1

ANGAJAMENT

privind asumarea si respectarea prospectului

aferent ofertei publice de vanzare de actiuni emise Purcari Wineries Plc lansata de

Lorimer Ventures Limited, Amboselt Universal Inc

si International Finance Corporation, membru al grupului Bancii Mondiale

Subscrisa:

Denumire:

Inregistrare la Registrul Comertului:

Cod Unic de Inregistrare:

Decizia ASF:

Numar de inregistrare registrul ASF:

Reprezentata prin:

In calitate de:

Reprezentata prin:1

In calitate de:

Denumita in cele de urmeaza "Participant Eligibil"

Avand in vedere:

A. aprobarea de catre ASF prin Decizia ……./………….. a prospectului aferent ofertei publice de vanzare de

actiuni emise de Purcari Wineries Plc ("Emitentul" sau "Purcari") lansata de Lorimer Ventures Limited,

Amboselt Universal Inc si International Finance Corporation, membru al Grupului Bancii Mondiale ("Pros-

pectul");

B. faptul ca intermediarul ofertei publice de vanzare de actiuni emise de Purcari

("Oferta") este sindicatul de intermediere format din Raiffeisen Bank SA si Swiss Capital S.A. ("Sindicatul

de Intermediere");

C. faptul ca Raiffeisen Bank SA ("RBR") are calitatea de Coordonator Global Unic in cadrul Sindicatului de

Intermediere;

D. faptul ca potrivit termenilor si conditiilor Ofertei astfel cum sunt inscrise in Prospect orice firma de investitii

sau institutie de credit calificata ca participant la sistemul de tranzactionare al Bursei de Valori Bucuresti

("BVB") poate prelua subscrieri in cadrul Ofertei;

E. faptul ca Participantul Eligibil are capacitatea si autorizarile necesare si intentioneaza sa preia subscrieri in

cadrul Ofertei;

F. faptul ca, in conformitate cu prevederile legale in vigoare, Participantul Eligibil nu poate desfasura nici un

fel de activitati prevazute in termenii si conditiile Ofertei astfel cum sunt incluse in Prospect inainte de

asumarea, semnarea si transmiterea catre RBR a originalului prezentului Angajament semnat de

reprezentantii legali.

Toti termenii care nu sunt definiti dar sunt mentionati in cuprinsul prezentului Protocol vor avea intelesul acordat

unor astfel de termeni in cadrul Prospectului.

Participantul Eligibil isi asuma integral prevederile prezentului Angajament dupa cum urmeaza:

1 In masura in care actul constitutiv/documentele interne ale Participantului Eligibil impun ca reprezentarea legala sa se faca prin doi

reprezentanti se vor completa si datele referitoare la cel de-al doilea reprezentant

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Capitolul I – Dispozitii Generale

Art. 1 (1) Termenii si expresiile utilizate cu majuscula in prezentul Angajament si care nu sunt definiti in cadrul

prezentului Angajament au semnificatia data acestora in cuprinsul Prospectului.

(2) In intelesul prezentului Angajament, prin Sindicat de Intermediere se intelege oricare dintre membrii

Sindicatului de Intermediere, respectiv Raiffeisen Bank SA si Swiss Capital S.A..

Art. 2 Participantul Eligibil se obliga sa indeplineasca intocmai si la timp toate obligatiile contractuale si

legale care ii revin fata de investitorii de la care preia subscrieri in cadrul Ofertei.

Art. 3 (1) Participantul Eligibil se obliga sa preia, respectiv sa proceseze subscrieri/revocari de subscrieri in

cadrul Ofertei cu respectarea intocmai a prevederilor si limitarilor inscrise in Prospect si in prezentul

Angajament.

(2) Participantul Eligibil se obliga sa puna la dispozitia investitorilor interesati Prospectul si formularele de

subscriere/revocare in forma si avand continutul prevazute in Anexa 1 la prezentul Angajament (Anexa 1).

(3) Participantul Eligibil se obliga sa realizeze operatiunile aferente Ofertei in cadrul sistemului de tranzactionare

al BVB cu respectarea programului pietelor dedicate Ofertei, astfel cum este prezentat in Anexa 2. Orice

modificare a programului de tranzactionare mentionat in Anexa 2 va fi comunicata in mod corespunzator de

BVB.

(4) Participantul Eligibil nu va percepe niciun comision de intermediere in legatura cu subscrierile realizate de

investitori in Transa Investitorilor de Retail.

(5) Participantul Eligibil este singurul responsabil pentru respectarea cerintelor legale aplicabile, precum si

pentru respectarea cerintelor inscrise in Prospect cu privire la (i) preluarea, inregistrarea, validarea subscrierilor,

la (ii) inregistrarea in pietele destinate ofertei a ordinelor de bursa, pentru investitorii care subscriu in cadrul

Ofertei prin Participantul Eligibil, (iii) revocarea subscrierilor, si la (iv) corectiile ordinelor in conformitate cu

prevederile prezentului Angajament.

(6) Nici unul dintre membrii Sindicatului de Intermediere nu este raspunzator pentru neindeplinirea, intocmai si

la timp, a obligatiilor care revin Participantului Eligibil fata de investitorii care subscriu in cadrul Ofertei prin

Participantul Eligibil.

(7) Prin introducerea ordinului in sistemul de tranzactionare al BVB, Participantul Eligibil confirma indeplinirea

tuturor conditiilor de valabilitate ale unei subscrieri astfel cum sunt acestea prevazute in Prospect si in normele

juridice aplicabile.

(8) In cazul in care Participantul Eligibil emite declaratii scrise privind asumarea decontarii, Participantul

Eligibil se obliga sa respecte cerinta legala potrivit careia valoarea totala a subscrierilor pentru care a emis

declaratiile respective nu va depasi 300% din fondurile proprii determinate in conformitate cu prevederile legale

incidente.

Capitolul II Intrarea in vigoare

Art. 4 (1) Participantul Eligibil va transmite catre RBR prezentul Angajament, in original, in forma pusa la

dispozitie de RBR, semnat de reprezentantul/reprezentantii legali.

(2) In cazul in care dupa receptionarea Angajamentului, RBR constata ca (i) Angajamentul transmis nu contine

toate elementele de identificare ale Participantului Eligibil si/sau datele de contact mentionate la art. 16 si/sau (ii)

Angajamentul nu este semnat de reprezentantii legali, in conformitate cu prevederile alin. (1) de mai sus, RBR

va notifica Participantul Eligibil cu privire la neregularitatile constatate.

(3) In cazul mentionat la alin. (2) de mai sus, Angajamentul nu intra in vigoare pana la remedierea

neregularitatilor notificate de RBR.

(4) Prezentul Angajament intra in vigoare la data notificarii Participantului Eligibil, de catre RBR, cu privire la

conformitatea acestuia.

(5) Orice activitate desfasurata in legatura cu Oferta Publica de catre Participantul Eligibil anterior notificarii, in

conformitate cu alin. (4) de mai sus, privind intrarea in vigoare a Angajamentului nu produce efecte juridice si

nu este opozabila Sindicatului de Intermediere, Ofertantului si/sau BVB.

Art. 5 (1) RBR va notifica BVB cu privire la intrarea in vigoare a prezentului Angajament, respectiv cu privire

la dreptul Participantului Eligibil de a desfasura activitati in cadrul Ofertei.

