| 時間：2020年12月16日 07:55:59 中財網 |
原標題:CGII HLDGS:黃色申請表格
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 閣下欲以香港中央結算（代
理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並直接存入中央結算及交收系統（「中央結算系統」），
以記存於 閣下的中央結算系統投資者戶口持有人股份戶口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
Staple your
payment
here
請將股款
緊釘在此
This Application Form uses the same terms as defined in the prospectus of CHINA GAS INDUSTRY
INVESTMENT HOLDINGS CO. LTD. (the 「Company」) dated Wednesday, 16 December 2020 (the
「Prospectus」). 本申請表格使用CHINA GAS INDUSTRY INVESTMENT HOLDINGS CO. LTD.（「本公
司」）日期為2020年12月16日（星期三）的招股章程（「招股章程」）所界定的詞語。
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. 本申請表格及招股章程概不構成在香港以外司法權區要約出售或遊說要約購買香港發售
股份。若無根據美國證券法登記或豁免登記，香港發售股份不得在美國提呈發售或出售。
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. 在任何根據當地法例不得發送、派發或複製本申請表格及招
股章程的司法權區內概不得發送或派發或複製（不論方式，也不論全部或部分）本申請表格及招股章程。
Copies of the Prospectus, all related Application Forms and the other documents specified in 「Appendix V
– Documents Delivered to the Registrar of Companies in Hong Kong and Available for Inspection」 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 (Chapter 32 of the Laws of Hong
Kong). 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 in Hong Kong take no responsibility
for the contents of these documents. 招股章程、所有相關申請表格及招股章程「附錄五－送呈香港公司註
冊處處長及備查文件」所述其他文件已根據香港法例第32章《公司（清盤及雜項條文）條例》第342C條
規定送呈香港公司註冊處處長登記。香港交易及結算所有限公司、香港聯合交易所有限公司（「聯交
所」）、香港中央結算有限公司（「香港結算」）、香港證券及期貨事務監察委員會（「證監會」）及香港公司
註冊處處長對此等文件的內容概不負責。
CHINA GAS INDUSTRY INVESTMENT HOLDINGS CO. LTD.
(incorporated in the Cayman Islands with members』 limited liability)
（於開曼群島註冊成立的成員有限公司）
Stock Code
:
1940
股份代號
:
1940
Maximum Offer Price
:
HK$1.77 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,
subject to refund)
最高發售價
:
每股發售股份1.77港元，另加1%經紀佣金、0.0027%
證監會交易徵費及0.005%聯交所交易費（須於申請時
繳足，並可予退還）
You should read this Application Form in conjunction with the Prospectus, which contains further
information on the application procedures.
招股章程尚有其他關於申請程序的資料，本申請表格應與招股章程一併閱讀。
Application Form 申請表格
To: CHINA GAS INDUSTRY INVESTMENT
HOLDINGS CO. LTD.
The Sole Sponsor
The Sole Representative
The Joint Global Coordinators
The Joint Bookrunners
The Joint Lead Managers
The Hong Kong Underwriters
Applicants』 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： CHINA GAS INDUSTRY INVESTMENT
HOLDINGS CO. LTD.
獨家保薦人
獨家代表
聯席全球協調人
聯席賬簿管理人
聯席牽頭經辦人
香港包銷商
申請人聲明
本人╱吾等同意本申請表格及招股章程的條款及條
件以及申請程序。請參閱本申請表格「填交本申請
表格的效用」一節。
警告：任何人士只限作出一次為其利益而進行的認
購申請。請參閱「填交本申請表格的效用」一節最
後四點。
.
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 閣下欲以香港中央結算（代
理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並直接存入中央結算及交收系統（「中央結算系統」），
以記存於 閣下的中央結算系統投資者戶口持有人股份戶口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
Signed by (all) applicant(s) (all joint applicants must sign):
For Broker use 此欄供經紀填寫
Lodged by 遞交申請的經紀
由（所有）申請人簽署（所有聯名申請人必須簽署）：
Broker No. 經紀號碼
Broker’s Chop 經紀印章
Date：日期： ..................../ ........................./ ........................
