Form
of Representatives’ Warrant Agreement


 


THE
REGISTERED HOLDER OF THIS PURCHASE WARRANT BY ITS ACCEPTANCE HEREOF, AGREES THAT IT WILL NOT SELL, TRANSFER OR ASSIGN THIS PURCHASE
WARRANT EXCEPT AS HEREIN PROVIDED AND THE REGISTERED HOLDER OF THIS PURCHASE WARRANT AGREES THAT IT WILL NOT SELL, TRANSFER, ASSIGN,
PLEDGE OR HYPOTHECATE THIS PURCHASE WARRANT OR CAUSE IT TO BE THE SUBJECT OF ANY HEDGING, SHORT SALE, DERIVATIVE, PUT, OR CALL
TRANSACTION THAT WOULD RESULT IN THE EFFECTIVE ECONOMIC DISPOSITION OF THE PURCHASE WARRANT BY ANY PERSON FOR A PERIOD OF ONE
HUNDRED EIGHTY (180) DAYS FOLLOWING THE EFFECTIVE DATE (DEFINED BELOW) TO ANYONE OTHER THAN (I) [__________] OR AN UNDERWRITER
OR A SELECTED DEALER IN CONNECTION WITH THE OFFERING, OR (II) A BONA FIDE OFFICER OR PARTNER OF [__________] OR OF ANY SUCH UNDERWRITER
OR SELECTED DEALER AND IN ACCORDANCE WITH FINRA RULE 5110(G)(2).


 


THIS
PURCHASE WARRANT IS NOT EXERCISABLE PRIOR TO____________ 1. VOID AFTER 5:00 P.M., EASTERN TIME, _______________2.


 


COMMON
STOCK PURCHASE WARRANT


 


For
the Purchase of ___________ Shares of Common Stock

of

HANCOCK JAFFE LABORATORIES, INC.


 


1. Purchase
Warrant. THIS CERTIFIES THAT, pursuant to that certain Underwriting Agreement, dated _____, 2017 (the
“Underwriting Agreement”), by and among Hancock Jaffe Laboratories, Inc., a Delaware corporation (the
“Company”), and the underwriters signatory thereto (the “Underwriters”), providing for
the public offering (the “Offering”) of shares of common stock, par value $0.00001 per share, of the
Company (the “Common Stock”), __________ (“Holder”), as registered owner of this
Purchase Warrant, is entitled, at any time or from time to time from 3 (the
“Commencement Date”), and at or before 5:00 p.m., Eastern time, 4 (the
“Expiration Date”), but not thereafter, to subscribe for, purchase and receive, in whole or in part, up to
shares of Common Stock (the “Shares”), subject to adjustment as provided in Section 6 hereof. If the
Expiration Date is a day on which banking institutions are authorized by law or executive order to close, then this
Purchase Warrant may be exercised on the next succeeding day which is not such a day in accordance with the terms herein.
During the period commencing on the date hereof and ending on the Expiration Date, the Company agrees not to take any action
that would terminate this Purchase Warrant. This Purchase Warrant is initially exercisable at $ per Share
5; provided, however, that upon the occurrence of any of the events specified in Section 6 hereof,
the rights granted by this Purchase Warrant, including the exercise price per Share and the number of Shares to be received
upon such exercise, shall be adjusted as therein specified. This Warrant is being issued pursuant to the certain Underwriting
Agreement (the “Underwriting Agreement”), dated ______, 2017, by and among the Company, the Holder and
other underwriters named therein, providing for the public offering (the “Offering”) of shares of common
stock, par value $0.00001 per share, of the Company. The term “Effective Date” shall mean the effective
date of the registration statement in connection with the Offering. The term “Exercise Price” shall mean
the initial exercise price or the adjusted exercise price, depending on the context.


 










 






1
                                         Date that is one year from the Effective Date of the Offering.


2
Date that is five years from the Effective Date of the Offering.


3
Date that is one year from the Effective Date of the Offering.


4
Date that is five years from the Effective Date of the Offering.


5
125% of the price of the Shares sold in the Offering.


