BANRO CORPORATION
(the "Corporation")
FINANCIAL STATEMENT AND MD&A REQUEST FORM
In accordance with securities legislation, shareholders of the Corporation may elect annually to receive a copy of the Corporation's quarterly interim consolidated financial statements and related management's discussion and analysis ("MD&A"), the Corporation's annual consolidated financial statements and related MD&A, or both.
If you wish to receive copies of these documents, please complete this form and return it to the following address (shareholders must renew their requests to receive these documents each year):
TSX Trust Company
Suite 300, 200 University Avenue
Toronto, Ontario, M5H 4H1
Canada
| [ ] | Please send me ONLY the quarterly interim consolidated financial statements and related MD&A. |
| [ ] | Please send me ONLY the annual consolidated financial statements and related MD&A. |
| [ ] | Please send me BOTH the quarterly interim consolidated financial statements and the annual consolidated financial statements, and the respective MD&A for such statements. |
Copies of the Corporation's annual and quarterly consolidated financial statements and related MD&A are also available on the SEDAR website at www.sedar.com.
| DATED: ______________________________, 2017. | |
| Signature | |
| I confirm that I am a shareholder of the Corporation. | |
| Name of Shareholder - Please Print | |
| Address | |
| Name and title of person signing if different from the name above. |
The Corporation will use the information collected solely for the purpose of mailing the financial statements and MD&A to you and will treat your signature on this form as your consent to the above.