PDF《创毅控股有限公司》

3992 股份代号 :

3992 Maximum Offer Price : HK$1.1 per Offer Share, plus brokerage of 1%, SFC transaction levy of 0.0027% and Stock Exchange trading fee of 0.005% (payable in full on application in Hong Kong dollars and subject to refund) 最高发售价 : 每股发售股份1.1港元,另加1%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,并可予退还) You should read this Application Form in conjunction with the Prospectus, which contains further information on the application procedures. 招股章程尚有其他关於申请程序的资料,本申请表格应与招股章程一并阅读. Application Form 申请表格 Please use this form if you want the Public Offer Shares to be issued in your name 如 阁下欲以本身名义登记将获发行的公开发售股份,请使用本表格 Signed by (all) applicant(s) (all joint applicants must sign): 由 (所有) 申请人签署 (所有联名申请人必须签署) : Date: 日期: D日 M月 Y年Number of Public Offer Shares applied for (not more than 6,250,000 shares) 申请认购的公开发售股份数目 (不超过6,250,000股股份) Total amount 总额 Occupation in English 职业 (以英文填写) Hong Kong Identity Card No./Passport No./Hong Kong Business Registration No.* (Please delete as appropriate) 香港身份证号码 护照号码香港商业登记号码* (请删除不适用者) Hong Kong Identity Card No./Passport No./Hong Kong Business Registration No. of all other joint applicants* (Please delete as appropriate) 所有其他联名申请人的香港身份证号码护照号 码香港商业登记号码*(请删除不适用者) Names of all other joint applicants in English (if any, in BLOCK letters) 所有其他联名申请人的英文姓名名称 (如有,大写字母) Name in English (in BLOCK letters) 英文姓名名称 (大写字母) Name in Chinese 中文姓名名称 (1) (2) (3) (1) (2) (3) For Internal use 此栏供内部使用 Telephone No. 电话号码 Hong Kong address in English and telephone no. (joint applicants should give the address and the telephone number of first-named applicant only in BLOCK letters) 香港地址 (以英文填写) 及电话号码 (联名申请人只须以大写字母填写排名首位申请人的地址及电话号码) For Nominees: You will be treated as applying for your own benefit if you do not complete this section. Please provide an account number or identification code for each (joint) beneficial owner. 由代名人递交: 代名人若不填写本节, 是项认购申请将视作 为 阁下本身利益提出.请填写每名 (联名) 实益拥有人的账户 号码或识别编码. ADDRESS LABEL 地址标贴 (Your name(s) and address in Hong Kong in BLOCK letters 请用英文大写字母填写姓名名称及香 港地址) For Broker use 此栏供经纪填写 Lodged by 递交申请的经纪 Broker No. 经纪号码 Broker'

s Chop 经纪印章 Family name or company name 姓氏或公司名称 Forename(s)名字 Family name or company name 姓氏或公司名称 Forename(s)名字 HK$ 港元 Cheque/banker'

s cashier order number 支票银行本票号码 Name of bank on which cheque/banker'

s cashier order is drawn (see How to make your application section) 兑现支票银行本票的银行名称 (见 「申请手续」 一节) * (1) An individual must provide his Hong Kong Identity Card number or, if he does not hold a Hong Kong Identity Card, his passport number. A body corporate must provide its Hong Kong Business Registration number. Each joint applicant must provide its or his relevant number. The Hong Kong Identity Card number(s)/passport number(s)/Hong Kong Business Registration number(s) will be transferred to a third party for checking the Application Form'