HONG KONG PUBLIC OFFERING — WHITE FORM eIPO SERVICE PROVIDER APPLICATION FORM 香港公開發售－白表eIPO服務供應商申請表格
Please use this Application form if you are a White Form eIPO Service Provider and are applying for Hong Kong Offer Shares on behalf of Underlying Applicants.
倘 閣下為白表eIPO服務供應商，並代表相關申請人申請認講香港發售股份，請使用本申請表格。

株式 社
NIRAKU GC HOLDINGS, INC.*(Incorporated in Japan with limited liability)（於日本註冊成立的有限公司）
GLOBAL OFFERING
全 球 發 售Number of Offer Shares :Number of Hong Kong Offer Shares :Number of International Offer Shares :Maximum Offer Price :Nominal value :Stock code :發售股份數目 ： 300,000,000股股份（視乎超額配股權行使
與否而定）香港發售股份數目 ： 30,000,000股股份（可予調整）國際發售股份數目 ： 270,000,000股股份（可予調整及視乎超額配股權行使與否而定）
最高發售價 ： 每股發售股份1.28港元，另加1%
經紀佣金、0.0027%證監會交易徵費
及0.005%聯交所交易費（須於申請時
以港元繳足，多繳款項可予退還）面值 ： 零股份代號 ： 1245

300,000,000 Shares (subject to theOver-allotment Option)
30,000,000 Shares (subject to adjustment)
270,000,000 Shares (subject to adjustment
and the Over-allotment Option)
HK$1.28 per Offer Share (payable in full on
application in Hong Kong dollars, subject torefund and plus brokerage of 1%, SFC
transaction levy of 0.0027% and Stock
Exchange trading fee of 0.005%)
Nil
1245

在填寫本申請表格前，請細閱 NIRAKU GC HOLDINGS, INC.*（株式 社）（「本公司」）日期為二零一五年三月二十四日的招股章程（「招股章程」）（尤其是招股章程「如何申請香港發售股份」一節）及本申請表格背面的指引。除本申請表格另
有界定外，招股章程所界定的詞語在本申請表格具有相同涵義。

Hong Kong Exchanges and Clearing Limited, The Stock Exchange of Hong Kong Limited (the “Stock
Exchange”) and Hong Kong Securities Clearing Company Limited (“HKSCC”) take no responsibility
for the contents of this Application Form, make no representation as so its accuracy or completenessand expressly disclaim any liability whatsoever for any loss howsoever arising from or in reliance
upon the whole or any part of this Application Form.

香港交易及結算所有限公司、香港聯合交易所有限公司（「聯交所」）及香港中央結算有限公司（「香港結算」）對本申請表格內容概不負責，對其準確性或完整性亦不發表任何聲明，並明確
表示，概不對因本申請表格全部或任何部分內容而產生或因依賴該等內容而引致的任何損失
承擔任何責任。

A copy of this Application Form, together with a copy of each of the WHITE and YELLOW Application
Forms, the Prospectus and the other documents specified in “Appendix VII — Documents Delivered to
the Registrar of Companies and Available for Inspection” to the Prospectus have been registered by
the Registrar of Companies in Hong Kong as required by Section 342C of the Companies (Winding Up
and Miscellaneous Provisions) Ordinance. The Securities and Futures Commission (the “SFC”) and
the Registrar of Companies in Hong Kong take no responsibility as to the contents of any of these
documents.

本申請表格連同白色及黃色申請表格、招股章程及招股章程「附錄七－送呈公司註冊處處長及備查文件」所述的其他文件，已遵照公司（清盤及雜項條文）條例第 342C 條的規定，送呈香港公司註冊處處長登記。證券及期貨事務監察委員會（「證監會」）與香港公司註冊處處長對此等文件的內容概不負責。

Your attention is drawn to the paragraph headed “Personal Information Collection Statement” whichsets out the policies and practices of the Company and its Hong Kong Share Registrar in relation topersonal data and compliance with the Personal Data (Privacy) Ordinance.