D日M月Y年
Number of Hong Kong Offer Shares applied for
(not more than 15,000,000 Shares)
申請香港發售股份數目（不超過15,000,000股股份）
Cheque/banker’s cashier order number 支票╱銀行本票號碼
Name of bank on which cheque/Banker’s cashier order is
drawn (see 「How to make your application」 section)兌現支
票╱銀行本票的銀行名稱（見「申請手續」一節）
Total amount 總額
HK$ 港元
Name in English (in BLOCK letters) 英文姓名╱名稱（以正楷填寫）
Family name or company name姓氏或公司名稱
Forename(s)名字
Name in Chinese 中文姓名╱名稱
Family name or company name姓氏或公司名稱
Forename(s)名字
Occupation in English 職業（以英文填寫）
Hong Kong Identity Card No./Passport No./Hong Kong business
registration No.* (Please delete as appropriate) 香港身份證號碼╱
護照號碼╱香港商業登記號碼*（請刪除不適用者）
Names of all other joint applicants in English (if any, in BLOCK letters)
Hong Kong Identity Card No./Passport No./Hong Kong Business
Registration No. of all other joint applicants* (Please delete as
appropriate) 所有其他聯名申請人的香港身份證號碼╱護照號碼
╱香港商業登記號碼*（請刪除不適用者）
所有其他聯名申請人的英文姓名╱名稱（如有，以正楷填寫）
1)
2)
1)
2)
3)
3)
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（以英文正楷填寫）及電話號碼（聯名申請人只須填寫排名首位申請人的地址及電話號碼）
Telephone No.電話號碼
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. 由代名人遞交：代名人若不填寫本節，是
項認購申請將視作為 閣下利益提出。請填寫每名（聯名）
實益擁有人的賬戶號碼或識別編碼。
ADDRESS LABEL 地址標貼 (Your name(s) and address in
Hong Kong in BLOCK letters 請用英文正楷填寫姓名╱名
稱及香港地址）
For Internal use
此欄供內部使用
THIS BOX MUST BE DULY COMPLETED
必須填妥此欄
Participant I.D. of the CCASS Investor Participant or designated
CCASS Participant 中央結算系統投資者戶口持有人或指定
中央結算系統參與者的參與者編號
For designated CCASS Participant or Corporate CCASS Investor Participant,
please also affix the company chop bearing its company name 指定的中央結算系
統參與者或中央結算系統公司投資者戶口持有人，請加蓋顯示公司名稱的公司
印鑑
(See paragraph 2 in the section 「How to make your application」)
（請參閱「申請手續」一節第2段）
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 閣下欲以香港中央結算（代
理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並直接存入中央結算及交收系統（「中央結算系統」），
以記存於 閣下的中央結算系統投資者戶口持有人股份戶口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
*(1) If you are a CCASS Investor Participant, only a Hong Kong Identity Card number (if you are
an individual) or a Hong Kong business registration number (if you are a body corporate) will
be accepted for this application, please see paragraph 2 under the section 「How to make your
application」.
如 閣下為中央結算系統投資者戶口持有人，是項申請僅接納香港身份證號碼（如屬個別人士）
或香港商業登記號碼（如屬法人團體）；請參閱「申請手續」一節第2段。
(2) If you are applying through a designated CCASS Participant (other than a CCASS Investor
Participant): For an individual, you must provide your Hong Kong Identity Card number or
passport number. If you hold a Hong Kong Identity Card, please provide that number. If you do
not hold a Hong Kong Identity Card, please provide your passport number. For a body corporate,
please provide your Hong Kong business registration number.
如 閣下透過中央結算系統投資者戶口持有人以外的指定中央結算系統參與者提出申請：如屬
個別人士，必須填寫 閣下的香港身份證號碼或護照號碼（持有香港身份證者請填寫香港身份
證號碼，否則請填寫護照號碼）；如屬法人團體，請填寫香港商業登記號碼。
(3) Part of the Hong Kong Identity Card number/passport number of you or, for joint applicants, the
first-named applicant may be printed on your refund cheque (if any). Such data will be used for
checking the validity of Application Form and such data would also be transferred to a third party
for such purpose and refund purpose. Your banker may require verification of your Hong Kong
Identity Card number/passport number before you can cash your refund cheque.
退款支票（如有）上或會印有 閣下或（如屬聯名申請人）排名首位申請人的香港身份證號碼╱
護照號碼的一部分。有關資料將用於核實申請表格的有效性，亦會轉交第三方作資料核實和退
款。銀行兌現退款支票前或會要求查證 閣下的香港身份證號碼╱護照號碼。
(4) If an application is made by an unlisted company and:
. the principal business of that company is dealing in securities; and
. you exercise statutory control over that company,
then the application will be treated as being made for your benefit.
倘若申請人是一家非上市公司，而：
. 該公司主要從事證券買賣業務；及
. 閣下對該公司可行使法定控制權，
是項申請將視作為 閣下的利益提出。
(5) All joint applicants must give (if they are individuals) their Hong Kong Identity Card numbers or,
where applicable, passport numbers, or (if they are bodies corporate) their Hong Kong Business
Registration numbers.
