Nicox : Form to request documents provided for in articles R 225-83 of the French “Code de commerce”

REQUEST FOR DOCUMENTS

Ordinary Shareholder Meeting of June 28, 2024

I,

LAST Name : ……………………………………………………………………………………

FIRST Name: ……………………………………………………………………………………….

Address……………………………………………………………………………………………

…………........................................................................................................................................

Email: ................................................................................................................................

Owner of ………………....registered shares* And/ or ……………………….….....

bearer shares, Of NICOX SA

hereby acknowledge that I have received the documents pertaining to the aforementioned General meetings pursuant to article R.225-81 of the Code de Commerce.

request that the documents and information pertaining to the General Shareholder Meeting of June 28, 2024, as provided for under article R.225-83 of the same Code be addressed to my attention:

❑ By Email

❑ By Post

(if not specified, the documents will be sent by email)

Signed in …………………...…….….., on ………….………. 2024

Signature

• Pursuant to article R.225-88 paragraph 3 of the Code de Commerce, holders of registered shares may submit a request to the company for a copy of all documents and information stipulated in article R.225-81 and R.225- 83 of the Code de Commerce for each subsequent general meeting. The shareholder must mention her/his desire to exercise this right in the present request.