APPLICATION FORM (RETAIL OFFER)

Retail Offer Opens Retail Offer Closes

1 December 2021 14 December 2021

Applications must be in accordance with the instructions set out in the Pricing Supplement. Care must be taken to follow these instructions as applications that do not comply may be rejected. Before subscribing, please
contact your Stockbroker, Solicitor, Banker or an independent investment adviser registered by the Securities and Exchange Commission, for guidance.
Guide to Application D D M M
Minimum Number of Shares Amount Payable
/ / Y Y Y Y
20 minimum N3,380.00 CONTROL NO. (for Registrars’ use only)
Subsequent multiples of 20 N3,380.00
DECLARATION
I/We am/are 18 years of age or over
I/We note that allotment will only be electronically to the CSCS accounts of Allottees and no physical share certificate would be issued
I/We note that MTN International (Mauritius) Limited and the Issuing Houses are entitled in their absolute discretion to accept or reject this application
I/We attach the amount payable in full on application for the number of ordinary shares in MTN Nigeria Communications Plc
I/We agree to accept the same or any smaller number of Units in respect of which allotment may be made upon the terms of the Series 1 Pricing Supplement
I/We declare that I/we have read a copy of the Series 1 Pricing Supplement for the Offer, issued by the Issuing Houses on behalf of MTN International (Mauritius) Limited
NUMBER OF SHARES APPLIED FOR: VALUE OF SHARES APPLIED FOR/AMOUNT PAID:
1 5 0 0 N 2 5 3 6 0 0
PLEASE COMPLETE IN BLOCK LETTERS
1. INDIVIDUAL APPLICANT TITLE: MR ✔ MRS MISS
SURNAME
S O L O Y E
OTHER NAMES (for individual applicants only)
M O S U N M O L A I B I D A Y O
FULL POSTAL ADDRESS/STREET ADDRESS (P.O. Box No. alone is not sufficient)
4, M O D U P E S T R O F F F O L A
A G O R O S T A K O K A S O M O L U
CITY/TOWN STATE
L A G O S L A G O S
PHONE NUMBER 1 DATE OF BIRTH
8 0 3 4 0 9 6 5 7 0 D
2 5
D / M
0 7
M / 2
Y 0
Y 2Y 1
Y
E-MAIL ADDRESS
g r a n m a s h o u s e 1 @ g m a i l. c om
NEXT OF KIN
A B I O D U N A S H L E Y S O L O Y E
CHN NUMBER (Clearing House Number) CSCS NUMBER
C
NAME OF YOUR STOCKBROKER
C R O S S W O R L D S E C U R I T I E S
2. JOINT APPLICANT TITLE: MR MRS MISS

SURNAME
OTHER
NAMES
3. CORPORATE APPLICANT
COMPANY’S NAME

REGISTERED ADDRESS (P.O. Box No. alone is not sufficient)

BANK DETAILS (For e-payments)

NAME OF BANK GUARANTY TRUST BANK BRANCH ADETOKUNBO ADEOLA
ACCOUNT NO. (NUBAN Account No) 0 0 0 8 6 4 6 8 9 2 CITY/STATE LAGOS/LAGOS STATE
BVN (of Account Signatories) 2 2 1 6 9 5 0 5 8 5 3
PHONE
NUMBER 2

SIGNATURE (OR THUMBPRINT 2ND SIGNATURE (CORPORATE/JOINT) SEAL & RC. NO. (CORPORATE APPLICANT)

NAME: MOSUNMOLA IBIDAYO SOLOYE NAME:

DESIGNATION: MRS. DESIGNATION: RC

STAMP OF ISSUING HOUSE OR RECEIVING AGENT
Coronation Registrars Limited
10 Amodu Ojikutu Street
Victoria Island
Lagos
[email protected]