ICICI Lombard Shareholder Form

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SHAREHOLDER'S E-MAIL REGISTRATION FORM

In compliance with the provisions of the Companies Act, 2013, SEBI (Listing Obligations and Disclosure Requirements) Regulations, 2015, Circular issued by Ministry of Corporate Affairs (“MCA”) dated December 28, 2022 read with earlier circulars and Circular issued by SEBI dated January 5, 2023 read with earlier circulars, the Twenty-Third Annual General Meeting (“AGM”) of the Company will be held on Thursday, July 6, 2023 through Video Conferencing / Other Audio-Visual Means without the physical presence of the Members at a common venue and the electronic copies of the Notice of AGM and Annual Report of the Company for FY2023 will be sent to the Members whose email address are updated in the records of the Company / Registrar and Transfer Agent of the Company.

In order to facilitate the Members who have not already registered their email address with Depository Participant (in case holding shares in demat mode) or with the Company/Registrar and Transfer Agent of the Company (in case shares are held in physical mode), the Company has developed this portal for temporary registration of email address for the limited purpose of receiving Notice of AGM and Annual Report for FY2023 in electronic mode.

Members who have not already registered their email address are requested to fill in below details for receiving Notice of AGM and Annual Report for FY2023 in electronic form.

Please fill in the following details and accept this declaration:

Folio no. / DPID & Client ID

Name of the first / sole shareholder

PAN of first / sole shareholder

Landline number with std code / mobile number

Email ID (to be registered)

I/We, member(s) of ICICI Lombard General Insurance Company Limited, confirm the veracity of the above details and agree to receive Notice of AGM and Annual Report for FY2023 from ICICI Lombard General Insurance Company Limited in electronic mode at the above mentioned email address.

Note: In case email address is already registered with Depository Participant(s) and email address is registered again on this portal then for the purpose of sending Notice of AGM and Annual Report for FY2023, the email address registered with Depository Participant(s) will be considered.

Disclaimer: Company is not responsible for any incorrect data submitted on this page

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SHAREHOLDER'S E-MAIL REGISTRATION FORM