Dividend Reinvestment Plan
Application form
To participate in the Dividend Reinvestment Plan (the Plan) complete sections 2 & 3 and return this form to Equiniti Financial Services Limited, Aspect House, Spencer Road, Lancing, West Sussex, BN99 6DA.
Section 1 - The Plan
| Company to which this plan applies: | Associated British Foods plc |
| Shares to which this plan applies: | Ordinary Shares |
Section 2 - Your details
| Account Number (this can be found on your share certificate) | |
| Full Name(s) | |
| Address | |
| Post code | |
| Daytime telephone number (for use in event of query) |
To: Equiniti Financial Services Limited (Equiniti)
I/We, the undersigned, confirm that I/we have read and retained a copy of the terms and conditions of the Plan set out in the booklet and that I/we wish to participate in the Plan for each future dividend paid on the shares shown above in Section 1 held by myself/ourselves to which the Plan is applied.
I/We appoint Equiniti as my/our agent to arrange the purchase of ordinary shares of the Company shown above in Section 1 in accordance with the terms and conditions of the Plan. This request will remain in force until revoked in writing by me/us, or otherwise cancelled in accordance with the terms and conditions of the Plan.
To: Associated British Foods plc
I/We the undersigned instruct Associated British Foods plc to pay my dividend in respect of the
shares applying to the Plan to Equiniti.
Section 3 - Please sign here (all holders must sign)
| 1 ............................................... | 3 ................................................. |
| . | . |
| 2 ............................................... | 4 ................................................. |
| . | . |
| Date: ........................................... |
In the case of a corporation, this form must be executed under its common seal, or be signed by a duly authorised official, whose capacity should be stated in accordance with Section 36A of the Companies Act 1985.
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