NameFirst NameOther NamesAddress :CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company Seal (If applicable)Joint\Company’s SignatoriesHelp Desk Telephone No/Contact Centre Informationfor Issue resolution or clarification: 234-7038979850 or234-7038037680Company Namewebsite:www.mainstreetbankregistrars.com; E-mail: NT NO.

AffixCurrentPassportE-DIVIDEND MANDATE ACTIVATION FORM(To be stamped by Bankers)Write your name at the back ofyour passport photographTICKNAME OF COMPANYTICK NAME OF COMPANYOnly Clearing Banks are acceptableInstructionPlease complete all sections of this form to make it eligible for processingand return to the address belowThe RegistrarMeristem Registrars Limited213, Herbert Macaulay WayAdekunle-YabaLagos StateI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank account detailed below:Bank Verification NumberBank NameBank Account NumberAccount Opening DateShareholder Account InformationSurname/Company’s NameFirst NameOther NamesAddress:CityStateCountryPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company Seal (If applicable)Joint\Company’s SignatoriesAFRINVEST EQUITY FUNDAIRLINE SERVICE & LOGISTICS PLCBERGER PAINTS NIG PLCCHELLARAMS BONDCONOIL PLCCONSOLIDATED HALLMARK INS. PLCCUSTODIAN & ALLIED PLCCOVENANT SALT NIGERIA LIMITEDEMPLOYEE ENERGY LIMITEDENERGY COMPANY OF NIGERIA PLC[ENCON]eTRANZACT INTERNATIONAL PLCFIDSON HEALTHCARE PLCFOOD CONCEPTS PLCFREE RANGE FARMS PLCFTN COCOA PROCESSORS PLCGEO-FLUIDS PLCJUBILEE LIFE MORTGAGE BANK LTDMAMA CASS RESTAURANTS LIMITEDMCN DIOCESE OF REMOMCN LAGOS CENTRALMCN TAILORING FACTORY [NIGERIA]LIMITEDMULTI-TREX INTEGRATED FOODS PLCMUTUAL BENEFITS ASSURANCE PLCNASSARAWA STATE GOVT BONDNASCON ALLIED INDUSTRIES PLCNEIMETH INT’L PHARMS PLCNIGER INSURANCE PLCNIGERIA MORTGAGE REFINANCECOMPANY [NMRC] PLCNIGERIA MORTGAGE REFINANCECOMPANY PLC [NMRC] BONDONWARD PAPER MILLS PLCPACAM BALANCED FUNDPAINTS & COATINGS MANUFACTURERSNIG PLCPROPERTYGATE DEVT. & INVEST. PLCR.T. BRISCOE NIGERIA PLCREGENCY ALLIANCE INSURANCE PLCSMART PRODUCTS NIGERIA PLCSOVEREIGN TRUST INSURANCE PLCTANTALIZERS PLCTHE BGL NUBIAN FUNDTHE BGL SAPPHIRE FUNDTHOMAS WYATT PLCVITAFOAM NIGERIA PLCVONO PRODUCTS PLCZENITH EQUITY FUNDZENITH ETHICAL FUNDZENITH INCOME FUNDHelp Desk Telephone No/Contact Centre Informationfor Issue resolution or clarification: 01-2809250-4Meristem Registrars LimitedMeristem Registrars LimitedWeb: www.meristemregistrars.com;email: istrars.com;E-mail: NO.NOACCOUNT

Affix CurrentPassportRC 650108e-DIVIDEND ACTIVATION FORM(To be stamped by Bankers)INSTRUCTION:Please complete all section of this form to make it eligible forprocessing and return to the address above.Write your name at the backof your passport photographOnly Clearing Banks are AcceptablePLEASE COMPLETE IN BLOCK LETTERSTitle:Mr.Mrs.Miss.Kindly Select the Company(s) in which Shares are held:DateTICKNAME OF COMPANYD D M M Y Y Y Y)OthersI/We, hereby request that henceforth, all my/our dividend/coupon payment dueto me/us from the paying company indicated below be paid to my/our bankaccount stated hereunder.Avon Crown Caps & Con. (Nig.)BEMIL Nigeria LimitedBank Verification Number (BVN)Capital Oil Plc.Bank NameChannel Petroleum Plc.Bank Account No:Stokvis Nigeria PlcAccount Opening DateDDM MYYYYJOINT SHAREHOLDERFUMMAN Agric. Prod. PlcHeritage Bank Ltd.SHAREHOLDER’S ACCOUNT INFORMATIONINDIVIDUALSHAREHOLDER’SACCOUNT NUMBERCORPORATE SHAREHOLDERSurname / Company’s NameInt’l Energy Insurance Plc.Naturelle Extracts Plc.First NameOther Names (for individual Shareholders only)PANAfrican Capital Plc.Secure Electronic Tech. Plc.Shareholder’s CHN (If Known)Spring Life Assurance PlcCSwap Tech. & Telecoms Plc.Current Postal AddressUnited Mortgage Plc.CityStateCountryMobile (GSM) Phone Number.Land Phone Number/GSM.E-mail Address.Previous Postal Address (If any).Company Seal/Incorporation Number (Corporate Shareholder)Shareholder’s Signature or ThumbprintShareholder’s Signature\JointThis form must be signed by ALL, the registered holders,executor(s) or Administrator(s)DISCLAIMER "In no event shall PAC REGISTRARS be liable for any damages, losses or liabilities including without limitation, direct or indirect, special, incidental, consequential damages,losses or liabilities, in connection with your use of this form or your inability to use the information, materials, or in connection with any failure, error, omission, defect, delay in operation ortransmission, or system failure, even if you advice us of the possibility of such damages, losses of expenses, whether express or implied in respect of such information."PAC REGISTRARS LTD. No. 122 Bode Thomas Road, Surulere, LagosP.M.B. 3456, Surulere, Lagos. TEL: 234 01-7734381, 09086790272E-MAIL: info@pacregistrars.com WEBSITE: www.pacregistrars.com