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(2) In temeiul notificarii mentionate la alin. (1), BVB va acorda Participantului Eligibil dreptul de acces la

segmentul de piata in cadrul caruia se va derula Oferta, respectiv piata de oferte publice, segmentul POFR, piata

de oferte publice destinata Transei Investitorilor de Retail.

Art. 6 Cu exceptia clauzelor referitoare la confidentialitate si raspundere, care supravietuiesc incetarii prezen-

tului Angajament, prezentul Angajament inceteaza in cea de-a cincisprezecea (15) Zi Lucratoare care urmeaza

expirarii Perioadei Ofertei.

Capitolul III Declaratii si Garantii

Art. 7 (1) Participantul Eligibil declara si garanteaza in beneficiul Sindicatului de Intermediere, al Emitentului,

al Actionarilor Vanzatori si al investitorilor care vor subscrie prin Participantul Eligibil urmatoarele:

(a) Participantul Eligibil are capacitatea si autorizarile necesare pentru a incheia prezentul Angajament si pentru

a desfasura oricare dintre activitatile care pot fi desfasurate de Participantul Eligibil in conformitate cu

Prospectul.

(b) Participantul Eligibil detine calitatea de participant la sistemul de tranzactionare al BVB si la sistemul de

compensare-decontare al S.C. Depozitarul Central S.A.

(c) Obligatiile asumate de Participantul Eligibil prin prezentul Angajament sunt valide si produc efecte juridice

fata de Participantul Eligibil.

(d) Participantul Eligibil isi asuma exclusiv si integral raspunderea, inclusiv in situatia aparitiei unui caz fortuit,

fata de investitori, fata de autoritatile de supraveghere si fata de Sindicatul de Intermediere pentru nerespec-

tarea oricareia si a tuturor cerintelor inscrise in Prospect, precum si a prevederilor legale aplicabile activitati-

lor desfasurate de Participantul Eligibil in cadrul Ofertei.

(e) Participantul Eligibil confirma ca a citit Prospectul, ca a inteles si se angajeaza sa respecte termenii si condi-

tiile Ofertei astfel cum sunt inscrise in Prospect.

(2) Declaratiile si garantiile de la alin. (1) sunt si vor ramane valabile in mod continuu pe durata prezentului

Angajament.

Capitolul IV Introducerea ordinelor. Corectarea erorilor

Art.8 (1) Participantul Eligibil se obliga sa introduca in pietele destinate ofertei (POFR) ordinele aferente

subscrierilor din cadrul Transei Investitorilor de Retail pe intreaga Perioada a Ofertei asa cum este definita

conform Prospectului in perioada in care pietele destinate ofertei sunt deschise, respectiv in intervalul 09:00-

18:00.

(2) Conform Prospectului, orarul mentionat poate fi prelungit la notificarea Raiffeisen Bank.

(3) Pentru realizarea alocarii si stabilirea pretului final de oferta in Transa Investitorilor de Retail momentul

inregistrarii ordinului de bursa in sistemul de tranzactionare al este timpul efectiv definit de Codul BVB,

respectiv timpul luat in considerare pentru determinarea prioritatii de executie a ordinelor.

Art.9 (1) In cazul in care, Participantul Eligibil constata ca a introdus in mod eronat in pietele destinate ofertei

un ordin aferent unei subscrieri realizate in Transa Investitorilor de Retail informeaza imediat RBR si BVB

despre existenta erorii.

(2) RBR va comunica Participantului Eligibil si BVB autorizarea de a corecta ordinul introdus eronat, urmand ca

eroarea sa fie corectata de Participantul Eligibil.

(3) Toate corectiile de erori realizate in conformitate cu alin. (1) si (2) de mai sus se vor efectua de catre

Participantul Eligibil in intervalul 18:00-18:30.

(4) Corectiile ordinelor se pot efectua prin modificare de ordin, stergere si introducere de ordine. In cazul in care

ordinul eronat este corectat prin stergerea ordinului eronat si introducerea unui nou ordin, Intermediarul sau

Participantul Eligibil va inregistra pentru ordinul nou introdus, numarul ordinului sters in campul de referinta al

ordinului nou introdus.

Art.10 In cazul in care Participantul Eligibil nu respecta cerintele privind introducerea ordinelor/corectarea

erorilor, mentionate la art. 8-9, Participantul Eligibil este singurul raspunzator in fata clientilor proprii.

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Capitolul V Responsabilitatea decontarii tranzactiilor

Art.11 (1) Participantul Eligibil este singurul responsabil pentru decontarea tranzactiilor incheiate ca urmare a

inregistrarii in POFR a ordinelor aferente subscrierilor din Transa Investitorilor de Retail.

(2) Sindicatul de Intermediere nu are nici o responsabilitate cu privire la decontarea tranzactiilor mentionate la

alin. (1) de mai sus.

Art.12 Decontarea tranzactiilor se va realiza prin sistemul de decontare al SC Depozitarul Central SA, in cea

de-a doua Zi Lucratoare dupa Data Tranzactiei.

Capitolul VI Raspunderea contractuala

Art.13 Participantul Eligibil este singurul raspunzator pentru nerespectarea normelor juridice aplicabile, a

Prospectului, a prezentului Angajament, precum si a reglementarilor interne proprii, in ceea ce priveste

activitatile desfasurate de acesta in cadrul Ofertei.

Capitolul VII Confidentialitate

Art.14 Participantul Eligibil se obliga sa pastreze confidentialitatea tuturor datelor si informatiilor referitoare la

derularea prezentului Angajament.

Art.15 Divulgarea datelor si informatiilor mentionate la art. 14 este permisa doar in urmatoarele situatii:

(a) Exprimarea consimtamantului RBR cu privire la posibilitatea divulgarii acestora;

(b) Existenta unei obligatii legale de furnizare a datelor si informatiilor de catre Participantul Eligibil;

(c) Divulgarea informatiilor este necesara pentru ducerea la indeplinire a obligatiilor contractuale asumate de

Participantul Eligibil in relatia cu clientii acestuia care au subscris in cadrul Ofertei.

Capitolul VIII Notificari si Comunicari

Art.16 (1) Toate comunicarile si/sau notificarile dintre RBR si Participantul Eligibil se vor realiza, cu respecta-

rea cerintelor de fond si de forma inscrise in prezentul Angajament, la adresele de e-mail mentionate mai jos:

Pentru RBR

Nume: Doris Leon / Iuliana Musat

Email: doris.leon@raiffeisen.ro / iuliana.musat@raiffeisen.ro

Pentru Participantul Eligibil

Nume:

Email:

Tel:

(2) Toate comunicarile si/sau notificarile dintre RBR si Participantul Eligibil se considera realizate la data si ora

transmiterii e-mailul respectiv, cu exceptia cazului in care se receptioneaza un mesaj de eroare privind transmite-

rea emailului respectiv.

Art.17 Participantul Eligibil poate solicita si obtine clarificari, lamuriri, informatii suplimentare prin fax sau

prin e-mail de la persoanele mentionate mai jos:

Nume: Doris Leon / Iuliana Musat

Fax: 021 230 0684

Email: doris.leon@raiffeisen.ro / iuliana.musat@raiffeisen.ro

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Capitolul IX Legea aplicabila. Jurisdictie

Art.18 Prezentul Angajament este guvernat de legea romana.