閣下務請留意「個人資料收集聲明」一段所載本公司及其香港證券登記處有關個人資料及遵守
個人資料（私隱）條例的政策及慣例。

Nothing in this Application Form or the Prospectus constitutes an offer to sell or the solicitation of an
offer to buy nor shall there be any sale of Hong Kong Offer Shares in any jurisdiction in which suchoffer, solicitation or sales would be unlawful. This Application Form and the Prospectus are not for
distribution, directly or indirectly, in or into the United States, nor is this application an offer of sharesfor sale in the United States. The Hong Kong Offer Shares have not been and will not be registeredunder the U.S. Securities Act and may not be offered or sold except pursuant to an exemption from, orin a transaction not subject to, the registration requirement under the U.S. Securities Act. No offer ofthe Hong Kong Offer Shares will be made in the United States.

本申請表格或招股章程所載者概不構成出售要約或要約購買的游說，而在任何作出有關要約、游說或出售即屬違法的司法權區內，概不得出售任何香港發售股份。本申請表格及招股
章程不得在美國境內直接或間接派發，而此項申請亦非在美國出售股份的要約。香港發售股
份未曾亦不會根據美國證券法登記，除非獲豁免遵守美國證券法登記規定或並非受該等登記
會
規定規限的交易，概不得提呈發售或出售。香港發售股份不會在美國公開發售。

This Application Form and the Prospectus may not be forwarded or distributed or reproduced (inwhole or in part) in any manner whatsoever in any jurisdiction where such forwarding, distribution or
reproduction is not permitted under the law of that jurisdiction. This Application Form and the Prospectus
are addressed to you personally. Any forwarding or distribution or reproduction of this Application
Form or the Prospectus in whole or in part is unauthorised. Failure to comply with this directive may
result in a violation of the U.S. Securities Act or the applicable laws of other jurisdictions.

請表格及招股章程的司法權
格及招股章程的司在任何根據有關法律不得發送、派送或複製本申請表格及招股章程的司法權區內，概不得以
請表格及招股章程。本申請表格
格及招股章程。本申任何方式發送或派發或複製（全部或部分）本申請表格及招股章程。本申請表格及招股章程僅
本申請表格或招股章程的全部或部分
申請表格或招股章程的全部
致予 閣下本人。概不得發送或派發或複製本申請表格或招股章程的全部或部分。如未能遵
司法權區的適用法律。
權區的適用法律。
守此項指令，可能違反美國證券法或其他司法權區的適用法律。

To: NIRAKU GC HOLDINGS, INC.*（株式 社
Shenyin Wanguo Capital (H.K.) Limited
The Hong Kong Underwriter）

致： NIRAKU GC HOLDINGS,
S, INC.*INC （株式（株式 社
申銀萬國融資（香港）有限公司
公司
香港包銷商

吾等確認，吾等已(i)遵守電子公開發售指引及透過銀行╱股票經紀遞交白表eIPO申
吾等已
等已(i)
(i)遵守電子公開發售指引及透過銀行╱股票經紀遞交
遵守電子公開發售指引及透過銀行╱股票經紀遞交
請的操作程序以及與吾等就香港公開發售提供白表eIPO服務有關的所有適用法律及程序以及與吾等就香港公開發售提供
序以及與吾等就香港公
白表eIPOeIPO服務有關的所有關的
法規（法定或其他）
法定或其他）
他）；及(ii)細閱招股章程及本申請表格所載的條款及條件以及申請手；及及 (ii)(ii)細閱招股章程及本申請表格所載的條款及
細閱招股章程及本申請表格所載
續，並同意受其約束。為代表與本申請有關的各相關申請人提出申請，吾等：並同意受其約束。為代表與本申請有關的各相關申請
並同意受其約束。為代表與本申請有關的各相關申請人提出•