 





    	 



     


    




 


2.
Exercise.


 


2.1
Exercise Form. In order to exercise this
Purchase Warrant, the exercise form attached hereto must be duly executed and completed and delivered to the Company, together
with this Purchase Warrant and payment of the Exercise Price for the Shares being purchased payable in cash by wire transfer of
immediately available funds to an account designated by the Company or by certified check or official bank check to the order
of the Company. If the subscription rights represented hereby shall not be exercised at or before 5:00 p.m., Eastern time, on
the Expiration Date, this Purchase Warrant shall become and be void without further force or effect, and all rights represented
hereby shall cease and expire.


 


2.2
Cashless Exercise. At any time after the
Commencement Date, in lieu of exercising this Purchase Warrant by payment of cash or check payable to the order of the Company
pursuant to Section 2.1 above, Holder may elect to receive the number of Shares equal to the value of this Purchase Warrant (or
the portion thereof being exercised), by surrender of this Purchase Warrant to the Company, together with the exercise form attached
hereto, in which event the Company shall issue to Holder, Shares in accordance with the following formula:


 


Y(A-B)


X
=             A


 


Where,


 


X
= The number of Shares to be issued to Holder;


 


Y
= The number of Shares that would be issuable upon exercise of this Purchase Warrant if such exercise were by means of a cash
exercise pursuant to Section 2.1 rather than a cashless exercise pursuant to this Section 2.2;


 


A
= The fair market value of one Share, as determined in accordance with the provisions of this Section 2; and


 


B
= The Exercise Price in effect under this Purchase Warrant at the time the election to exercise the Purchase Warrant on a cashless
basis is made pursuant to this Section 2.


 


For
purposes of this Section 2.2, the fair market value of a Share is defined as follows:


 





 











5
125% of the price of the Shares sold in the Offering.


 




    	 



     


    




 


(i)
if the Common Stock is traded on a securities
exchange, the fair market value shall be deemed to be the closing price on such exchange on the trading day immediately prior
to the date the exercise form is submitted to the Company in connection with the exercise of this Purchase Warrant; or


 


(ii)
if the Common Stock is actively traded over-the-counter,
the fair market value shall be deemed to be the closing bid price on the trading day immediately prior to the date the exercise
form is submitted to the Company in connection with the exercise of this Purchase Warrant; or


 


(iii)
if there is no active public market for the Common
Stock, the value shall be the fair market value thereof, as determined in good faith by the Company’s Board of Directors.


 


2.3
No Obligation to Net Cash Settle. Notwithstanding
anything to the contrary contained in this Purchase Warrant, in no event will the Company be required to net cash settle the exercise
of the Purchase Warrant. The Holder will not be entitled to exercise the Purchase Option unless it exercises such Purchase Warrant
pursuant to the cashless exercise right or a registration statement is effective, or an exemption from the registration requirements
is available at such time and, if the Holder is not able to exercise the Purchase Warrant, the Purchase Warrant will expire worthless.


 


3.
Transfer.


 


3.1
General Restrictions. The Holder
agrees by his, her or its acceptance hereof, that such Holder will not: (a) sell, transfer, assign, pledge or hypothecate this
Purchase Warrant for a period of one hundred eighty (180) days following the Effective Date to anyone other than: (i) __________
(the “Underwriter”) or another underwriter or a selected dealer participating in the Offering, or (ii) a bona
fide officer or partner of Underwriter or of any such underwriter or selected dealer, in each case in accordance with FINRA Conduct
Rule 5110(g)(1), or (b) cause this Purchase Warrant or the securities issuable hereunder to be the subject of any hedging, short
sale, derivative, put or call transaction that would result in the effective economic disposition of this Purchase Warrant or
the securities hereunder, except as provided for in FINRA Rule 5110(g)(2). On and after one (1) year after the Effective Date,
transfers to others may be made subject to compliance with or exemptions from applicable securities laws. In order to make any
permitted assignment, the Holder must deliver to the Company the assignment form attached hereto duly executed and completed,
together with the Purchase Warrant and payment of all transfer taxes, if any, payable in connection therewith. The Company shall
within five (5) Business Days transfer this Purchase Warrant on the books of the Company and shall execute and deliver a new Purchase
Warrant or Purchase Warrants of like tenor to the appropriate assignee(s) expressly evidencing the right to purchase the aggregate
number of Shares purchasable hereunder or such portion of such number as shall be contemplated by any such assignment.