Art.19 In cazul unor divergente referitoare la interpretarea si/sau executarea prezentului Angajament,

Participantul Eligibil si RBR vor incerca solutionarea amiabila a acestora. In cazul in care divergentele nu pot fi

solutionate amiabil, diferendul va fi supus spre solutionare instantelor judecatoresti competente.

Capitolul X Dispozitii Finale

Art.20 Prezentul Angajament genereaza obligatii valabile in sarcina Participantului Eligibil pe toata durata

Angajamentului si nu poate fi retras/revocat in nici un fel de Participantul Eligibil.

Art.21 Anexele prezentului Angajament fac parte integranta din Angajament si beneficiaza de aceeasi forta

juridica.

Prezentul Angajament a fost semnat astazi .................................., in doua exemplare originale avand aceeasi forta

juridica, unul pentru Participantul Eligibil si unul pentru RBR.

Denumirea completa a Participantului Eligibil

..................................................................................................................................................

Nume reprezentant ……………………………………………………………………………

Calitate reprezentant ………………………………………………………………………….

Semnatura

Stampila

Anexa 1 la Angajament – Formularul de Subscriere/Revocare

Serie formular subscriere/ subscription form serial number:_________________

Participant Eligibil / Eligible Participant ________________________________

PERSOANA FIZICA / NATURAL PERSON:

Nume si prenume/ Name and Surname___________________________________________________________

Pseudonim / Alias ____________________________________,CNP: _________________________________

Serie si nr. C.I./B.I./Pasaport/Permis de sedere/ No and series of ID/Passport/Staying permit: ________________

Emis de/Issued by _______________________La data de/at the date __________________________________

Adresa/ Adress: Strada/street _____________________________, nr/no ____, bloc/building____, ap./app, ____

Cod postal: ____________Localitatea./ City: ________________ Judet/sector./ County/district :_____________

Tara/ Country: __________________________, Telefon/ Phone number: _______________________________

Adresa de e-mail/ E-mail address: _______________________________________________________________

Data nasterii/ Date of birth: ____/_____/_____ Locul nasterii/ Place of birth: ____________________________

Cetatenie/ Citizenship _____________________Nationalitate/Nationality________________________,

Tara de origine/ Country of birth__________________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education ________________________________________________________

Profesie /Occupation: ________________________, Societatea angajatoare/Employer: ___________________

Daca DA, va rugam detaliati/ If YES, please provide more details:_____________________________

Declar faptul ca sunt beneficiar real al oricaror tranzactii sau operatiuni in legatura cu prezenta subscriere/I

hereby state the fact that I am the beneficial owner of all the transactions or operations relating to the present

subscription:

□ DA/YES

□ NU/NO, beneficiar real este/ beneficial owner is:_________________________________________

Pseudonim / Alias ______________________

Data nasterii/ Date of birth __/___/____ , Locul Nasterii/ Place of birth:_________________________

CNP _______________, C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: ___________

Emis de/Issued by ____________________La data de/at the date ______________________________

Domiciliul/Domicile: _________________________________________________________________

Localitatea/ City: ______________ Judet/sector/ County/district :_________Tara/Country:__________

Resedinta/residence_______________________________, Tel./ Fax___________________________

Adresa de e-mail/ E-mail address_______________________________________________________

Nationalitate/Nationality _______________________, Cetatenie/Citizenship______________________

Tara de origine/Country of birth____________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education:________________________________________________

Profesie /Occupation: ___________________,Societatea angajatoare/Employer: _________________

Persoana expusa politic/politically exposed person

Daca DA, va rugam detaliati/ If YES, please provide more details:_________________________

Prin Reprezentant: Nume si prenume/ Name and surname_________________________________________

Pseudonim / Alias ______________________________

CNP: ___________________________, Cetatenie/ citizenship: ______________________________

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: _____________________________

Emis de/Issued by ______________________La data de/at the date __________________________

FORMULAR SUBSCRIERE ACTIUNI EMISE DE: PURCARI WINERIES PLC

SUBSCRIPTION FORM OF SHARES ISSUED BY: PURCARI WINERIES PLC Transa Investitorilor de Retail/ Retail Tranche

Adresa:/Address; Strada/street ________________, nr/no_____, bloc/building_____, ap./app,______

Cod postal: ___________Localitatea./ City: _____________, Judet/sector./ County/district :________,

Tara/ Country ____________________________ Telefon/ Phone number: _______________________

Adresa de e-mail/ E-mail address: __________________________________________________

□ Rezident/resident □ nerezident/non-resident

Data nasterii/ Date of birth: ___/____/_____, Locul nasterii/ Place of birth: _____________________

Nationalitate/Nationality_____________________,

Tara de origine/ Country of birth_________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education ______________________________________________

Profesie /Occupation: ________________, Societatea angajatoare / Employer: ________________

Daca DA, va rugam detaliati/ If YES, please provide more details:________________________

PERSOANA JURIDICA/ LEGAL PERSON:

Denumirea /Name: __________________________________________________________________________

Nr. Inmatriculare Registrul Comertului/Registration no with the Registry of Commerce: ___________________

CUI/ Identification number:___________________, Forma si structura juridica/legal form _________________

Resedinta fiscala/ fiscal residency □ Romana/Romania □ Straina/Foreign

Capital social subscris si varsat /Registered and paid-up share capital: _________________________________

Adresa/ Adress: Strada/street: ________________________, nr/no ____, bloc/building ______, ap./app _____

Cod postal/postal code __________, Localitatea./ City: ___________, Judet/sector./ County/district: ________

Tara/ Country:_ _________________________, Telefon/ Phone number: _____________________________

E-mail: _______________________________, Pagina de internet/ Website:____________________________

Prin reprezentant/ through representative: Nume si prenume/Name and surname______________________

Pseudonim / Alias _________________________CNP: ___________________________

Cetatenie/ citizenship: □ Romana/Romania □ Straina/Foreign; Nationalitate/Nationalitate_______________

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: ____________________________________

Emis de/Issued by _____________________La data de/at the date __________________________________

Tara de origine/ Country of birth________________________□ Rezident/resident □ nerezident/non-resident

Data nasterii/ Date of birth: ___/____/____ Locul nasterii/ Place of birth: ______________________________

Strada/street ____________________________, nr/no ____, bloc/building ________, ap./app.______________

Cod postal/postal code _______, Localitatea./ City: _________, Judet/sector./ County/district: ______________

Tara/ Country: _______________________ Telefon/ Phone number: ________________________________

Adresa de e-mail/ E-mail address: _____________________________________________________________

Pregatire profesionala (studii)/Education _______________________________________________________

Profesie /Occupation: __________________________________________

Daca DA, va rugam detaliati/ If YES, please provide more details:_______________________________

BENEFICIARUL/BENEFICIARII REAL/i al/ai instrumentelor financiare rezultate din tranzactiile efectu-

ate in legatura cu prezenta subscriere/ Beneficiary owner/s of the financial instruments object of transac-

tions executed in relation to the present subscription:

1. Nume si prenume/ name and surname: _________________________ CNP __________________

Pseudonim/Alias________________

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: ____________________________

Emis de/Issued by _____________________La data de/at the date ___________________________

Domiciliul/Domicile: _____________________________________________________________

Localitatea/ City: _____________ Judet/sector/ County/district :__________Tara/Country:_______

Resedinta/residence______________________, Tel./ Fax_______________________________