按照招股章程及本申請表格的條款及條件，並在細則的規限下，申請認購以下
按照招股章程及本申請表格的條款及條件，並在照招股章程及本申請表格的條款及條數目的香港發售股份；數目的香港發售股

•夾附申請認購香港發售股份所需的全數款項（包括1%經紀佣金、0.0027%證監
夾附
申請認購香港發售股份所需的全數
認購香港發售股份所需的全數
會交易徵費及0.005%聯交所交易費）；
會交易 徵費及及 0.005%
05%聯交所交易費）
聯交所交
確認相關申請人已承諾及同意接納所申請數目或就本申請配發予彼等的任何較
確認相關
確認相關 申請人已承諾及同意接納請人已承諾及同意接少數目的香港發售股份；
少數目的 港發售股份；
少數目的香

•

•

明白 貴公司、獨家保薦人、獨家全球協調人將依賴此等聲明及陳述，以決定
貴公司、獨
司 獨家保薦人
是否就本申請配發任何香港發售股份；
是否就本申請配 任何香
是否就本申請配發任•授權 貴公司將相關申請人的姓名╱名稱列入
貴公司股東名冊內，作為任何貴公司
貴公司將相關申請
將配發予相關申請人的香港發售股份的持有人，並（在符合本申請表格所載的將配發予相關申請人的配發予相條款及條件的情況下）
條款及條件的情況下 根據本申請表格及招股章程所載程序，按本申請表格上
所示地址以掛號郵遞方式寄發任何股票（如適用），郵誤風險概由該相關申請
所示
所示地址以掛號郵
人承
人承擔；

Sa
m

pl

We confirm that we have (i) complied with the Guidelines for Electronic Offers and the
Operational Procedures for White Form eIPO Applications submitted via banks/
stockbrokers and all applicable laws and regulations (whether statutory or otherwise) in
relation to the provision of our White Form eIPO services in connection with the Hong
Kong Public Offering; and (ii) read the terms and conditions and application procedures set
out in the Prospectus and this Application Form and agree to be bound by them. Applying
on behalf of each of the underlying applicants to whom this application relates, we:•apply for the number of Hong Kong Offer Shares set out below, on the terms andconditions of the Prospectus and this Application Form, and subject to the Articles;•
enclose payment in full for the Hong Kong Offer Shares applied for, including 1%
brokerage, 0.0027% SFC transaction levy and 0.005% Stock Exchange trading fee;•
confirm that the underlying applicants have undertaken and agreed to accept the Hongng
Kong Offer Shares applied for, or any lesser number allocated to such underlying
rlyingapplicants on this application;•
understand that these declarations and representations will be relied upon
pon by theCompany, the Sole Sponsor, the Sole Global Coordinator in deciding whether
ether or not
to make any allotment of Hong Kong Offer Shares in response to thisis application;plication;•authorise the Company to place the name(s) of the underlying applicants(s) on theregister of members of the Company as the holder(s) of any Hongong Kong Offer Sharesresto be allotted to them, and (subject to the terms and conditionss set out in this ApplicationForm) to send any share certificate(s) (where applicable)e) by registeredd post at that
underlying applicant’s own risk to the address stateded on this Application
cation Form inaccordance with the procedures prescribed in thishis Application Formorm and in the
Prospectus;•
request that any e-Refund payment instructions
tions be despatched
ed to the application
payment account where the applicants hadd paid the applicationn monies from a single
bank account;•request that any refund cheque(s) be made payable to the underlying applicant(s) who
had used multiple bank accounts to pay the application
on monies;•
confirm that each underlying applicant
pplicant has read the terms and conditions and application
procedures set out in this Application
pplication Form, the designated website for White FormeIPO Service Provider at www.eipo.com.hk
m.hk in the Prospectus and agrees to be boundby them;
hat the underlying applicants understandun•represent, warrant and undertake thatthat theSea the
Shares have not been and will not be registered under the U.S. Securities
Act andunderlying applicant
pplicant is outsidede the United States (as defined in
i Regulation S) or is aperson described
cribed in paragraphraph h(3) of Rule 902 of Regulation
Regulati S;•
represent,
ntt, warrant and undertake that allotment of or the application
applicatio for the Hong
Kong
g Offer Shares to the underlying applicants or by
b underlying applicants or for
whose
hose
ose benefit this application is made would not require the Com
Company to comply withany
ny requirements under any law or regulation (w(whether or not hhaving the force of law)of any territory outside Hong Kong;
acceptan of it and th•
agree that this application, any acceptancethe resulting contract, will begovernedoverned by and construed in aaccordance with the law
laws of Hong Kong; andee that the Company, the Sole
S
S
•
agree
Sponsor, the Sole
Global Coordinator, the Soleunner, the Sole Lead Manager,Man
the Hong K
Bookrunner,
Kong Underwriter and their respective
ents and any other parties involved in the Global Offering
directors,, advisors and agentso rely on any w
warranty, repre
are entitled torepresentation or declaration made by us or theplicants.
licants.
underlying applicants.

