Image Registrars(U) Ltd™

Uganda Breweries Ltd Contact Details Form

Full Name Required*

ID/Passport Number Required*

Postal Address

Postal Code

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Declaration: I/We confirm that the details set out above are true and correct. I/We hereby authorize Image Registrars Limited to use the information provided above only for matters pertaining to my shareholding in UBL. I will notify the Registrar should the above information change.

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UGANDA BREWERIES LIMITED CONTACT INFORMATION FORM

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Image Registrars(U) Ltd
Jubilee Insurance Center
Plot 14, Parliament Avenue, 1st Floor
Kampala Uganda
Tel: 0762 260 804 (MTN)
Email: ublshares@image.co.ke