Adresa de e-mail/ E-mail address:_____________________________________________________

Data nasterii/ Date of birth __/___/____ , Locul Nasterii/ Place of birth:_________________________

Nationalitate/Nationality _______________________, Cetatenie/Citizenship_____________________

Tara de origine/ Country of birth________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education:_____________________________________________

Profesie /Occupation: ________________,Societatea angajatoare/Employer: _____________________

Persoana expusa politic/politically exposed pe

Daca DA, va rugam detaliati/ If YES, please provide more details:_________________________

2. Nume si prenume/ name and surname: _________________________ CNP __________________

Pseudonim/Alias____________________________________________________________________

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: ____________________________

Emis de/Issued by __________________La data de/at the date _______________________________

Domiciliul/Domicile: _____________________________________________________________

Localitatea/ City: ___________ Judet/sector/ County/district :___________Tara/Country:__________

Resedinta/residence_______________________, Tel./ Fax_______________________________

Adresa de e-mail/ E-mail address:__________________________________________________

Data nasterii/ Date of birth __/___/____ , Locul Nasterii/ Place of birth:_________________________

Nationalitate/Nationality ___________________, Cetatenie/Citizenship________________________

Tara de origine/ Country of birth________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education:_______________________________________________

Profesie /Occupation: _______________,Societatea angajatoare/Employer: _____________________

Daca DA, va rugam detaliati/ If YES, please provide more details:_________________________

3. Nume si prenume/ name and surname: _________________________ CNP __________________

Pseudonim/Alias____________________________________________________________________

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: ____________________________

Emis de/Issued by __________________La data de/at the date _______________________________

Domiciliul/Domicile: _____________________________________________________________

Localitatea/ City: ___________ Judet/sector/ County/district :___________Tara/Country:__________

Resedinta/residence_______________________, Tel./ Fax_______________________________

Adresa de e-mail/ E-mail address:__________________________________________________

Data nasterii/ Date of birth __/___/____ , Locul Nasterii/ Place of birth:_________________________

Nationalitate/Nationality ___________________, Cetatenie/Citizenship________________________

Tara de origine/ Country of birth________________□ Rezident/resident □ nerezident/non-resident

Pregatire profesionala (studii)/Education:_______________________________________________

Profesie /Occupation: _______________,Societatea angajatoare/Employer: _____________________

Daca DA, va rugam detaliati/ If YES, please provide more details:_______________________

Suma transferata/

Amount transferred

Suma subscrisa/

Amount subscribed

Numar actiuni subscrise/

Subscribed no. of shares

Pret subscriere /

Subscription price

Numar cont curent platitor/ (IBAN)

Payer’s current account no: (nume titular cont/account holder name)

Numar cont plati catre subscriitor/ (IBAN)

Current acc. payments to subscriber: (nume titular cont/ account holder name)

Adresa de corespondenta subscriitor (e-mail):

_________________________________________________________

Declar ca am luat la cunostinta, am inteles si am acceptat termenii si conditiile ofertei publice de vanzare de val-

ori mobiliare dupa cum sunt descrise in prospectul de oferta si anexele la acesta. Am inteles si acceptat faptul ca

in caz de suprasubscriere numarul de valori mobiliare ce imi vor reveni la sfarsitul ofertei este mai mic decat

numarul de valori mobiliare subscrise. In aceasta situatie inteleg sa primesc diferenta de bani ramasa in urma

alocarii in contul bancar mentionat in prezentul formular. Subsemnatul/ subscrisa declar prin prezentul ca am ca-

pacitatea legala si statutara, precum si resursele necesare de a cumpara valorile mobiliare subscrise prin prezentul

document. Nu am cunostinta despre nici un fapt sau actiune a unei terte parti care ar putea afecta sau limita

aceasta capacitate.

Prezenta declaratie va produce efecte juridice doar in cazul investitorilor care subscriu in oferta publica de van-

zare de actiuni emise de Purcari Wineries Plc, in conformitate cu prevederile prospectului de oferta publica, in

Transa Investitorilor de Retail.

I, the undersigned declare that I am aware of, I have understood and I accept the terms and conditions of the pub-

lic offer for this security issue as they are described in the prospectus and its annexes. I understood and accepted

the fact that, in case of oversubscription, the number of securities I will get at the end of the public offer will be

lower than the number of securities subscribed. In such a situation I accept to receive the unallocated amount in

the bank account indicated in the present form. I, the undersigned, hereby declare that I have legal and statutory

capacity, as well as the needed resources, to buy the securities subscribed. I have no knowledge of a deed or ac-

tion initiated by a third party that might limit this capacity.

The present statement shall be signed and shall produce legal effects solely for investors subscribing in the public

offering for the sale of shares issued by Purcari Wineries Plc, according to the provisions of the public offering

prospectus, within the Retail Tranche.

Prezentul formular include o anexa care detaliaza termenii si conditiile serviciilor prestate de Intermediar

Clientului cu privire la oferta/ The present form includes an appendix detailing the terms and conditions

under which the Intermediary provides the Client with the services relating to the offer.

Data si ora subscrierii/ Subscription date and hour: ____________________

Semnatura Reprezentant Participant Eligibil/ ASIF Semnatura Client/Reprezentant

Signature of Eligible Participant representative/ ASIF Client’s/ Representative's signa-

ture

ANEXA FORMULARULUI DE SUBSCRIERE ACTIUNI EMISE DE PURCARI WINERIES PLC

APPENDIX OF SUBSCRIPTION FORM OF SHARES ISSUED BY PURCARI WINERIES PLC

Transa Investitorilor de Retail/ Retail Tranche

Art. 1. Tipul Serviciilor prestate/ Type of Services provided

Obiectul prezentei Anexe la Formularul de Subscriere il constituie stabilirea termenilor si conditiilor in care

_________________________________________________________________________________________,

societate de servicii de investitii financiare / institutie de credit inregistrata in Registrul ASF sub nr.

________________________________ in baza Deciziei nr. ________________________________, avand

sediul in

__________________________________________________________________________________________

__, numar de inregistrare la Registrul Comertului _______________________, CUI ________________, cod

operator date cu caracter personal _____________ (denumit in continuare Intermediarul) furnizeaza, in

conformitate cu autorizatia de functionare si regulamentele si legile aplicabile, Servicii de Investitii Financiare in

legatura cu cumpararea de valori mobiliare in cadrul ofertelor publice de vanzare, incluzand (i) preluarea si

transmiterea ordinelor privind unul sau mai multe instrumente financiare, (ii) executarea ordinelor in numele In-

vestitorului si (iii) pastrarea in siguranta a instrumentelor financiare ale Investitorului, caruia Intermediarul ii

presteaza si servicii de custodie si administrare a disponibilitatilor banesti./ The object of the present Appendix to

the Subscription Form is to decide the terms and conditions according to which

_________________________________________________________________________________________,

a financial investment services institution registered in the FSA Register under no.

________________________________, based on the Decision no. ________________________________, with

headquarters at ________________________________________________________________________,

registered at the Trade Register under no. _______________________,, sole registration code

________________, personal data operator code ________________ (hereinafter referred to as the

Intermediary) provides, according to the functioning authorisation and the applicable laws and regulations,

Financial Investment Services in connection to buying securities within offers for sale, including (i) taking over

and transmitting the orders regarding one or more securities, (ii) executing the orders in the name of the

Investor and (iii) safekeeping the securities of the Investors for which the Intermediary also provides custody and

money administration services.