）

僅供識別

*

* For identification purpose only

1

e樣
版

Please read carefully the prospectus of NIRAKU GC HOLDINGS, INC.* （株式 社） (the “Company”) dated 24 March 2015 (the“Prospectus”) (in particular, the section “How to Apply for Hong Kong Offer Shares” in the Prospectus)
and the guidelines on the back of this Application Form before completing this Application Form.
Terms used in this Application Form shall have the same meanings as those defined in the Prospectus
unless defined herein.

2•（倘申請人以單一銀行賬戶支付申請股款）要求將電子退款指示發送至支付申（倘申請
請股款賬戶；
請股款•（倘申請人以多個銀行賬戶支付申請股款）要求退款支票以相關申請人為抬頭人；
確認各相關申請人已細閱本申請表格及招股章程內白表eIPO服務供應商指定網站www.eipo.com.hk所載的條款及條件以及申請手續，並同意受其約束；••

聲明、保證及承諾相關申請人明白股份不曾亦不會根據美國證券法登記且相關
申請人身處美國境外（定義見S規例）或為S規例第902條h(3)段所述人士；•

聲明、保證及承諾向相關申請人或由相關申請人或為其利益而提出本申請的人
士配發或申請香港發售股份，不會引致本公司須遵從香港以外任何地區的任何
法律或法規的任何規定（不論是否具法律效力）；•

同意本申請、申請獲接納及因而訂立的合約將受香港法律規管，並按香港法律
詮釋；及同意 貴公司、獨家保薦人、獨家全球協調人、獨家賬簿管理人、獨家牽頭經
辦人、香港包銷商以及彼等各自的董事、顧問及代理人以及參與全球發售的任
何其他各方有權依賴吾等或相關申請人作出的任何保證、陳述或聲明。

•

Signature 簽名：

Date 日期：

Name of applicant
申請人姓名：

Capacity 身份：We, on behalf of theunderlying applicants,
offer to purchaseTotal number of Shares
股份總數Hong Kong Offer Shares on behalf of the underlying applicants whose details are contained in theread- only CD-ROM submitted with this Application Form.
股香港發售股份（代表相關申請人，其詳細資料載於連同本申請表格遞交的唯讀光碟）。

吾等（代表相關申請人）提出認購3
A total of
合共is enclosed
herewith for
開出金額為cheque(s)
張支票Cheque Number(s)
支票編號

HK$

港元

4

Please use BLOCK letters 請用正楷填寫Name of White Form eIPO Service Provider
白表eIPO服務供應商名稱
Chinese Name
中文名稱White Form eIPO Service Provider ID
白表eIPO服務供應商身分識別編碼