 


4.
Registration Terms. The Company shall
be required to keep a registration statement on Form S-1 effective until such date that is the earlier of date when all of the
shares underlying the Warrant have been publicly sold by the Holder or such time as Rule 144 or another similar exemption under
the Securities Act of 1933, as amended, is available for the sale of all of such Holder’s shares underlying the Warrant
without limitation during a three-month period without registration.


 




    	 



     


    




 


5.
New Purchase Warrants to be Issued.


 


5.1
Partial Exercise or Transfer. Subject
to the restrictions in Section 3 hereof, this Purchase Warrant may be exercised or assigned in whole or in part. In the event
of the exercise or assignment hereof in part only, upon surrender of this Purchase Warrant for cancellation, together with the
duly executed exercise or assignment form and funds sufficient to pay any Exercise Price and/or transfer tax if exercised pursuant
to Section 2 hereto, the Company shall cause to be delivered to the Holder without charge a new Purchase Warrant of like tenor
to this Purchase Warrant in the name of the Holder evidencing the right of the Holder to purchase the number of Shares purchasable
hereunder as to which this Purchase Warrant has not been exercised or assigned.


 


5.2
Lost Certificate. Upon receipt by the
Company of evidence satisfactory to it of the loss, theft, destruction or mutilation of this Purchase Warrant and of reasonably
satisfactory indemnification or the posting of a bond, the Company shall execute and deliver a new Purchase Warrant of like tenor
and date. Any such new Purchase Warrant executed and delivered as a result of such loss, theft, mutilation or destruction shall
constitute a substitute contractual obligation on the part of the Company.


 


6.
Adjustments.


 


6.1
Adjustments to Exercise Price and Number of
Shares. The Exercise Price and the number of Shares underlying the Purchase Warrant shall be subject to adjustment from time
to time as hereinafter set forth:


 


6.1.1
Share Dividends; Split Ups. If,
after the date hereof, and subject to the provisions of Section 6.3 below, the number of outstanding Shares is increased by a
stock dividend payable in Shares or by a split up of Shares or other similar event, then, on the effective day thereof, the number
of Shares purchasable hereunder shall be increased in proportion to such increase in outstanding Shares, and the Exercise Price
shall be proportionately decreased.


 


6.1.2
Aggregation of Shares. If, after
the date hereof, and subject to the provisions of Section 6.3 below, the number of outstanding Shares is decreased by a consolidation,
combination or reclassification of Shares or other similar event, then, on the effective date thereof, the number of Shares purchasable
hereunder shall be decreased in proportion to such decrease in outstanding Shares, and the Exercise Price shall be proportionately
increased.


 


6.1.3
Replacement of Shares upon Reorganization,
etc. In case of any reclassification or reorganization of the outstanding Shares other than a change covered by Section
6.1.1 or 6.1.2 hereof or that solely affects the par value of such Shares, or in the case of any share reconstruction or amalgamation
or consolidation of the Company with or into another corporation or other entity (other than a consolidation or share reconstruction
or amalgamation in which the Company is the continuing corporation and that does not result in any reclassification or reorganization
of the outstanding Shares), or in the case of any sale or conveyance to another corporation or entity of the property of the Company
as an entirety or substantially as an entirety in connection with which the Company is dissolved, the Holder of this Purchase
Warrant shall have the right thereafter (until the expiration of the right of exercise of this Purchase Warrant) to receive upon
the exercise hereof, for the same aggregate Exercise Price payable hereunder immediately prior to such event, the kind and amount
of shares of stock or other securities or property (including cash) receivable upon such reclassification, reorganization, share
reconstruction or amalgamation, or consolidation, or upon a dissolution following any such sale or transfer, by a Holder of the
number of Shares of the Company obtainable upon exercise of this Purchase Warrant immediately prior to such event; and if any
reclassification also results in a change in Shares covered by Section 6.1.1 or 6.1.2, then such adjustment shall be made pursuant
to Sections 6.1.1, 6.1.2 and this Section 6.1.3. The provisions of this Section 6.1.3 shall similarly apply to successive reclassifications,
reorganizations, share reconstructions or amalgamations, or consolidations, sales or other transfers.