Investitorul intelege si este de acord ca Intermediarul nu ii va furniza in baza prezentului contract, urmatoarele

Servicii de Investitii Financiare: (i) administrarea portofoliului si (ii) consultanta pentru investitii./ The investor

understands and agrees that the Intermediary will not provide, base on the present contact, the following Finan-

cial Investment Services: (i) portfolio management and (ii) investment advice.

Serviciile de Investitii Financiare se refera la valori mobiliare obiect al Oferta publica de vanzare actiuni emise

de Purcari Wineries Plc, denumita in cele ce urmeaza "Oferta" si vor fi prestate in baza Prospect de oferta pub-

lica de vanzare actiuni emise de Purcari Wineries Plc, denumit in cele ce urmeaza "Prospect". Orice alte servicii

de investitii financiare, incluzand vanzarea valorilor mobiliare achizitionata in cadrul Ofertei, vor fi prestate de

catre Intermediar numai in conditiile in care Investitorul semneaza un Contract de prestari servicii de investitii

financiare incheiat intre Intermediar si Investitor./ The Financial Investment Services refer to securities subject to

the public offering of shares issued by Purcari Wineries Plc, hereinafter referred to as the "Offer" and will be

provided based on the Prospectus of public offering of shares issued by Purcari Wineries Plc , hereinafter re-

ferred to as the "Prospectus". Any other financial investment services, including the sale of the securities pur-

chased within the Offer, will be provided by the Intermediary only in case the Investor signs a Contract for fi-

nancial investment services concluded between the Intermediary and the investor.

Art. 2. Onorarii / Comisioane / Fees / Commissions

Investitorul nu va datora Intermediarului niciun comision pentru Serviciile de Investitii Financiare furnizate in

legatura cu cumpararea de valori mobiliare in cadrul Ofertei./ The Investor will not owe the Intermediary any fee

for the Financial Investment Services provided in connection to buying securities within the Offer.

Investitorul va suporta comisioanele bancare aferente rambursarilor de fonduri catre acesta in situatiile mention-

ate in Prospect./ The Investor will bear the bank fees in connection to its fund reimbursements in the cases men-

tioned in the Prospectus.

In situatia in care, in urma incheierii prezentului Formular de subscriere autoritatile publice romane impun noi

taxe aferente tranzactiilor cu instrumente financiare, Investitorul se obliga sa suporte si sa plateasca asemenea

taxe. In masura in care plata acestor taxe va trebui realizata prin intermediul Intermediarului, acesta va realiza

plata respectiva pe seama Investitorului./ In case that, following the conclusion of the present Subscription Form,

the Romanian public authorities impose new taxes in connection to transactions with securities, the Investor un-

dertakes to bear and pay such taxes. To the extent that such taxes will have to be paid through the Intermediary,

it will make the respective payment on behalf of the Investor.

Art. 3. Durata Formularului de subscriere / Term of the subscription form

In conformitate cu prevederile Prospectului, prevederile mentionate in cadrul Formularului de Subscriere intra in

vigoare la data semnarii prezentului Formular de Subscriere si depunerii sale in cadrul Ofertei impreuna cu

documentatia aferenta mentionata in Prospect si/sau reglementarile interne ale Intermediarului inclusiv cele

privind cunoasterea clientelei si produc efecte pana la primul din urmatoarele evenimente (i) stingerea obliga-

tiilor Intermediarului aferente executarii si decontarii tranzactiei ce urmeaza subscrierii in cadrul Ofertei pentru

Investitori care au un alt custode decat Intermediarul sau (ii) pana la transferul instrumentelor sau (iii) pana la

incheierea unui contract de prestari servicii de intermediere financiara cu Intermediarul./ According to the provi-

sions of the Prospectus, the provisions mentioned in the Subscription Form enter into force on the date on which

the present Subscription Form is signed and submitted within the Offer together with the related documentation

mentioned in the Prospectus and/or the Intermediary's internal regulations including the 'know your customer'

regulations, and produce effects until first of the following (i) the Intermediary carries out its obligations regard-

ing the execution and settlement of the transaction that follows the subscription within the Offer for the Investors

that have a different custodian than the Intermediary or (ii) until the transfer of the instruments or (iii) until the

conclusion of an agreement for the rendering of financial intermediation services agreement.

Circumstantele de revocare a unei subscrieri efectuate sunt prevazute in Prospect./ The cases in which a sub-

scription made may be revoked are mentioned in the Prospectus.

Art. 4 Drepturile si obligatiile partilor/ Rights and obligations of the parties

Drepturile si obligatiile Intermediarului / Rights and obligations of the Intermediary

4.1 Intermediarul se obliga sa actioneze in mod onest, corect si profesional, in concordanta cu cel mai bun interes

al Investitorului./ The Intermediary undertakes itself to act with honesty, correctly and professionally, according

to the best interest of the Investor.

4.2 Intermediarul se obliga sa nu actioneze intr-un mod de natura sa pericliteze, sa poata fi considerat ca peri-

cliteaza sau sa induca o situatie care poate sa prejudicieze fondurile si/sau instrumentele financiare ale Investito-

rului ori Piata Reglementata pe care actioneaza./ The Intermediary undertakes itself not to act in a manner that

might damage, that may be considered as damaging or to induce a situation that may damage the funds and/or

the securities belonging to the Investor or the Regulated Market on which it acts.

4.3 Intermediarul va deschide, opera si mentine, in evidentele sale, in numele Investitorului care nu foloseste

serviciile unei banci custode:

- un cont de numerar, in lei, in vederea efectuarii platilor si/sau, daca este cazul, a incasarilor generate in

legatura cu tranzactia ce urmeaza subscrierii in cadrul Ofertei.

- un cont de instrumente financiare.

The Intermediary will open, operate and keep in its records, in the name of the Investor not using the services of

a custodian bank:

- a cash account, in RON, in order to make the payments and/or, as the case may be, to receive the

revenues generated in connection to the transaction that follows the subscription within the Offer.

- a securities account.

4.4 In cazul in care Intermediarul considera ca a primit de la Investitor informatii insuficiente, care induc in

eroare sau sunt neadecvate, precum si daca documentele depuse de Investitor in vederea subscrierii sunt incom-

plete si/sau nu raspund cerintelor Prospectului, Intermediarul isi rezerva dreptul ca la libera sa alegere, sa refuze

deschiderea contului/conturilor de numerar si respectiv de instrumente financiare./ In case the Intermediary con-

siders that it received insufficient information from the Investor or that such information is misleading or false,

as well as if the documents submitted by the Investor for subscription purposes are incomplete and/or do not ob-

serve the requirements of the Prospectus, the Intermediary reserves the right, at its free choice, to refuse opening

the cash and securities account/accounts respectively.

4.5 Intermediarul va desfasura toate activitatile necesare inregistrarii si evidentierii operatiunilor cu numerar, a

tranzactiilor aferente Ofertei si altor instructiuni ale Investitorului , in scopul prestarii in bune conditii a ser-

viciilor asumate prin prezentul Formular de Subscriere./ The Intermediary will carry out all the activities neces-

sary for registering and keeping record of cash operations, the transactions connected to the Offer and other in-

structions received from the Investor in connection to the Offer, in order to provide the services assumed in the

present Subscription Form in a proper manner.