Name of contact person
聯絡人士姓名Contact number
聯絡電話號碼

Address地址

Fax number
傳真號碼

For Broker use 此欄供經紀填寫
Lodged by 申請由以下經紀遞交

Broker No.
經紀號碼
Broker’s Chop
經紀印章

For bank use 此 欄 供 銀 行 填 寫HONG KONG PUBLIC OFFERING — WHITE FORM eIPO SERVICE PROVIDER APPLICATION FORM 香港公開發售－白表eIPO服務供應商申請表格
Please use this Application form if you are a White Form eIPO Service Provider and are applying for Hong Kong Offer Shares on behalf of underlying applicants.
倘 閣下為白表eIPO服務供應商，並代表相關申請人申請認講香港發售股份，請使用本申請表格。

GUIDELINES TO COMPLETING THIS APPLICATION FORM

填寫本申請表格的指引

References to boxes below are to the numbered boxes on this Application Form.

下文提述的號碼乃本申請表格中各欄的編號。

1

1

2

Sign and date the application form in Box 1. Only a written signature will be accepted.

簽署人的姓名╱名稱及代表身分亦必須註明。

To apply for Hong Kong Offer Shares using this Application Form, you must be namedin the list of White Form eIPO Service Providers who may provide White Form eIPO
services in relation to the Hong Kong Public Offer, which was released by the SFC.

如要使用本申請表格申請認購香港發售股份， 閣下必須為名列於證監會公佈
的白表eIPO服務供應商名單內可就香港公開發售提供白表eIPO服務的人士。

Put in Box 2 (in figures) the total number of Hong Kong Offer Shares for which you
wish to apply on behalf of the underlying applicants.

2

閣下 欲代表 相關申請人申 請認購 的香港 發售股 份總數（以數字 填

在欄3填上

閣下的詳細付款資料。

You must state in this box the number of cheques you are enclosing together with thisApplication Form; and you must state on the reverse of each of those cheque (i) yourWhite Form eIPO Service Provider ID and (ii) the file number of the data file containing
application details of the underlying applicant(s).

閣下必須在本欄註明 閣下夾附於本申請表格的支票數目；及 閣下必須在每
張支票的背面註明(i) 閣下的白表eIPO服務供應商身分識別編碼及(ii)載有相關
申請人的詳細申請資料的資料檔案的檔案編號。

The dollar amount(s) stated in this box must be equal to the amount payable for the total
number of Hong Kong Offer Shares applied for in Box 2.

本欄所註明的金額必須與欄2所申請認購的香港發售股份總數應付的金額相同。

All cheque(s) and this Application Form together with a sealed envelope containing the
CD-ROM, if any, must be placed in the envelope bearing your company chop.

所有支票及本申請表格，連同載有光碟的密封信封（如有）必須放入加蓋公司印章的信封內。

For payments by cheque, the cheque must:

如以支票繳付股款，則該支票必須：•

be in Hong Kong dollars;•

為港元支票；•

be drawn on a Hong Kong dollar bank account with a licensed bank in Hong Kong;•

由在香港持牌銀行開設的港元銀行賬戶付款；•show your (or your nominee’s) account name;

•

顯示

•

be made payable to “Horsford Nominees Limited - NIRAKU Public Offer”;•

註明抬頭人為「浩豐代理人有限公司－NIRAKU公開發售」；•

be crossed “Account Payee Only”;•

劃線註明「只准入抬頭人賬戶」；•

not be post dated; and•

不得為期票；及•be signed by the authorised signatories of the White Form eIPO Service Provider.

•

由白表eIPO服務供應商的授權簽署人簽署。

閣下（或

閣下

閣下代名人）的賬戶名稱；Your application may be rejected if any of these requirements is not met or if the chequeis dishonoured on its first presentation.

倘未能符合任何此等規定或支票在首次過戶時未能兌現，絕受理。

It is your responsibility to ensure that details on the cheque(s) submitted correspond withthe application details contained in the CD-ROM or data file submitted in respect of thisapplication. The Company, the Sole Sponsor and the Sole Global Coordinator have full
discretion to reject any applications in the case of discrepancies.

