NOTICE TO SHAREHOLDERS OF
XALI GOLD CORP.
(“Xali Gold” or the “Company”)

In accordance with National Instrument 51-102 ”Continuous Disclosure Obligations”, a reporting issuer must send annually a request form to the registered holders and beneficial owners of its securities that allows the registered holders and beneficial owners to request a copy of the reporting issuer’s annual financial statements and management’s discussion & analysis (“MD&A”), interim financial statements and MD&A, or both.  If you wish to receive any of these materials this year, please complete and return the form below.
 
You will not automatically receive copies of Xali Gold’s financial statement(s) unless you complete and return this card.  Copies of all previously issued annual and interim financial statements and related MD&A are available to the public on the SEDAR + website at www.sedarplus.ca

In order to benefit the environment by saving paper and to reduce delivery expenses, the Company recommends that you select email as your preferred method of communication and provide your current email address and your consent to electronic delivery.

TO:     XALI GOLD CORP.

The undersigned certifies that he/she/it is a registered holder and/or beneficial owner of securities (other than debt instruments) of the Company and requests that he/she/it be placed on Xali Gold’s Mailing List for delivery of its annual and/or interim financial statements and MD&A for the current financial year.

Click Here to view a PDF Version of the Financial Statement Request Form.

Note:   Do not return this form by mail or fax if you have submitted your request online.

* Xali Gold Corp. respects your privacy and we are committed to protecting your information.  The personal information you are providing on this form will only be used for its intended purpose described above, and will be handled in accordance with our transfer agent’s Privacy Policy.   We will use the information that you are providing on this form in order to process your request and will treat your signature(s) on this form as your consent to the above.