AffixCurrentPassport(To be stamped by bankers)Please write your name at theback of your passportphotographE-DIVIDEND MANDATE ACTIVATION FORME-MANDATE ACTIVATION FORMOnly Clearing Banks are acceptableInstructionPlease complete all sections of this form to make it eligible for processingand return to the address belowThe Registrar,Kindly tick & quote your shareholder account no in the boxbelowTickName of CompanyShareholderNumberAccess Bank PLCUNITED SECURITIES LIMITED RC 1262579, Amodu Ojikutu Street, Off Bishop Oluwole Street,Victoria Island, P.M.B 12753 Lagos, Nigeria.Afrinvest WA LtdI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:AIICO Insurance PLCBank Verification NumberAIICO Money Market FundBank NameBSS Industries LtdBank Account NumberAccount Opening DateCaverton Offshore Support groupShareholder Account InformationDangote Cement PLCSurname / Company’s NameFirst NameOther NamesFirst Securities Discount HouseFood Emporium Int l LimitedAddress:Gombe State GovernmentIHS Nigeria PLCCityStateCountryMCNichols Consolidated PLCNDEP PLCPrevious Address (If any)NIPCO PLCCHN (If any)Red Star Express PLCMobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Skye Fixed Income FundThree Point Industries LtdCompany Seal (If applicable)Trust Bond Mortgage Bank PLCWAPIC Insurance PLCJoint\Company’s SignatoriesFor inquiries, please call 01-2714566-7 or send e-mail to customerscare@unitedsecuritieslimited.comWebsite: www.unitedsecuritieslimited.com ; E-mail: info@unitedsecuritieslimited.com or the completed update form can also be submitted through any Access Bank PLC nearest to you.UNITED SECURITIES LIMITEDWebsite:www.unitedsecuritieslimited.com; E-mail:info@unitedsecuritieslimited.comor the completed update form can alsosubmittedthroughany AccessBank Plc nearest to you.“UNITEDSECURITIES LIMITED herebydisclaimsliability or responsibility for mittedelectronically”“UNITED SECURITIES LIMITED hereby disclaims liability or responsibility for errors/omissions/misstatements in any document transmitted electronically”

AffixCurrentPassportOnly Clearing Banks are acceptableInstructionPlease complete all section of this form to make it eligible for processingand return to the address belowThe Registrar,TICKUnity Registrars Limited25 Ogunlana Drive,Surulere,LagosLagos State.NAME OF COMPANYAFROIL PLCI\We hereby request that henceforth, all my\our Dividend Payment(s) due tome\us from my\our holdings in all the companies ticked at the right handcolumn be credited directly to my \ our bank detailed below:Bank Verification NumberBGL PLCCARANDA MANAGEMENT SERV. LTDDVCF OIL & GAS FUNDBank NameDVCF OIL & GAS PLCBank Account NumberLOTUS CAPITAL HALAL FUNDNORTHLINK BROKERS PLCAccount Opening DatePELICAN PRINTS LIMITEDShareholder Account InformationSurname / Company’s NameFirst NameOther NamesAddress :ROKANA PLCUNITY BANK PLCUNITY REGISTRARS LTDCityStateCountryUNITYKAPITAL ASSURANCE PLCPrevious Address (If any)CHN (If any)Mobile Telephone 1Mobile Telephone 2Email AddressSignature(s)Company Seal (If applicable)Joint\Company’s SignatoriesUNITY REGISTRARS LIMITEDWebsite: www.unityregistrarsng.com Email: info@unityregistrarsng.comSHAREHOLDERSACCOUNT NO

VERITAS REGISTRARSAffixCurrentPassport(formerly Zenith Registrars) RC: 510155e-DIVIDEND MANDATE FORM(To be Stamped by Bankers)Please write your name at theback of your passportphotographPlease note that Only Clearing Banks are acceptableTICKINSTRUCTIONPlease complete all sections of this form to make it eligible for processingand return to the address below:The RegistrarVeritas Registrars Limited89, Ajose Adeogun StreetVictoria IslandLagos.NAME OF COMPANYSHAREHOLDER’SACCOUNT No.DANGOTE SUGARREFINERY PLCFORTE OIL PLCGUINNESS NIG. PLCI/We hereby request that henceforth, all my/our dividend payment(s) dueto me/us from my/our hol

21. investment & allied assurance plc 22. jaiz bank plc 23. kaduna state government bond 24. nem insurance plc 25. nexans kablemetal nig. plc 26. omoluabi savings and loans plc 27. personal trust & savings ltd 28. p.s mandrides plc 29. portland paints & products nig. plc 30. premier breweries plc

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