To subscribe for your new ADSs please complete line “A” on the card below.
Payment of ADSs: Full payment for the new ADSs must accompany this subscription and be made by certified or official bank check, payable to The Bank of New York Mellon, or wire payment to The Bank of New York Mellon, 150 Royall Street, Canton, MA 02021, ABA: 021000018, DDA: 00001361721, Account: COMPUTERSHARE INC aaf Corp Actions Funding, SWIFT: MELNUS3P, Reference: BioNTech Rights Offering.
FOR A MORE COMPLETE DESCRIPTION OF THE TERMS AND CONDITIONS OF THIS RIGHTS OFFERING, PLEASE REFER TO BIONTECH SE’s PROSPECTUS, WHICH IS INCORPORATED HEREIN BY REFERENCE. THE PROSPECTUS IS AVAILABLE AND UPON REQUEST FROM THE INFORMATION AGENT, GEORGESON, BY CALLING TOLL-FREE AT 1-888-219-8320 (U.S.) or 1-781-575-2137 (international).
Please complete all applicable information and return to the ADS Rights Agent:
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PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY |
Exercise of Subscription Rights | | | | | | | | |
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A. | | ☐ Exercise of Rights: | | | | x | | (1/31) | | = | | x $93.00 = | | $ |
| | | | (no. of ADS rights) | | | | (subscription ratio) | | (no. of new ADSs with fractional ADSs | | | | |
| | | | | | | | | | rounded down to the nearest whole number) | | | | |
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B. | | ☐ Total Amount Enclosed | | $ (Cost for Total New ADSs payable in U.S. Dollars) | | | | |
(Please sign and date front of form).
I hereby irrevocably subscribe for the number of ADSs indicated above hereon upon the terms and conditions specified in the Prospectus and incorporated by reference herein, receipt of which is acknowledged. I hereby agree that if I fail to pay in full for the new ADSs for which I have subscribed, BNY Mellon may exercise any of the remedies provided for herein or in the Prospectus.
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Special Transfer Instructions |
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If you want your ADSs to be issued in another name, fill in this section with the information for the new count/Assignee. |
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Name (Please Print First, Middle & Last Name) |
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Address (Number and Street) |
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(City, State & Zip Code) |
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(Tax Identification or Social Security Number) |
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Signature Medallion Guarantee |
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If you wish to transfer your new ADSs, then your signature must be guaranteed by an Eligible Guarantor Institution, as that term is defined in Rule 17Ad-15 of the Securities Exchange Act of 1934, as amended, which may include: (a) a commercial bank or trust company; (b) a member firm of a domestic stock exchange; or (c) a savings bank or credit union. |
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(Title of Officer Signing this Guarantee) |
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(Name of Guarantor - Please Print) |
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(Address of Guarantor Firm) |
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Special Mailing Instructions |
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Fill in ONLY if you want your ADS Direct Registration System Advice to be mailed to someone other than the registered holder or to the registered holder at an address other than that shown on the front of this Subscription Rights Form. |
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Name (Please Print First, Middle & Last Name) |
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Address (Number and Street) |
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(City, State & Zip Code) |
The signature(s) on this Form must correspond with the name(s) of the registered holder(s) exactly as it appears on the face of the Subscription Form without any alteration or change whatsoever. In the case of joint registered holders, each person must sign this Form in accordance with the foregoing. If you sign this Form in your capacity as a trustee, executor, administrator, guardian, attorney-in-fact, agent, officer of a corporation or other fiduciary or representative, you must indicate the capacity in which you are signing when you sign and, if requested by the ADS Rights Agent in its sole and absolute discretion, you must present to the ADS Rights Agent satisfactory evidence of your authority to sign in that capacity.
Please complete all applicable information and return to the ADS Rights Agent at one of the addresses below.
Overnight courier is recommended.
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By Mail: | | By Overnight Delivery: | | For Assistance Please Contact: |
The Bank of New York Mellon | | The Bank of New York Mellon | | Georgeson |
Voluntary Corporate Actions Suite V | | Voluntary Corporate Actions Suite V | | Toll Free Number for ADS Holders: |
P.O. Box 43011 | | 150 Royall Street | | 1-888-219-8320 (U.S.) or 1-781-575-2137 |
Providence, RI 02940-3011 | | Canton, MA 02021 | | (international). |