閣下有責任確保所遞交的支票上的詳細資料，與就本申請遞交的光碟或資料檔
案所載的申請詳細資料相同。如有差異，本公司、獨家保薦人及獨家全球協調
人可全權酌情拒絕申請。

No receipt will be issued for sums paid on application.

申請時繳付的金額將不會獲發收據。

4

Insert your details in Box 4 (using BLOCK letters).

在欄4填上

閣下的申請可遭拒

閣下的詳細資料（以正楷填寫）。

You should write the name, ID and address of the White Form eIPO Service Provider inthis box. You should also include the name and telephone number of the contact person atyour place of business and where applicable, the Broker No. and Broker’s Chop.

閣下須在本欄填上白表eIPO服務供應商的名稱、身分識別編碼及地址。 閣下亦須填寫 閣下營業地點的聯絡人士的姓名及電話號碼及（如適用）經紀號碼及經紀印章。

Personal Information Collection Statement

個人資料收集聲明The main provisions of the Personal Data (Privacy) Ordinance (the “Ordinance”) cameinto effect in Hong Kong on December 20, 1996. This Personal Information Collection
Statement informs the applicant for and holder of the Shares of the policies and practicesof the Company and the Hong Kong Share Registrar in relation to personal data and theOrdinance.

個人資料（私隱）條例（「條例」）的主要條文於一九九六年十二月二十日在香港生
於一九九六年十二九九六
效。此個人資料收集聲明旨在向股份申請人及持有人說明本公司及香港證券登請人及持有人說明本公及持記處就個人資料及條例而制訂的政策及慣例。
及慣例。
例。

1.

1.

2.

證券申請人或證券登記持有人申請證券或將證券轉入其名下或轉讓予他
券登記持有人申請證券或將證券轉入其名下或轉讓予他
登記持有人申請證券或將證券轉入其名下或轉讓予他
人，或要求香港證券登記處提供服務時，須不時向本公司及╱或香港證券
港證券登記處提供服務時，須不時向本公司及╱或香港證券
登記處提供服務時，須不時向本公司及╱或香港證
登記處提供最新的正確個人資料。
最新的正確個人資料。
個人資料。

Failure to supply the requested data may result in your application for securities
being rejected or in delay or inability of the Company and/or its Hong Kong Share
Registrar to effect transfers or otherwise render their services. It may also preventor delay registration or transfer of the Hong Kong Offer Shares which you havesuccessfully applied for and/or the despatch of share certificate(s), and/or thedespatch of e-Refund payment instructions, and/or the despatch of refund cheque(s)to which you are entitled.

未能提供所需資料可導致本公司及╱或香港證券登記處拒絕受理
閣下的能提供所需資料可導致本公司及╱或香港證券登記處拒絕受所需資料可導致本公司及╱或香港證券登記處拒絕證券申請或延誤或無法進行過戶或提供服務，亦可能會阻礙或延誤登記或
證券申請或延誤或無法進行過戶或提供服務，亦可能會
證券申請或延誤或無法進行過戶或提供服務，亦可能會阻礙轉讓 閣下成功申請的香港發售股份及╱或發送 閣下
閣下應得的股票及╱或閣下應
電子退款指示及╱或退款支票。

It is important that applicants and holders of securities inform the Company andits Hong Kong Share Registrar immediately of any inaccuracies in the personal
data supplied.

證券申請人及持有人提供的個人資料如有任何不正確之處，必須即時知會
證券申請人及持有人提供的個人
證券申請人及持有人提供的個人資料如有
本公司及香港證券登記處。
本公司及香港證券登記處2.

