PDF《Harbin Bank Co., Ltd. *》

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 bene?t of any person. Please refer to the last four bullets of Effect of completing and submitting this Application Form section. 致: 哈尔滨银行股份有限公司 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书的条款及条件以及申请 程序.请参阅本申请表格 「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. ? * For identi?cation purposes only. * 仅供识别. ** Harbin Bank Co., Ltd. is not an authorized institution within the meaning of the Banking Ordinance (Chapter

155 of Laws of Hong Kong), not subject to the supervision of the Hong Kong Monetary Authority, and not authorized to carry on banking/deposit-taking business in Hong Kong. ** 哈尔滨银行股份有限公司根愀鄯155章银行业条例并非一家认可机构,不受香港金融管理局监督,亦不获授权在 香港经营银行存款业务. Staple your payment here 请将股款 紧钉在此 Please use this form if you want the Hong Kong Offer Shares to be issued in the name of HKSCC Nominees Limited ( HKSCC Nominees ) and deposited directly into the Central Clearing and Settlement System ( CCASS ) for credit to your CCASS Investor Participant stock account or the stock account of your designated CCASS Participant 如 阁下欲以香港中央结算 (代理人) 有限公司 ( 「香港结算代理人」 ) 的名........