4.6 Intermediarul se obliga sa asigure pastrarea in siguranta a instrumentelor financiare pe care le tine in custodie

in contul Investitorului si (i) sa nu faca uz de niciunul din respectivele instrumente financiare sau de drepturile ce

decurg din acestea, in beneficiul sau sau al oricarei alte terte parti si (ii) sa nu transfere aceste instrumente finan-

ciare altfel decat este prevazut in prezentul document si in Prospect./ The Intermediary undertakes to safe keep

the securities that it keeps in custody on the account of the Investor and (i) not to make use of any of the respec-

tive securities or rights derived therefrom to its benefit or to the benefit of any other third party and (ii) not to

transfer such securities other than as stated herein and within the Prospectus.

4.7 Intermediarul va asigura in mod permanent segregarea dintre instrumentele financiare detinute in numele In-

vestitorului si instrumentele financiare detinute in nume si pe cont propriu./ The Intermediary will permanently

secure the segregation between the securities held in the name of the Investor and the securities it holds in its

own name and behalf.

4.8 Intermediarul va prelua si executa instructiunile Investitorului, numai in conditiile mentionate in Prospect si

prezentul formular, cu respectarea regulilor sale interne privind acceptarea, validarea si transmiterea spre execu-

tare a ordinelor de subscriere, precum si conform regulilor privind gestionarea riscului de decontare./ The Inter-

mediary will take over and execute the instructions of the Investor only according to the terms included in the

Prospectus and the present form, in compliance with its internal regulations on the acceptance, validations and

transmission of subscription forms for execution purposes, as well as according to the regulations on settlement

risk management.

4.9 In cazul Ofertei, Intermediarul va credita contul de numerar al Investitorului cu sumele de bani pe care acesta

le transfera la momentul subscrierii, va debita contul de numerar al acestuia cu sumele datorate de acesta pentru

decontarea tranzactiei, precum si cu comisioanele si spezele bancare aferente transferurilor de fonduri, si va

credita contul respectivului investitor cu eventualele sumele reprezentand contravaloarea instrumentelor financi-

are subscrise in cadrul ofertei si nealocate Investitorului. Alocarea instrumentelor financiare, precum si re-

turnarea fondurilor transferate in exces se vor executa in stricta conformitate cu prevederile Prospectului./ In the

case of the Offer, the Intermediary will credit the cash account of the Investor with the amounts of money it

transfers for subscription, will debit its cash account with the amounts due by the latter for the settlement of the

transaction, as well as the bank fees and commissions charged for funds transfer and will credit the account of

the respective investors with the eventual amounts representing the value of the securities subscribed and not-

allocated to the Investor. The allocation of securities, as well as the return of the funds transferred in excess, will

be carried out strictly according to the provisions of the Prospectus.

4.10 Disponibilitatile banesti ale Investitorului, transferate in baza prezentului Formular de subscriere in vederea

subscrierii in cadrul Ofertei, nu sunt purtatoare de dobanda./ The cash belonging to the Investor, transferred

based on the present Subscription Form for subscription under the Offer, in the investment account does not bear

any interest.

4.11 Intermediarul nu va presta servicii de schimb valutar in baza prezentului Formular de subscriere./ The In-

termediary will not perform foreign exchange services based on the present Subscription Form.

4.12 Intermediarul va pastra confidentialitatea informatiilor privind Investitorul si tranzactiile acestuia. Clauza de

confidentialitate nu se aplica in cazurile special prevazute de lege, in cazul in care Intermediarul ar suferi o

pierdere iminenta sau atunci cand Investitorul autorizeaza Intermediarul sa divulge asemenea informatii./ The In-

termediary will keep confidential the information regarding the Investor and its transactions. The confidentiality

clause does not apply in the cases especially provided by the law, in case the Intermediary would register an

imminent loss or when the Investor authorises the Intermediary to disclose such information.

4.13 Investitorul consimte prin prezenta in mod expres si renunta la orice restrictie privind pastrarea confiden-

tialitatii informatiilor impusa Intermediarului de legislatia in vigoare in cazul in care este necesara prezentarea

unor asemenea informatii in relatiile cu terti implicati in procesele organizatorice si decizionale ale Intermediaru-

lui si in relatia cu Emitentul sau membrii sindicatului de intermediere a Ofertei. Prin terti implicati se intelege,

fara a se limita la, orice consultanti, auditori ai Intermediarului sau entitati romane sau straine ce fac parte din

grupul Intermediarului. Intermediarul va lua masurile necesare in vederea asigurarii pastrarii confidentialitatii de

catre terti a informatiilor dezvaluite conform acestei clauze. Intermediarul este indreptatit sa transmita membrilor

sindicatului de intermediere a Ofertei orice date referitoare la Investitor si subscrierea sa in cadrul Ofertei./ The

Investor hereby expressly agrees and waives any restriction regarding the obligation to keep the information

confidential imposed to the Intermediary by the legislation in force in case the disclosure of such information is

necessary in relation to third parties involved in the Intermediary's organisational and decisional processes and

in relation with the Issuer or the members of the syndicate for the intermediation of the Offer. Involved third par-

ties are, without being limited to, any advisors, auditors of the Intermediary or Romanian or foreign entities that

are part of Intermediary's group. The Intermediary will take the necessary measures in order to assure that the

third parties keep the confidentiality of the information disclosed according to the present provision. The Inter-

mediary is entitled to send to the syndicate members of the Offer any information regarding the Investor and its

subscription within the Offer.

4.14 Intermediarul va incadra Investitorul in categoria Client Retail si prin semnarea prezentului Formular de

Subscriere Investitorul ia la cunostinta cu privire la incadrarea sa. Sub rezerva dreptului Investitorului de a cere

un statut diferit, Intermediarul va trata Investitorul, pentru toate scopurile prezentului Formular de Subscriere,

potrivit regimului aplicabil categoriei in care a fost incadrat./ The Intermediary shall cathegorise the Investor as

a Retail Client and by signing the present Subscriprion form the Investor acknowledges such treatment. Subject

to the Investor's right to opt for a diffetent treatment, the Intermediary will treat the Investor, for all the purposes

of the present Subscription Form, according to the conditions applicable to the category under which it was

placed.

4.15 Investitorul consimte prin prezenta in mod expres la prelucrarea de catre Intermediar a datelor sale cu carac-

ter personal in scopul executarii obligatiilor din prezentului contract. Intermediarul va lua toate masurile tehnice

si organizatorice in vederea protejarii datelor cu caracter personal ale Investitorului impotriva oricarei distrugeri

accidentale sau ilegale, pierderi, modificari, acces neautorizat, in special in cazul in care procesarea Tranzactiilor

implica transmiterea acestora in retele informatice, cat si impotriva oricarei prelucrari ilegale, de orice fel./ The

Investor hereby expressly agrees to the processing by the Intermediary of its personal data, in order to carry out

the present contract. The Intermediary will take all the technical and organisational measures in order to protect

the personal data of the Investor against any accidental or illegal destruction, losses, changes, unauthorised ac-

cess, especially in case the processing of the Transactions involves sending them to IT networks, as well as

against any illegal processing, of any kind.

4.16 Intermediarul va transmite Investitorului o singura data o confirmare privind executarea tranzactiilor sau in-

validarea subscrierii care fac obiectul prezentului contract, in conformitate cu prevederile Prospectului. / The In-

termediary shall send once to the Investor a confirmation regarding the execution of the transactions or the in-

validation of the subscription subject to the present contract according to the provisions of the Prospectus.