Purposes

證券的申請人及持有人的個人資料可基於下列目的以任何方式被使用、持證券 的申請人及持有人的個
申請人及持有人的有及╱或保存：有及╱ 或保存：有及╱或•閣下的申請及電子退款指示╱退款支票（如適用）及核實有否遵守本
處理 閣
閣下
的申請及
申請表格及招股章程所載的條款及申請手續及公佈香港發售股份的分配結
申請表格及招股
請表格
股
果；

•

enabling compliance with all applicable laws
ws and regulationss in Hong Kongand elsewhere;•

確保遵守香港及其他地方的一切適用法例及條例；
確保遵守香

•

registering new issues or transfers
rs into or out of thee names of holders of
securities including, where applicable,
plicable, in the name of HKSCC Nominees;No•

登記新發行證券或將證券轉入證券持有人名下或由其名下轉讓予他人（包登記
括（如適用）以香港結算代理人的名義）；•

maintaining or updating thee registers of holders
ers of securities of the Company;•

保存或更新本公司證券持有人名冊；•

conducting or assisting
ting to conduct signature
nature verifications, any otherverification or exchangechange of information;mation;•

核實或協助核實簽名、任何其他核證或交換資料；

establishing benefit entitlements
ents of holders of securities of the Company,
such as dividends,
vidends, rights issues
ues and bonus issues, etc;
etc•

確定本公司證券持有人可享有的權利，例如股息、供股和紅股等；

distributing
buting communications
ns from the Company and its
it subsidiaries;•

寄發本公司及其附屬公司的公司通訊；

compiling
ompiling statistical
ical information and shareholder profiles;•

編撰統計資料及股東資料；

making disclosures as required by any laws, rules or regulations;
regula•

遵照任何法例、規則或條例的規定作出披露；

disclosing identities of successful
successf applicants by way of press
announcement(s)uncement(s) or otherwise;othe•

透過於報章公佈或其他方式披露成功申請人士的身分；•

claims on entitlements; anddisclosing
osing relevant information to facilitate cla•

披露有關資料以便提出權益索償；及•any other incidental or associated purposes
purpose relating to the above and/or toenable the Company and its Hong Kong
Kon Share Registrar to discharge their
obligations to holders
regulators and any other purpose
lder of securities and/orato which the holders
holder of securities
securitie may from time to time agree.

•與上述有關的任何其他附帶或相關目的及╱或使本公司及香港證券登記處
履行彼等對證券持有人及╱或監管機構的責任及證券持有人不時同意的任
何其他目的。

3.

轉交個人資料

•

Sa

•

m

•

pl

processing of your application and e-Refund payment instructions/refund
ructions/refund
tions/refuncheque, where applicable, and verification of compliancence with thee terms
and application procedures set out in this Application
cation Form and theProspectus and announcing results of allocations of the Hong Kong Offer
Shares;•Transfer off personal
persona data

Personal data held
and its Hong Kong Share Registrar relating to
eld
l by the Company
Com
the applicants and holders ofo securities will be kept confidential but the Company
and its Hong Kong Sharear Registrar may, to the extent necessary for achieving theabove purposes or any of them, make such enquiries as they consider necessary toconfirm the accuracy of the personal data and in particular, they may disclose,obtain, transfer (whether within or outside Hong Kong) the personal data of theapplicants and holders of securities to, from or with any and all of the following
persons and entities:

本公司及香港證券登記處所持有的證券申請人及持有人的個人資料將會保
密，但本公司及香港證券登記處可能會為上述或其中任何目的作出必要的查詢，以確定個人資料的準確性，尤其可能會與下列任何或所有人士及實
體相互披露、索取或轉交證券申請人及持有人的個人資料（不論在香港或外地）：•

the Company or its appointed agents such as financial advisers and receiving
bankers;•

本公司或其委任的代理，如財務顧問及收款銀行；•

where applicants for securities request deposit into CCASS, to HKSCC
and HKSCC Nominees, who will use the personal data for the purposes ofoperating CCASS;•

倘申請人要求將證券存入中央結算系統，則香港結算及香港結算代
理人可就中央結算系統的運作使用該等個人資料；•

any agents, contractors or third-party service providers who offer
administrative, telecommunications, computer, payment or other services
to the Company and/or its Hong Kong Share Registrar in connection withthe operation of their respective businesses;•

任何向本公司及╱或香港證券登記處提供與其各自業務有關的行
政、電訊、電腦、付款或其他服務的代理、承包商或第三方服務供
應商；•

the Stock Exchange, the SFC and any other statutory, regulatory or
governmental bodies; and•聯交所、證監會及任何其他法定、監管或政府機關；及•any other persons or institutions with which the holders of securities haveor propose to have dealings, such as their bankers, solicitors, accountants
or stockbrokers, etc.