所有聯名申請人必須提供（如屬個別人士）其香港身份證號碼或（如適用）護照號碼，或（如屬法
人團體）其香港商業登記號碼。
This page is intentionally left blank
此乃白頁 特意留空
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
How to make your application
1.Use the table below to calculate how much you must pay. Your application must be for a minimum
of 2,000 Hong Kong Offer Shares and in one of the numbers set out in the table, or your application
will be rejected.
NUMBER OF SHARES THAT MAY BE APPLIED FOR AND PAYMENTS
No. of
Hong Kong
Offer Shares
applied for
Amount
payable on
application
HK$
No. of
Hong Kong
Offer Shares
applied for
Amount
payable on
application
HK$
No. of
Hong Kong
Offer Shares
applied for
Amount
payable on
application
HK$
No. of
Hong Kong
Offer Shares
applied for
Amount
payable on
application
HK$
2,000
3,575.68
50,000
89,391.82
800,000
1,430,269.03
11,000,000
19,666,199.19
4,000
7,151.34
60,000
107,270.18
900,000
1,609,052.66
12,000,000
21,454,035.48
6,000
10,727.02
70,000
125,148.55
1,000,000
1,787,836.29
13,000,000
23,241,871.77
8,000
14,302.69
80,000
143,026.90
2,000,000
3,575,672.58
14,000,000
25,029,708.06
10,000
17,878.37
90,000
160,905.27
3,000,000
5,363,508.87
15,000,000(1)
26,817,544.35
12,000
21,454.03
100,000
178,783.63
4,000,000
7,151,345.16
14,000
25,029.71
200,000
357,567.26
5,000,000
8,939,181.45
16,000
28,605.38
300,000
536,350.89
6,000,000
10,727,017.74
18,000
32,181.05
400,000
715,134.52
7,000,000
12,514,854.03
20,000
35,756.73
500,000
893,918.15
8,000,000
14,302,690.32
(1)Maximum number of Hong
Kong Offer Shares you may
apply for.
30,000
53,635.09
600,000
1,072,701.77
9,000,000
16,090,526.61
40,000
71,513.45
700,000
1,251,485.40
10,000,000
17,878,362.90
2.You, as the applicant(s), must complete the form in English (in BLOCK letters) as indicated below
and sign on the second page of the Application Form. Only written signatures will be accepted (and
not by way of personal chop).
If you are applying through a designated CCASS Participant (other than a CCASS investor
participant):
.the designated CCASS Participant must endorse the form with its company chop (bearing its
company name) and insert its participant I.D. in the appropriate box.
If you are applying as an individual CCASS Investor Participant:
.the form must contain your NAME and Hong Kong I.D. Card number.
.your participant I.D. must be inserted in the appropriate box.
If you are applying as a joint individual CCASS Investor Participant:
.the form must contain all joint investor participants』 NAMES and the Hong Kong I.D. Card
number of all joint investor participants;
.your participant I.D. must be inserted in the appropriate box.
If you are applying as a corporate CCASS Investor Participant:
.the form must contain your company NAME and Hong Kong Business Registration number;
.your participant I.D. and your company chop (bearing your company name) must be inserted in
the appropriate box.
Incorrect or omission of details of the CCASS Participant including participant I.D. and/or company
chop bearing its company name or other similar matters may render your application invalid.
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
3. Staple your cheque or banker’s cashier order to the form. Each application for the Hong Kong Offer
Shares must be accompanied by either one separate cheque or one separate banker’s cashier order.
Your application will be rejected if your cheque or banker’s cashier order does not meet all the
following requirements:
The cheque must:
Banker’s cashier order must:
. be in Hong Kong dollars;
. not be post-dated;
. be made payable to 「BANK OF CHINA (HONG KONG) NOMINEES LIMITED — CHINA
GAS INDUSTRY INVESTMENT PUBLIC OFFER」;
. be crossed 「Account Payee Only」;
. be drawn on your Hong Kong dollar bank
account in Hong Kong; and
. show your account name, which must either
be pre-printed on the cheque, or be endorsed
on the back by a person authorised by the
bank. This account name must correspond
with your name. If it is a joint application,
the account name must be the same as the
first-named applicant’s name.
. be issued by a licensed bank in Hong Kong,
and have your name certified on the back by
a person authorised by the bank. The name on
the banker’s cashier order must correspond
with your name. If it is a joint application,
the name on the back of the banker’s cashier
order must be the same as the first-named
applicant’s name.