4.17 Drepturile si obligatiile mentionate mai sus se completeaza cu cele prevazute in Prospect./ The rights and

obligations mentioned above are completed by the provisions of the Prospectus.

Drepturile si obligatiile Investitorului / Rights and obligations of the Investor.

4.18 In scopul deschiderii unui cont de numerar/instrumente financiare la Intermediar in vederea subscrierii in

cadrul Ofertei, Investitorul este obligat sa furnizeze Intermediarului toate documentele mentionate in Prospect./

In order to open a cash/securities account with the Intermediary in view of subscribing within the Offer, the In-

vestor must submit to Intermediary all the documents mentioned in the Prospectus.

4.19 Investitorul este responsabil de furnizarea corecta si completa a datelor cuprinse in prezentul Formular de

Subscriere sau in documentele furnizate catre intermediar. Intermediarul nu este responsabil pentru inconvenien-

tele sau pierderile care pot aparea din cauza omisiunii declararii unor informatii, transmiterii eronate a in-

fomatiilor sau neactualizarii informatiilor de catre Investitor. Investitorul declara ca intelege obligatia de a-si ac-

tualiza datele de identificare si de contact ori de cate ori este cazul pe durata formularului de subscriere asa cum

este definita la art. 3 si ca isi asuma efectele neindeplinirii acestei obligatii./ The Investor is liable for correctly

and completely providing the data contained in the present Subscription Form or the documents provided to the

Intermediary. The Intermediary is not liable for the inconsistencies or losses that may occur due to the omission

of providing certain information, incorrect transmission of information or failure to update the information by

the Investor. The Investor declares that he understands the obligation to update its identification data and the

contact data each time it is necessary during the term of the subscription form as defined in art. 3 and that he

undertakes the consequences of the unfulfillment of this obligation.

4.20 Investitorul are dreptul de a obtine oricand, la solicitarea sa, copii ale documentelor aferente activitatii de

tranzactionare derulate pe contul sau, prin intermediul Intermediarului. Eventualele fonduri pe care Intermediarul

le datoreaza investitorului ca urmare a procesului de subscriere, vor fi returnate acestuia in contul de plati catre

investitor mentionat in prezentul formular./ The Investor has the right to obtain any time, upon its request, copies

of the documents related to the trading activity carried out in its account, through the Intermediary. Any funds

that the Intermediary owes to the investor as a result of the subscription, will be returned into the account of the

investor mentioned in this form.

4.21 Drepturile si obligatiile mentionate mai sus se completeaza cu cele prevazute in Prospect. / The rights and

obligations mentioned above are completed by the provisions of the Prospectus.

Art. 5 Modalitati de comunicare/ Communication means

5.1 Investitorul poate comunica cu Intermediarul si poate primi informatii, notificari sau documente in limbile

romana si engleza./ The Investor may communicate with the Intermediary and may receive information, notices

or documents in Romanian and English.

5.2 Intermediarul va comunica Investitorului indicele de alocare a instrumentelor financiare prin publicarea re-

spectivului indice pe pagina de internet a Bursei de Valori Bucuresti, in ziua alocarii, in conformitate cu

prevederile Prospectului./ The Intermediary shall communicate to the Investor the allocation index of the securi-

ties by posting the respective index on the web page of the Bucharest Stock Exchange, in the allocation date, ac-

cording to the provisions of the Prospectus.

5.3 Investitorul este de acord ca intermediarul sa foloseasca pentru transmiterea rapoartelor de confirmare a

executarii tranzactiei sau a oricaror alte informari adresa de posta electronica (e-mail) furnizata Intermediarului./

The Investor agrees that the Intermediary may use the e-mail address provided to the Intermediary for sending

reports confirming that the transaction was made or any other notices.

Art. 6. Reprezentari si garantii/ Representations and guarantees

6.1 Investitorul garanteaza, declara si se angajeaza fata de intermediar ca, la data incheierii prezentului Formular

de subscriere si pe intreaga durata a acestuia, are capacitatea necesara ceruta de lege pentru a incheia in mod val-

abil prezentul Formular de subscriere, iar incheierea acestuia si Tranzactia executata ulterior in numele si pe con-

tul sau nu contravine niciunei prevederi legale, administrative sau contractuale aplicabile Investitorului si/sau ac-

tivitatii sale./ The Investor guarantees, represents and commits to the Intermediary that, on the date on which the

present Subscription Form is concluded and during its entire term, it has the necessary capacity required by the

law to validly conclude the present Subscription Form, and its conclusion and the Transaction carried out sub-

sequently in its name and on its behalf does not breach any legal, administrative or contractual provision appli-

cable to the Investor and/or its activity.

6.2 Investitorul cunoaste ca instrumentele financiare care vor face obiectul subscrierii prin intermediul Formula-

rului de Subscriere sunt emise exclusiv prin inscriere in cont si nu pot fi tranzactionate decat prin procedurile

specifice acestei forme. Instrumentele financiare sunt considerate bunuri fungibile iar individualizarea lor se real-

izeaza numai prin cod ISIN si volum./ The Investor is aware that the securities that will be subject to subscrip-

tion by means of the Subscription Form are issued exclusively by registration in the account and can only be

traded based on the procedures specific to this form. The securities are considered fungible goods and they can

be individualised only by ISIN code and volume.

6.3 Investitorul declara ca intelege termenii si isi asuma riscul ce decurge din tranzactiile cu instrumentele finan-

ciare ce fac obiectul prezentului contract./ The Investor represents that it understands the terms and assumes the

risk derived from the transactions with securities subject to the present Contract.

Art. 7. Diverse / Miscellaneous

Prevederile Formularului de Subscriere se completeaza cu prevederile Prospectului./ The provisions of the Sub-

scription Form are supplemented by the provisions of the Prospectus.

Relatiile dintre Investitor si Intermediar sunt guvernate de legea romana. Pe intreaga durata a desfasurarii

Ofertei, partile sunt de acord sa respecte cadrul juridic in vigoare la data semnarii prezentului Formular de sub-

scriere.Acest formular de subscriere a fost pregatit in limba romana si limba engleza in doua exemplare origi-

nale. Daca exista orice discrepanta intre versiunea in limba romana si cea in limba engleza, versiunea in limba

romana va prevala./ The relations between the Investor and the Intermediary are governed by Romanian law.

During the entire term of the Offer, the parties agree to observe the legal framework in force on the date of sign-

ing the present Subscription Form. This subscription form was prepared in Romanian and English launguage in

two originals. If there is a discrepancy between the Romanian version and the English one, the Romanian ver-

sion shall prevail.

Prezentul document este guvernat de legea romana. Orice diferend intervenit intre parti in legatura cu executarea

si interpretarea Formularului de subscriere se va incerca a fi solutionat pe cale amiabila. In situatia in care solu-

tionarea amiabila nu este posibila, diferendul va fi supus solutionarii Camerei Arbitrale a Pietei Reglementate,

conform regulamentelor si procedurilor proprii. Hotararea pronuntata de Camera Arbitrala este definitiva si

executorie. Prin exceptie pentru persoanele fizice orice diferend va fi supus spre solutionare instantelor judeca-

toresti competente./ The present form is gouverned by Romanian law. The parties will try to settle amicably any

dispute occurring between them in connection to the execution and interpretation of the Subscription Form. In

case this is not possible, the dispute will be submitted to the Arbitrage Chamber of the Regulated Market, ac-

cording to its own regulations and procedures. The award issued by the Arbitrage Chamber is final and enforce-

able. By way of exception for private individuals any diferend shall be submitted to to the competent courts of

law.