 




    	 



     


    




 


6.1.4
Changes in Form of Purchase Warrant.
This form of Purchase Warrant need not be changed because of any change pursuant to this Section 6.1, and any Purchase Warrant
issued after such change may state the same Exercise Price and the same number of Shares as are stated in the initial Purchase
Warrant. The acceptance by the Holder of the issuance of a new Purchase Warrant reflecting a required or permissive change shall
not be deemed to waive any rights to an adjustment occurring after the Commencement Date or the computation thereof.


 


6.2
Substitute Purchase Warrant. In case of
any consolidation of the Company with, or share reconstruction or amalgamation of the Company with or into, another corporation
or other entity (other than a consolidation or share reconstruction or amalgamation which does not result in any reclassification
or change of the outstanding Shares), the corporation or other entity formed by such consolidation or share reconstruction or
amalgamation shall execute and deliver to the Holder a supplemental Purchase Warrant providing that the holder of each Purchase
Warrant then outstanding or to be outstanding shall have the right thereafter (until the stated expiration of such Purchase Warrant)
to receive, upon exercise of such Purchase Warrant, the kind and amount of shares of stock and other securities and property receivable
upon such consolidation or share reconstruction or amalgamation, by a holder of the number of Shares of the Company for which
such Purchase Warrant might have been exercised immediately prior to such consolidation, share reconstruction or amalgamation,
sale or transfer. Such supplemental Purchase Warrant shall provide for adjustments which shall be identical to the adjustments
provided for in this Section 6. The above provision of this Section shall similarly apply to successive consolidations or share
reconstructions or amalgamations.


 


6.3
Elimination of Fractional Interests. The
Company shall not be required to issue certificates representing fractions of Shares upon the exercise of the Purchase Warrant,
nor shall it be required to issue scrip or pay cash in lieu of any fractional interests, it being the intent of the parties that
all fractional interests shall be eliminated by rounding any fraction up or down, as the case may be, to the nearest whole number
of Shares or other securities, properties or rights.


 




    	 



     


    




 


7.
Reservation and Listing. The Company shall
at all times reserve and keep available out of its authorized Shares, solely for the purpose of issuance upon exercise of the
Purchase Warrants, such number of Shares or other securities, properties or rights as shall be issuable upon the exercise thereof.
The Company covenants and agrees that, upon exercise of the Purchase Warrants and payment of the Exercise Price therefor, in accordance
with the terms hereby, all Shares and other securities issuable upon such exercise shall be duly and validly issued, fully paid
and non-assessable and not subject to preemptive rights of any shareholder. The Company further covenants and agrees that upon
exercise of the Purchase Warrants and payment of the exercise price therefor, all Shares and other securities issuable upon such
exercise shall be duly and validly issued, fully paid and non-assessable and not subject to preemptive rights of any shareholder.
As long as the Purchase Warrants shall be outstanding, the Company shall use its commercially reasonable efforts to cause all
Shares issuable upon exercise of the Purchase Warrants to be listed (subject to official notice of issuance) on all national securities
exchanges (or, if applicable, on the OTC Bulletin Board or any successor trading market) on which the Shares issued to the public
in the Offering may then be listed and/or quoted.


 


8.
Certain Notice Requirements.


 


8.1
Holder’s Right to Receive Notice.
Nothing herein shall be construed as conferring upon the Holders the right to vote or consent or to receive notice as a stockholder
for the election of directors or any other matter, or as having any rights whatsoever as a stockholder of the Company. If, however,
at any time prior to the expiration of the Purchase Warrants and their exercise, any of the events described in Section 8.2 shall
occur, then, in one or more of said events, the Company shall give written notice of such event at least fifteen (15) days prior
to the date fixed as a record date or the date of closing the transfer books (the “Notice Date”) for the determination
of the stockholders entitled to such dividend, distribution, conversion or exchange of securities or subscription rights, or entitled
to vote on such proposed dissolution, liquidation, winding up or sale. Such notice shall specify such record date or the date
of the closing of the transfer books, as the case may be. Notwithstanding the foregoing, the Company shall deliver to each Holder
a copy of each notice given to the other stockholders of the Company at the same time and in the same manner that such notice
is given to the stockholders.


 


8.2
Events Requiring Notice. The Company shall
be required to give the notice described in this Section 8 upon one or more of the following events: (i) if the Company shall
take a record of the holders of its Shares for the purpose of entitling them to receive a dividend or distribution payable otherwise
than in cash, or a cash dividend or distribution payable otherwise than out of retained earnings, as indicated by the accounting
treatment of such dividend or distribution on the books of the Company, (ii) the Company shall offer to all the holders of its
Shares any additional shares of capital stock of the Company or securities convertible into or exchangeable for shares of capital
stock of the Company, or any option, right or warrant to subscribe therefor, or (iii) a dissolution, liquidation or winding up
of the Company (other than in connection with a consolidation or share reconstruction or amalgamation) or a sale of all or substantially
all of its property, assets and business shall be proposed.


 


8.3
Notice of Change in Exercise Price. The
Company shall, within a reasonable time after an event requiring a change in the Exercise Price pursuant to Section 6 hereof,
send notice to the Holders of such event and change (“Price Notice”). The Price Notice shall describe the event
causing the change and the method of calculating same and shall be certified as being true and accurate by the Company’s
Chief Financial Officer.


 




    	 



     


    




 


8.4
Transmittal of Notices. All notices, requests,
consents and other communications under this Purchase Warrant shall be in writing and shall be deemed to have been duly made when
(1) hand delivered, (2) mailed by express mail or private courier service, (3) when the event requiring notice is disclosed in
all material respects and filed in a current report on Form 8-K or in a definitive proxy statement on Schedule 14A prior to the
Notice Date or (4) if sent by electronic mail, on the day the notice was sent if during regular business hours and, if sent outside
of regular business hours, on the following business day: (i) if to the registered Holder of the Purchase Warrant, to the address
of such Holder as shown on the books of the Company, or (ii) if to the Company, to following address or to such other address
as the Company may designate by notice to the Holders:


 


If
to the Holder:


 


____________

____________

____________

Attn:


 


with
a copy (which shall not constitute notice) to:


 


Carmel,
Milazzo & DiChiara LLP

55 West 39th Street, 18th Floor

New York, New York 10016

Attn: Peter DiChiara


Telephone:
(646) 561-9000

Fax No.: (646) 838-1314


 


If
to the Company:


 


Hancock
Jaffe Laboratories, Inc.

70 Doppler

Irvine, California 92618

Attention: Co-Chief Executive Officer


 


with
a copy (which shall not constitute notice) to:


 


K&L
Gates LLP

1 Park Plaza, 12th Floor

Irvine, California 92614

Attention: Michael A. Hedge

Telephone: (949) 253-0900


 


9.
Miscellaneous.


 


9.1
Amendments. The Company and the Underwriters
may from time to time supplement or amend this Purchase Warrant without the approval of any of the Holders in order to cure any
ambiguity, to correct or supplement any provision contained herein that may be defective or inconsistent with any other provisions
herein, or to make any other provisions in regard to matters or questions arising hereunder that the Company and Underwriters
may deem necessary or desirable and that the Company and Underwriters deem shall not adversely affect the interest of the Holders.
All other modifications or amendments shall require the written consent of and be signed by the party against whom enforcement
of the modification or amendment is sought.


 




    	 



     


    




 


9.2
Headings. The headings contained herein
are for the sole purpose of convenience of reference, and shall not in any way limit or affect the meaning or interpretation of
any of the terms or provisions of this Purchase Warrant.


 


9.3
Entire Agreement. This Purchase Warrant
(together with the other agreements and documents being delivered pursuant to or in connection with this Purchase Warrant) constitutes
the entire agreement of the parties hereto with respect to the subject matter hereof, and supersedes all prior agreements and
understandings of the parties, oral and written, with respect to the subject matter hereof.


 


9.4
Binding Effect. This Purchase Warrant
shall inure solely to the benefit of and shall be binding upon, the Holder and the Company and their permitted assignees, respective
successors, legal representative and assigns, and no other person shall have or be construed to have any legal or equitable right,
remedy or claim under or in respect of or by virtue of this Purchase Warrant or any provisions herein contained.


 


9.5
Governing Law; Submission to Jurisdiction;
Trial by Jury. This Purchase Warrant shall be governed by and construed and enforced in accordance with the laws of the State
of New York, without giving effect to conflict of laws principles thereof. The Company hereby agrees that any action, proceeding
or claim against it arising out of, or relating in any way to this Purchase Warrant shall be brought and enforced in the New York
Supreme Court, County of New York, or in the United States District Court for the Southern District of New York, and irrevocably
submits to such jurisdiction, which jurisdiction shall be exclusive. The Company hereby waives any objection to such exclusive
jurisdiction and that such courts represent an inconvenient forum. Any process or summons to be served upon the Company may be
served by transmitting a copy thereof by registered or certified mail, return receipt requested, postage prepaid, addressed to
it at the address set forth in Section 8 hereof. Such mailing shall be deemed personal service and shall be legal and binding
upon the Company in any action, proceeding or claim. The Company and the Holder agree that the prevailing party(ies) in any such
action shall be entitled to recover from the other party(ies) all of its reasonable attorneys’ fees and expenses relating
to such action or proceeding and/or incurred in connection with the preparation therefor. The Company (on its behalf and, to the
extent permitted by applicable law, on behalf of its stockholders and affiliates) and the Holder hereby irrevocably waive, to
the fullest extent permitted by applicable law, any and all right to trial by jury in any legal proceeding arising out of or relating
to this Agreement or the transactions contemplated hereby.


 


9.6
Waiver, etc. The failure of the Company
or the Holder to at any time enforce any of the provisions of this Purchase Warrant shall not be deemed or construed to be a waiver
of any such provision, nor to in any way affect the validity of this Purchase Warrant or any provision hereof or the right of
the Company or any Holder to thereafter enforce each and every provision of this Purchase Warrant. No waiver of any breach, non-compliance
or non-fulfillment of any of the provisions of this Purchase Warrant shall be effective unless set forth in a written instrument
executed by the party or parties against whom or which enforcement of such waiver is sought; and no waiver of any such breach,
non-compliance or non-fulfillment shall be construed or deemed to be a waiver of any other or subsequent breach, non-compliance
or non-fulfillment.


 


9.7
Execution in Counterparts. This Purchase
Warrant may be executed in one or more counterparts, and by the different parties hereto in separate counterparts, each of which
shall be deemed to be an original, but all of which taken together shall constitute one and the same agreement, and shall become
effective when one or more counterparts has been signed by each of the parties hereto and delivered to each of the other parties
hereto. Such counterparts may be delivered by facsimile transmission or other electronic transmission.


 


[Signature
Page Follows]


 




    	 



     


    

 


IN
WITNESS WHEREOF, the Company has caused this Purchase Warrant to be signed by its duly authorized officer as of the ______ day
of ________________, 2017.


 


	 	HANCOCK
    JAFFE LABORATORIES, INC.
	 	 	 
	 	By:	                   
	 	Name:	 
	 	Title:	 


 


Acknowledged
and Agreed


 


[HOLDER]


 


	By:
    	 	 
	Name:	 	 
	Title:	 	 



 



    	 



     


    

 


Form
of Exercise


 


The
undersigned holder hereby exercises the right to purchase _________________ of the shares of Common Stock (“Warrant Shares”)
of Hancock Jaffe Laboratories, Inc., a Delaware corporation (the “Company”), evidenced by the attached Common
Stock Purchase Warrant (the “Purchase Warrant”). Capitalized terms used herein and not otherwise defined shall
have the respective meanings set forth in the Purchase Warrant.


 


1.
Form of Exercise Price. The Holder intends that payment of the Exercise Price shall be made as:


 





	 	___________________	a “Cash Exercise” with respect to ________________Warrant Shares; and/or
	 	 	 
	 	___________________	a “Cashless Exercise” with respect to _______________ Warrant Shares.




 


2.
Payment of Exercise Price. In the event that the holder has elected a Cash Exercise with respect to some or all of the
Warrant Shares to be issued pursuant hereto, the holder shall pay the aggregate Exercise Price in the sum of $___________________
to the Company in accordance with the terms of the Purchase Warrant.


 


3.
Delivery of Warrant Shares. The Company shall deliver to the holder __________ Warrant Shares in accordance with the terms
of the Purchase Warrant. Please issue said Warrant Shares in the name of the undersigned or in such other name as is specified
below:


 


_______________________________


 


The
Warrant Shares shall be delivered to the following DWAC Account Number:


 


	 	 	 
	 	 	 
	 	 	 
	 	 	 
	 	 	 


 


	Date:
    _______________ __, ______	 
	 	 
	 	 
	Name
of Registered Holder	 


 


	By:	 	 
	Name:	 	 
	Title:	 	 



 



    	 



     


    

 


INSTRUCTIONS
FOR REGISTRATION OF SECURITIES


 


	Name:		 
	 	 	 
	 	(Print
    in Block Letters)	 


 


	Address:	 	 
	 	 	 
	 	 	 
	 	 	 
	 		 


 


NOTICE:
The signature to this form must correspond with the name as written upon the face of the Purchase Warrant without alteration or
enlargement or any change whatsoever, and must be guaranteed by a bank, other than a savings bank, or by a trust company or by
a firm having membership on a registered national securities exchange.


 




    	 



     


    




 


FORM
OF ASSIGNMENT


 


FOR
VALUE RECEIVED, the undersigned registered owner of this Purchase Warrant hereby sells, assigns and transfers unto the Assignee
named below all of the rights of the undersigned to purchase shares of common stock, par value $0.00001 per share, of Hancock
Jaffe Laboratories, Inc., a Delaware corporation (the “Company”), evidenced by the Purchase Warrant, with respect
to the number of shares of Common Stock set forth below.


 


	Name
    of Assignee	 	Address
    and Phone Number	 	No.
    of Shares
	 	 	 	 	 
	 	 	 	 	 
	 	 	 	 	 


 


The
undersigned also represents that, by assignment hereof, the Assignee acknowledges that this Purchase Warrant and the shares of
stock to be issued upon exercise hereof or conversion thereof are being acquired for investment and that the Assignee will not
offer, sell or otherwise dispose of this Purchase Warrant or any shares of stock to be issued upon exercise hereof or conversion
thereof except under circumstances which will not result in a violation of the Securities Act of 1933, as amended, or any state
securities laws. Further, the Assignee has acknowledged that upon exercise of this Purchase Warrant, the Assignee shall, if requested
by the Company, confirm in writing, in a form satisfactory to the Company, that the shares of stock so purchased are being acquired
for investment and not with a view toward distribution or resale.


 


	 	 
	Signature
    of Holder	 
	 	 
	Date	 


 


The
undersigned assignee agrees to be bound by all of the terms and conditions of this Purchase Warrant.


 


	 	 
	Signature
    of Assignee	 
	 	 
	Date