•

任何與證券持有人有業務往來或擬有業務往來的其他人士或機構，
如銀行、律師、會計師或股票經紀等。

Retention of personal data

4.

Access and correction of personal data
The Ordinance provides the applicants and holders of securities with rights toascertain whether the Company and/or its Hong Kong Share Registrar hold theirpersonal data, to obtain a copy of that data, and to correct any data that is inaccurate.
In accordance with the Ordinance, the Company and its Hong Kong Share Registrar
have the right to charge a reasonable fee for the processing of any data accessrequest. All requests for access to data or correction of data or for information
regarding policies and practices and the kinds of data held should be addressed to
the Company for the attention of company secretary(ies) or (as the case may be)
its Hong Kong Share Registrar for the attention of the Privacy Compliance Officer
for the purposes of the Ordinance.

By signing an Application Form, you agree to all of the above.

個人資料的保留本公司及其香港證券登記處將按收集個人資料所需的用途保留證券申請人
及持有人的個人資料。無需保留的個人資料將會根據條例銷毀或處理。

The Company and its Hong Kong Share Registrar will keep the personal data of
the applicants and holder of securities for as long as necessary to fulfil the purposes
for which the personal data were collected. Personal data which is no longer required
will be destroyed or dealt with in accordance with the Ordinance.
5.

目的

•

•

4.

閣下個人資料的原因
的原因
原因

From time to time it is necessary for applicants for securities or registered holdersof securities to supply their latest correct personal data to the Company and/or its
Hong Kong Share Registrar when applying for securities or transferring securities
into or out of their names or in procuring the services of its Hong Kong Share
Registrar.

The personal data of the applicants and holders of securities may be used,
ed, held
and/or stored (by whatever means) for the following purposes:

3.

收集

版

Reasons for the collection of your personal data

e樣

4

3

Complete your payment details in Box 3.

在欄 2填上寫）。

閣下代其作出申請的相關申請人資料，必須載於連同本申請表格一併遞交的唯讀光碟格式資料檔案。

Applicant details of the underlying applicants on whose behalf you are applying must be
contained in one data file in read-only CD-ROM format submitted together with thisApplication Form.

3

在申請表格欄1簽署及填上日期。只接納親筆簽名。

The name and the representative capacity of the signatory should also be stated.

5.

查閱及更正個人資料
條例賦予證券申請人及持有人權利以確定本公司及╱或香港證券登記處是
否持有其個人資料，並有權索取有關資料副本及更正任何不正確資料。根據條例，本公司及香港證券登記處有權就處理任何查閱資料的要求收取合
理費用。就條例而言，所有關於查閱資料或更正資料或索取關於政策及慣
例及所持資料類別的資料的要求，應向本公司的公司秘書或（視乎情況而定）香港證券登記處的私隱事務主任提出。

閣下簽署申請表格，即表示同意上述各項。

DELIVERY OF THIS APPLICATION FORM

遞交本申請表格This completed Application Form, together with the appropriate cheque(s) together with a sealed
envelope containing the CD-ROM, must be submitted to the following receiving bank by 4:00
p.m. on Friday, 27 March 2015:

經填妥的申請表格，連同適用支票及載有光碟的密封信封，必須於二零一五年三月二十七日（星期五）下午四時正前，送達下列收款銀行：Standard Chartered Bank (Hong Kong) Limited
15/F Standard Chartered Tower
388 Kwun Tong Road
KowloonHong Kong

渣打銀行（香港）有限公司
香港
九龍
觀塘道388號渣打中心15樓