In situatia in care Investitorul persoana fizica are, potrivit legii, calitatea de consumator, acesta are dreptul de a

apela si la solutionarea alternativa a unui litigiu potrivit Regulamentului ASF nr. 4/2016 si Ordonantei de Guvern

38/2015. In acest scop Investitorul se poate adresa Entitatii de Solutionare Alternativa a Litigiilor in domeniul fi-

nanciar nonbancar (denumita SAL-FIN), entitate infiintata de A.S.F., care-si desfasoara activitatea in Bucuresti,

Str. Stelutei, nr. 2, Sector 1, Etaj 2 si are adresa de corespondenta in Splaiul Independentei nr. 15, sector 5, cod

postal 050092, office@salfin.ro, care are misiunea de a organiza si solutiona litigiile dintre consumatori si

comercianti prin proceduri numite SAL, procedurile SAL pot fi gasite pe site-ul internet www.salfin.ro. Pentru a

solutiona un litigiu prin aplicarea procedurii SAL, consumatorul trebuie sa isi exprime aceasta optiune în mod

voluntar si sa se adreseze SAL-FIN in scris, direct la sediul SAL-FIN, prin posta sau prin mijloace electronice de

comunicare. De asemenea Investitorul trebuie sa faca dovada ca, in prealabil, a incercat sa solutioneze litigiul di-

rect cu Intermediarul. Procedurile administrate si organizate de catre SAL-FIN nu aduc atingere altor cai de solu-

tionare a litigiilor prevazute de lege./ In case the Investor, natural person is, according to the law, a consumer,

the Investor has also the right to ask for the alternative solving of litigation according to the ASF Regulation

4/2016 and of the Government Ordinance 38/2015. For this purpose the Investor can address the Entity for Al-

ternative Settlement of the Litigations in the financial non-banking field (named SAL-FIN), entity founded by

ASF, which is performing the activity in Bucharest, 2 Stelutei Street, 2 nd Floor, 2 nd District and having the

correspondence address in Bucharest, 15 Splaiul Independentei St., District 5, postal code 050092, of-

fice@salfin.ro, that has the mission to organize and solve the litigations between consumers and professionals,

through procedures named SAL, SAL procedures can be found on internet site www.salfin.ro. The Investor may

submit the litigation to the SAL procedures administrated by SAL-FIN if the Investor proves that prior to the

submission, has tried to solve the litigation directly with the Intermediary. The procedures administrated and or-

ganized by SAL- FIN do not impede the Investor to access other ways to solve the litigation provided by the law.

PRIN SEMNAREA PREZENTEI ANEXE A FORMULARULUI DE SUBSCRIERE DECLAR CA AM

LUAT LA CUNOSTINTA, AM INTELES SI SUNT DE ACORD FARA REZERVE CU PREVEDERILE

SALE, MA OBLIG SA LE RESPECT INTOCMAI SI IMI ASUM RISCURILE CE DECURG DIN

TRANZACTIILE CU INSTRUMENTE FINANCIARE./ BY SIGNING THE PRESENT APPENDIX TO

THE SUBSCRIPTION FORM I REPRESENT THAT I AM AWARE, I UNDERSTOOD AND I AGREE

WITHOUT RESERVES WITH ITS PROVISIONS, I COMMIT TO OBSERVE THEM IN FULL AND I

ASSUME THE RISKS DERIVED FROM TRANSACTIONS WITH SECURITIES.

Intermediar/Intermediary

.........................................................

Reprezentat de/ Represented by:

.....................................................

(nume in clar; semnatura si stampila/ name in clear, sig-

nature and stamp)

Investitor / Investor

.........................................................

Reprezentat de/ Represented by:

.....................................................

(nume in clar; semnatura si stampila/ name in clear, signature

and stamp)

Serie formular revocare/ revocation form serial number:_________________

Participant Eligibil / Eligible Participant______________________________

PERSOANA FIZICA / NATURAL PERSON:

Nume si prenume/ Name and Surname_________________________________________________

CNP: __________________________,

Serie si nr. C.I./B.I./Pasaport/Permis de sedere/ No and series of ID/Passport/Staying permit: _______________

Prin Reprezentant: Nume si prenume/ Name and surname__________________________________________

CNP: __________________,

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: _____________________________

PERSOANA JURIDICA/ LEGAL PERSON:

Denumirea /name: __________________________________________________________________________

Nr. Inmatriculare Registrul Comertului/Registration no with the Registry of Commerce: __________________

CUI/ Identification number:____________________,

Prin reprezentant/ through representative: Nume si prenume/Name and surname______________________

CNP: _______________________,

C.I./B.I./Pasaport/Permis de sedere/ ID/Passport/Staying permit: _____________________________________

Prin prezentul formular declar ca sunt de acord sa revoc formularul de subscriere nr. ________ din data

__________, in conformitate cu termenii si conditiile prevazute in Prospectul de Oferta respectiv numai in con-

ditiile publicarii unui amendament la prospect. / By the present form I state that I agree to revoke the subscrip-

tion form no. ________ dated ________________, in accordance with the terms and conditions of the Offering

Prospectus, namely solely provided that an amendment to the prospectus is released.

Suma transferata/

Amount transffered

Suma subscrisa/

Amount subscribed

Numar actiuni subscrise/

subscribed no. of shares

Pret subscriere /

Subscription price

Numar cont curent platitor/ IBAN:

Payer’s current account no: nume titular cont/account name holder:

Numar cont plati catre subscriitor/ IBAN:

Current acc. payments to subscriber: nume titular cont/account name holder:

In aceasta situatie inteleg sa primesc suma platita de ________ in contul bancar

________________________________ mentionat in formularul de subscriere. / In such a case, I understand to

receive the amount paid of ________ in the current account ________________________________ mentioned

in the subscription form.

Data si ora subscrierii/ Subscription date and hour: ____________________

Data si ora revocarii/ Revocation date and hour: ____________________

Semnatura reprezentant intermediar/ Semnatura client/reprezentant

Signature of intermediary’s representative Client’s/Representative’s signature

FORMULAR REVOCARE SUBSCRIERE ACTIUNI EMISE DE: PURCARI WINERIES PLC

SUBSCRIPTION REVOCATION FORM OF SHARES ISSUED BY: PURCARI WINERIES PLC

Transa Investitorilor de Retail/ Retail Tranche

Anexa 2 la Angajament – Programul segmentelor de piata in care se deruleaza oferta

Segment de piata T1 T2

POFR 9:00-18:00

(predeschisa)

18:00 – 18:30

(sesiune corectii)

Inchisa

POF inchisa 8:30 – 18:00

(predeschisa numai pentru

Sindicatul de Intermediere)

unde

T1 Oricare dintre zilele lucratoare ale Perioadei de Oferta asa cum este definita conform

prospectului pentru fiecare transa

T2 Data Tranzactiei

Pre-deschisa segmentul de piata este disponibil Sindicatului de Intermediere si Participantilor Eligibili

pentru introducerea ordinelor, dupa caz