4. Tear off the Application Form, fold it once and lodge your completed Application Form (with
cheque or banker’s cashier order attached) to one of the collection boxes at any of the following
branches of the receiving bank, Bank of China (Hong Kong) Limited:
District
Branch
Address
Hong Kong Island
Lee Chung Street Branch
29-31 Lee Chung Street
Chai Wan, Hong Kong
Kowloon
Ma Tau Kok Road Branch
39-45 Ma Tau Kok Road,
To Kwa Wan, Kowloon
New Territories
Yuen Long Branch
102-108 Castle Peak Road,
Yuen Long, New Territories
5. Your Application Form can be lodged at these times:
Wednesday, 16 December 2020
—
9:00 a.m. to 4:00 p.m.
Thursday, 17 December 2020
—
9:00 a.m. to 4:00 p.m.
Friday, 18 December 2020
—
9:00 a.m. to 4:00 p.m.
Saturday, 19 December 2020
—
9:00 a.m. to 12:00 noon
Monday, 21 December 2020
—
9:00 a.m. to 12:00 noon
6. The latest time for lodging your application is 12:00 noon on Monday, 21 December 2020. The
application lists will be open between 11:45 a.m. and 12:00 noon on that day, subject only to the
weather conditions, as described in the section 「How to Apply for Hong Kong Offer Shares – 10.
Effect of Bad Weather and/or Extreme Conditions on the Opening of the Application Lists」 in the
Prospectus.
如 閣下欲以香港中央結算（代理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並
直接存入中央結算及交收系統（「中央結算系統」），以記存於 閣下的中央結算系統投資者戶口持有人股份戶
口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
申請手續
1. 使用下表計算 閣下應付的款項。 閣下申請認購的股數須至少為2,000股香港發售股份，並為
下表所列的其中一個數目，否則恕不受理。
可供申請認購股份數目及應繳款項
申請認購的
香港發售
股份數目
申請時
應繳款項
港元
申請認購的
香港發售
股份數目
申請時
應繳款項
港元
申請認購的
香港發售
股份數目
申請時
應繳款項
港元
申請認購的
香港發售
股份數目
申請時
應繳款項
港元
2,000
3,575.68
50,000
89,391.82
800,000
1,430,269.03
11,000,000
19,666,199.19
4,000
7,151.34
60,000
107,270.18
900,000
1,609,052.66
12,000,000
21,454,035.48
6,000
10,727.02
70,000
125,148.55
1,000,000
1,787,836.29
13,000,000
23,241,871.77
8,000
14,302.69
80,000
143,026.90
2,000,000
3,575,672.58
14,000,000
25,029,708.06
10,000
17,878.37
90,000
160,905.27
3,000,000
5,363,508.87
15,000,000(1)
26,817,544.35
12,000
21,454.03
100,000
178,783.63
4,000,000
7,151,345.16
14,000
25,029.71
200,000
357,567.26
5,000,000
8,939,181.45
16,000
28,605.38
300,000
536,350.89
6,000,000
10,727,017.74
18,000
32,181.05
400,000
715,134.52
7,000,000
12,514,854.03
20,000
35,756.73
500,000
893,918.15
8,000,000
14,302,690.32
(1) 閣下可申請認購的香港發
售股份最高數目。
30,000
53,635.09
600,000
1,072,701.77
9,000,000
16,090,526.61
40,000
71,513.45
700,000
1,251,485.40
10,000,000
17,878,362.90
2. 閣下作為申請人，必須按照下列指示以英文正楷填妥表格，並於申請表格第二頁簽署，只接納
親筆簽名（不得以個人印章代替）。
如 閣下透過中央結算系統投資者戶口持有人以外的指定中央結算系統參與者提出申請：
. 該指定中央結算系統參與者必須於表格蓋上公司印鑑（附有公司名稱），並在適當方格內填寫
參與者編號。
如 閣下以個人中央結算系統投資者戶口持有人名義提出申請：
. 表格須載有 閣下的姓名和香港身份證號碼。
. 須在適當方格內填寫 閣下的參與者編號。
如 閣下以聯名個人中央結算系統投資者戶口持有人名義提出申請：
. 表格須載有所有聯名投資者戶口持有人的姓名和香港身份證號碼；
. 須在適當方格內填寫 閣下的參與者編號。
如 閣下以中央結算系統公司投資者戶口持有人名義提出申請：
. 表格須載有 閣下的公司名稱和香港商業登記號碼；
. 須在適當方格內填寫 閣下的參與者編號並蓋上公司印鑑（附有公司名稱）。
中央結算系統參與者的資料（包括參與者編號及╱或顯示公司名稱之公司印鑑）或其他類似事項
如有不確或遺漏，均可能導致申請無效。
如 閣下欲以香港中央結算（代理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並
直接存入中央結算及交收系統（「中央結算系統」），以記存於 閣下的中央結算系統投資者戶口持有人股份戶
口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
3. 閣下須將支票或銀行本票釘於表格上。每份香港發售股份申請須附一張獨立開出支票或一張獨
立開出銀行本票。支票或銀行本票必須符合以下所有規定，否則有關的認購申請不獲接納：
支票必須：
銀行本票必須：
. 為港元；
