PDF《如 阁下欲以本身名义登记将获发行的香港发售股份,请使用本...》

Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 阁下欲以本身名义登记将获发行的香港发售股份,请使用本表格 ? This Application Form uses the same terms as defined in the prospectus of Ping An Healthcare and Technology Company Limited (the Company ) dated April 23,

2018 (the Prospectus ).

本申请表格使用平安健康医疗科技有限公司 ( 「本公司」 ) 於2018 年4月23 日刊发的招股章程 ( 「招股章程」 ) 所界定 的词语. Neither this Application Form nor the Prospectus constitutes an offer to sell or the solicitation of an offer to buy any Hong Kong Offer Shares in any jurisdiction other than Hong Kong. The Hong Kong Offer Shares may not be offered or sold in the United States without registration or an exemption from registration under the U.S. Securities Act. 本申请表格及招股章程概不构成在香港以外司法权区要约出售或游说要约购买香港发售股份.若无根拦 券法登记或豁免登记,香港发售股份不得在美国提呈发售或出售. This Application Form and the Prospectus may not be forwarded or distributed or reproduced (in whole 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. 在任何根钡胤坏梅⑺汀⑴煞⒒蚋粗票旧昵氡砀窦罢泄烧鲁痰乃痉ㄈㄇ诟挪坏梅⑺突蚺煞⒒蚋粗 (不 论方式,也不论全部或部分) 本申请表格及招股章程. Copies of the Prospectus, all related Application Forms and the other documents specified in the Documents Delivered to the Registrar of Companies in Hong Kong and Available for Inspection C Documents Delivered to the Registrar of Companies section in Appendix V 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 (Cap. 32). Hong Kong Exchanges and Clearing Limited, The Stock Exchange of Hong Kong Limited (the Stock Exchange ), Hong Kong Securities Clearing Company Limited ( HKSCC ), the Securities and Futures Commission of Hong Kong (the SFC ) and the Registrar of Companies of Hong Kong take no responsibility for the contents of these documents. 招股章程、所有相关申请表格及招股章程附录五 「送呈香港公司注册处处长及备查文件-送呈公司注册处处长 文件」 一节所述其他文件已遵照第32章公司 (清盘及杂项条文) 条例第342C条的规定,送呈香港公司注册处处 长登记.香港交易及结算所有限公司、香港联合交易所有限公司 ( 「联交所」 ) 、香港中央结算有限公司 ( 「香港结 算」 ) 、香港证券及期货事务监察委员会 ( 「证监会」 ) 及香港公司注册处处长对此等文件的内容概不负责. 平安健康医疗科技有限公司Ping An Healthcare and Technology Company Limited (Incorporated in the Cayman Islands with limited liability) (於开曼群岛注册成立的有限公司) Stock Code :

1833 股份代号 :

1833 Maximum Offer Price (subject to a Downward Offer Price Adjustment) : HK$54.80 per Share plus brokerage of 1.0%, SFC transaction levy of 0.0027% and the Stock Exchange trading fee of 0.005% (payable in full on application, subject to refund) (If the Offer Price is set at 10% below the indicative Offer Price after making a Downward Offer Price Adjustment, the Offer Price will be HK$45.75 per Hong Kong Offer Share) 最高发售价 (视乎发售价 下调情况而定) : 每股发售股份54.80 港元, 另加1.0% 经纪佣金、0.0027% 证监会交易徵费及 0.005% 联交所 交易费 (须於申请时以港元缴足,多缴股款可予 退还) (若作出发售价下调后所厘定发售价低於 指示性发售价围的下限的 10%,发售价将为 每股香港发售股份45.75 港元) You should read this Application Form in conjunction with the Prospectus, which contains further information on the application procedures. 招股章程尚有关於申请程序的其他资料,本申请表格应与招股章程一并阅读. Application Form 申请表格 Staple your payment here 请将股款 紧钉在此 To: Ping An Healthcare and Technology Company Limited Joint Sponsors Joint Global Coordinators Joint Bookrunners Hong Kong Underwriters Applicants'