STR. OTETELESANU NR.2, REG. COM. J40/611/1991; CIF RO2774512

PARTER – DEMISOL, SECTOR 1, BUCURESTI

SPECIAL POWER OF ATTORNEY

for the representation within the General Ordinary Meeting of the Shareholders

PRACTIC S.A. from December11, 2017

The undersigned, [to be included], a[joint stock/limited liability]Company, established and functioning in accordance with the [Romanian] laws,having the social headquarters in[to be included], enrolled within the Trade Registry Office[to be included] under no. [to be included], Sole Registration Number[to be included],legally represented by[to be included], as the [to be included](hereinafter calledAttorney-in-fact),

OR

The undersigned, [name], [to be included] citizen,born on [to be included] in [to be included], residing in [to be included], identified with [to be included] no [to be included] issued by [to be included], valid until [to be included] (hereinafter calledAttorney-in-fact),

As the shareholder ofthe company PRACTIC S.A.,a joint stock company established and functioning under the Romanian laws, with headquarters in2 Ion Otetelesanu Street, ground-floor – semi-basement, 1st district, Bucharest, joint stock 40.983.171 RON enrolled within the Trade Registry Office under no J40/611/1991, Sole Registration Number2774512 (“the Company”),[holder]on the reference date24.11.2017of a number of[to be included]shares, integrally subscribed and paid-in,representing[to be included]%of the total number of shares, which confers [undersigned]a number of[to be included]voting rights,

Presently empower as the representative within the General Extraordinary Meeting of the Shareholders of the Company, that will take place on December11, 2017, in the meeting room situated on 21-23 Biserica Amzei Street,building C3, 2nd floor, 1st district, Bucharest, at10.00 o’clock:

[name], [to be included], citizen,born on[to be included] in [to be included], residing in [to be included], identified with [to be included] no [to be included] issued by [to be included], valid until [to be included] (hereinafter called„Proxy”),

To represent me within the General Ordinary Meeting of the Shareholders of the previously mentioned Companyand to exercise on behalf of theAttorney-in-factall the rights associated to the quality of a Company’s shareholder, respectively:

  1. To participate to the General Ordinary Meeting of the Shareholders;
  2. To participate at the debates associated with the points enrolled in the Agenda of the Meeting, as well as to the problems that have not been identified and included on the Agenda by the present date;
  3. To exercise the voting right associated to the points enrolled on the Agenda, as following:

1. Point 1 of the Agenda:

Approval of the income and expense budget of the Company for the financial year of 2018.

ProAgainstAbstention

2. Point 2 of the Agenda:

Establishment of the date of January 9th, 2018 as registration date for the identification of the shareholders influenced by the effects of the resolutions of the Ordinary General Meeting of the Shareholders, in compliance with the applicable legislation on the capital market and the date of January 8th, 2018 as “ex date”.

ProAgainstAbstention

3. Point 3 of the Agenda:

Empowerment of people signing any documents related to the resolutions of the Ordinary General Meetings of the Shareholders and fulfilling, in person or by further empowerment, all the procedures and formalities stipulated by law, for the purpose of the implementation of the resolutions of the Ordinary General Meetings of the Shareholders.

ProAgainstAbstention

Note: In the case of the “for” vote option, the name of the empowered person shall be specified.

The above appointed proxyis empowered to propose and vote as he considers the persons who will exercise the quality of a President of the General Meetingand the meeting secretaries.

If the Meeting is not legally and statutory summonedon December11, 2017 at 10.00 o’clock, the present Special Power of Attorney is also valid for the secondsummons of the same Meeting.

The present Power of Attorney was drafted in three original copies, one for theAttorney-in-fact, one for theProxyand one for the Company.

Attorney-in-fact

______

Name of the shareholder: [to be included]

By: [to be included]

Position: [to be included]

Date: [to be included]

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