EXHIBIT 99.1
ACCEPTANCE FORM FOR
THE PUBLIC EXCHANGE OFFER FOR SHARES OF
ACTIVCARD S.A.
I, the undersigned (family name and first name)
resident at (postal code, locality, country)
street
no
box
after acknowledging the terms and conditions of the Public Exchange Offer (1 share of common
stock of ActivCard Corp. for 1 share of common stock of ActivCard S.A.) made by ActivCard Corp. and the prospectus, and if I am a Belgian resident, the Belgian supplement to the prospectus, declare that I transfer to ActivCard Corp., in the manner
set out in the prospectus and, if applicable, the Belgian supplement, (number of shares) shares in ActivCard S.A., of which I am the full and unrestricted owner, and
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which are currently credited to securities account No.
opened with (financial institution, branch, address)
(nominatif administré ) and give irrevocable instructions to this
effect to the financial intermediary where my securities are held on account. This form must be delivered to your financial intermediary. |
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which are currently registered in my name in ActivCard S.A. shareholders books (nominatif pur) and give irrevocable instructions to
this effect to BBL, acting as European Exchange Agent. This form must be delivered to BBL. |
Furthermore, I irrevocably appoint BBL, acting as European Exchange Agent, to take all necessary steps to properly and duly have my shares in ActivCard S.A. exchanged for the same amount of shares in ActivCard Corp. in connection
with this Public Exchange Offer.
Only if the shares are held in the nominatif pur form:
the
ActivCard Corp. shares which I will receive have to be transferred to my securities account No.
opened with
.
Please note that the account number held by my above mentioned financial institution with Clearstream/Euroclear is
[information to be provided by your financial institution]. I acknowledge that failing to provide this information
could result in the European Exchange Agent not being able to deliver my ActivCard Corp. shares properly.
For my commitment to be valid, the present acceptance form must be handed over, directly (for shares held in the nominatif pur form), or through my financial intermediary (for shares held in the
nominatif administré form), at the offices of the Exchange Agent, Bank Brussels Lambert S.A., at Cours Saint-Michel 60, attention Luc Walem, B-1000 Brussels, Belgium (fax number
32/2/738.39.00), no later than [·] p.m. on [·].
The Belgian tax on stock exchange transactions (TOB)
incurred in connection with the Public Exchange Offer will be paid by ActivCard Corp.
I expressly recognise that the Exchange Offer that I accept by
signing this acceptance form is subject to the conditions indicated in the prospectus and, if I am a Belgian resident, the Belgian supplement to the prospectus, which I have received at the same time as this acceptance form.
Done in duplicate at (place)
, on
(date)
.
| Shareholders signature
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Financial intermediarys signature
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