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...》

declaration I/We agree to the terms and conditions and application procedures in this Application Form and the Prospectus. Please refer to the Effect of completing and submitting this Application Form section of this Application Form. Warning: Only one application may be made for the benefit of any person. Please refer to the last four bullets of Effect of completing and submitting this Application Form section. 致:平安健康医疗科技有限公司 联席保荐人 联席全球协调人 联席账簿管理人 香港承销商 申请人声明 本人吾等同意本申请表格及招股章程的条款及 条件以及申请程序.见本申请表格 「填交本申请 表格的效用」 一节. 警告:任何人士只限作出一次为其利益而进行的 认购申请.请参阅 「填交本申请表格的效用」 一节 最后四点. S a m p l e S a land 成立的 e :

1833 代号 :

1833 1833 Price Pr ustment) tment) : HK$ HK$54.80 54.80 SFC transact SFC trans Exchange tradin Exchange t application, subje applicatio (If the Offer (I indicative Of indic Offer Pric Of HK$45.7 最高发售价 (视乎发售价 价 (视乎发售 下调情况而定) 下调情况而定) : 每股金交ld read this Application Form in this Application F pp tion on the application procedures. tion on the application proce pp p 章程尚有关於申请程序的其他资料 章程尚有关於申请程序的其 pp p pp p pp p App Ping An Healthcare and Technolog Ping An Healthcare oint Sponsors nt Global Coordinators ord Bookrunners ookrunner ng Underwrite g U larati t 样版股份 whole or in par ole o d under the law of tha nder 区内概不得发送或派发或 概不得发送或派 ecified in the cified in the Documents Delivered ocuments De ts Delivered to the Registrar of Compani Delivered to the Registrar of ar of Companies in Hong Kong as required by r of Companies in Hong Kong as required by ns) Ordinance (Cap. 32). Hong Kong Exchanges Ordinance (Cap. 32). Hong Kong Exchanges Stock Exchange xchange ), Hong Kong Securities Clearing ), Hong Kong Securities Clearin ion of Hong Kong (the Kong SFC F ) and the Registrar and the R hese documents. ese docum 港公司注册处处长及备查文件-送呈公司注册处 司注册处处长及备查文件-送呈公司注 项条文) 条例第 ) 条例第342C 42C条的规定,送呈香港公司注 规定,送呈香港公司 所有限公司 ( 「 有限公司 ( 「联交所 联交所」 ) 、香港中央结算有限公司 中央结算有限 及香港公司注册处处长对此等文件的内容概不负 公司注册处处长对此等文件的内容概不负 科技有限公司技有限公司chnology Company Limited ogy Company Limited ds with limited liability) with limited liability) 的有限公司) 公司) per Sha Sh tion Please use this form if you want the Hong Kong Offer Shares to be........