NAVA BANKA d.d.
Zagreb, Tratinska 27
SUBSCRIPTION FORM
ordinary shares of Series A3 of Nava banka d.d, Zagreb /

1.Nava banka d.d. (hereinafter: the Bank) has passed at the General Assembly ofJune 17th, 2014 the „Decision on the Bank's capital increase up to50,000,000.00 Croatian Kuna by issuing up to 5,000,000 ordinary shares of Series A3” (hereinafter: The Decision). Based on this Decision,the Bank's share capital is increased by issuing up to new 5,000,000 ordinary registered shares available for existing and potential new noninsitutional investors,with nominal value of 10.00 Croatian Kuna each, in accordance with Article 308 of the Companies Act. Shares are issued in dematerialized form.

  1. The shares from the Decision are issued by public offer without publication of a public offering Prospectus, in accordance with Article 351 Paragraph 1 Item 3 of the Capital Market Act (Official Gazette No. 88/08, 146/08, 74/09 54/13 and 159/13), since the offer for subscription and purchase is sent to fewer than 150 natural or legal persons, and the offer of shares from the Decision is addressed to investors who will subscribe and pay the sharesin the minimal sum of 800,000.00 Croatian Kuna each, i.e., subscribe and pay at least 80,000 or more of the Bank's orinary shares each.

  1. Subscription and payment of this share’s issue takes place in the Bank’s official seat starting with 18th June 2014 at 09:00 a.m. up to subscription of the total number of shares available, but not later than at 04:00 p.m. on 17th July 2014.

  1. Subscription takes place in the Bank’s official headquarter in Zagreb, Tratinska 27, from 09:00 a.m. to 04:00 p.m. each working day during the subscription period.

  1. The investors are obliged to pay-in the subscripted shares before the end of share issue, no later than 17th July 2014, without further payment invitation.

  1. Unique selling price of a share is 10.00 Croatian Kuna.

STATEMENT ON SUBSCRIPTION OF SHARES
(name/address/seat, tax or ID number)
represented by the authorized person:
(first and second name of the authorized person)
  1. We subscribe
/ in letters:
ordinary shares of Series A3 of theBank, with nominal value of 10,00 Croatian Kuna each, whereby we are obligedto pay in total
Croatian Kuna* / in letters:
  1. By signing this SUBSCRIPTION FORM we are obliged to pay in single amount in cash the subscribed shares without futher payment invitation within the subscription and payment period. Payment of the shares will be made by remittance or payment to a business bank account number: HR2424950091011111116, with reference to the investor’s personal identification/tax number, indicating the following purpose: buying of ordinary shares.

  1. We declare that we are introduced with the provisions of the Articles of Incorporation of Nava banka d.d. Zagreb and with the Decision.

  1. This SUBSCRIPTION - STATEMENT ON SUBSCRIPTION OF SHARES is signed in 3 (three) identical copies, one for us as Investor, one for the Bank forcapital increase registration purpose in the court registry of the Commercial Court in Zagreb, one for Bank's own purposes.

______

(Investor's signand seal)

Receipt of STATEMENT ON SUBSCRIPTION OF SHARESis confirmed by:

Date of receipt: / Nava banka d.d., Zagreb:
Time of receipt:
Ordinal number: