PDF《兰州庄园牧场股份有限公司》

1 We confirm that we have (i) complied with the Guidelines for Electronic Public Offerings 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: 吾等确认,吾等已:(i)遵守电子公开发售指引及透过银行股票经纪递交白表eIPO申请的操作程 序以及与吾等就香港公开发售提供白表eIPO服务有关的所有适用法例及规例 (法定或其他) ;

及(ii)细阅招股章程及本申请表格所载的条款及条件及申请手续,并同意受其约束.为代表与本申请 有关的各相关申请人提出申请,吾等: ? apply for the number of Hong Kong Public Offer Shares set out below, on the terms and conditions of the Prospectus and this Application Form, and subject to the Memorandum and the Articles of Association;

? 按照招股章程及本申请表格的条款及条件,并在组织章程大纲及细则的规限下,申请认购以 下数目的香港公开发售股份;

? enclose payment in full for the Hong Kong Public Offer Shares applied for, including 1% brokerage, 0.0027% SFC transaction levy and 0.005% Hong Kong Stock Exchange trading fee;

? 夹附所申请认购的香港公开发售股份所需的全数股款 (包括1%经纪佣金、0.0027%证监会交 易徵费及0.005%香港联交所交易费) ;

? confirm that the underlying applicants have undertaken and agreed to accept the Hong Kong Public Offer Shares applied for, or any lesser number allocated to such underlying applicants on this application;

? 确认相关申请人已承诺及同意接纳根昵胨昵胧炕蛩穹峙涞娜魏谓仙偈康南愀酃 开发售股份;

? understand that the Company and the Sole Global Coordinator will rely on these declarations and representations in deciding whether or not to make any allotment of any of the Hong Kong Public Offer Shares to the underlying applicant(s) and that such underlying applicant(s) may be prosecuted for making a false declaration;

? 明白 贵公司及独家全球协调人将依说壬骷俺率龆龆ㄊ欠裣蛳喙厣昵肴伺浞⑷魏蜗 港公开发售股份,相关申请人如作出虚假声明,可能会被检控;

? authorise the Company to place the name(s) of the underlying applicant(s) on the register of members of the Company as the holder(s) of any Hong Kong Public Offer Shares to be allotted to them, and (subject to the terms and conditions set out in this Application Form) to send any share certificate(s) (where applicable) by ordinary post at that underlying applicant'

s own risk to the address stated in the application instruction of that underlying applicant in accordance with the procedures prescribed in this Application Form and in the Prospectus;

? 授权 贵公司将相关申请人的姓名名称列入 贵公司股东名册内,作为任何将配发予相关 申请人的任何香港公开发售股份的持有人,并 (在符合本申请表格所载条款及条件的情况下) 根旧昵氡砀窦罢泄烧鲁趟爻绦,按相关申请人的申请指示所示地址以普通邮递方式寄 发任何股票 (如适用) ,邮误风险概由该相关申请人承担;

? request that any e-Refund payment instructions be despatched to the application payment account where the applicants had paid the application monies from a single bank account;