. 不得為期票；
. 註明抬頭人為「中國銀行（香港）代理人有限公司－CHINA GAS INDUSTRY INVESTMENT
公開發售」；
. 劃線註明「只準入抬頭人賬戶」；
. 從 閣下在香港的港元銀行賬戶中開出；及
. 顯示 閣下的賬戶名稱，而該賬戶名稱必須
已預印在支票上，或由有關銀行授權的人士
在支票背書。賬戶名稱必須與 閣下姓名╱
名稱相同。如屬聯名申請，該賬戶名稱必須
與排名首位申請人的姓名╱名稱相同。
. 須由香港持牌銀行開出，並由有關銀行授權
的人士在銀行本票背面簽署核證 閣下姓
名╱名稱。銀行本票所示姓名╱名稱必須
與 閣下姓名╱名稱相同。如屬聯名申請，
銀行本票背面所示姓名╱名稱必須與排名首
位申請人的姓名╱名稱相同。
4. 請撕下申請表格，對摺一次，然後將填妥的申請表格（連同支票或銀行本票）投入收款銀行，中
國銀行（香港）有限公司下列任何一家分行特設的收集箱：
地區
分行
地址
香港島
利眾街分行
香港柴灣利眾街29-31號
九龍
馬頭角道分行
九龍土瓜灣馬頭角道39-45號
新界
元朗分行
新界元朗青山公路102-108號
5. 閣下可於下列時間遞交申請表格：
2020年12月16日（星期三）
—
上午九時正至下午四時正
2020年12月17日（星期四）
—
上午九時正至下午四時正
2020年12月18日（星期五）
—
上午九時正至下午四時正
2020年12月19日（
星期六）
—
上午九時正至中午十二時正
2020年12月21日（星期一）
—
上午九時正至中午十二時正
6. 截止遞交申請的時間為2020年12月21日（星期一）中午十二時正。本公司將於當日上午十一時
四十五分至中午十二時正期間登記認購申請，唯一會影響此時間的變化因素為當日的天氣情況
（詳見招股章程「如何申請香港發售股份－10.惡劣天氣及╱或極端情況對開始辦理申請登記的影
響」一節）。
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
CHINA GAS INDUSTRY INVESTMENT HOLDINGS CO. LTD.
(incorporated in the Cayman Islands with members』 limited liability)
GLOBAL OFFERING
Conditions of your application
A. Who can apply
1. You and any person(s) for whose benefit you are applying must
be 18 years of age or older and must have a Hong Kong address.
2. If you are a firm, the application must be in the individual
members』 names.
3. The number of joint applicants may not exceed 4.
4. If you are a body corporate, the application must be signed by a
duly authorised officer, who must state his or her representative
capacity, and stamped with your corporation’s chop.
5. You must be outside the United States, not be a United States
Person (as defined in Regulation S) and not be a legal or natural
person of the PRC.
6. Unless permitted by the Listing Rules, you cannot apply for any
Hong Kong Offer Shares if you:
. are an existing beneficial owner of Shares in the Company
and/or any of its subsidiaries;
. are a Director or chief executive officer of the Company
and/or any of its subsidiaries;
. are a core connected person of the Company or will become
a core connected person of the Company immediately upon
completion of the Global Offering;
. are a close associate of any of the above; or
. have been allocated or have applied for or indicated an
interest in any International Offer Shares or otherwise
participate in the International Offering.
B. If you are a nominee
You, as a nominee, may make more than one application for the Hong
Kong Offer Shares by: (i) giving electronic application instructions
to HKSCC via Central Clearing and Settlement System (「CCASS」) (if
you are a CCASS Participant); or (ii) using a WHITE or YELLOW
Application Form, and lodge more than one application in your own
name on behalf of different beneficial owners.
C. Effect of completing and submitting this Application Form
By completing and submitting this Application Form, among other
things, you (and if you are joint applicants, each of you jointly and
severally) for yourself or as an agent or a nominee on behalf of each
person for whom you act:
. undertake to execute all relevant documents and instruct and
authorise the Company and/or the Sole Representative (or their
agents or nominees), as agents of the Company, to execute any
documents for you and to do on your behalf all things necessary
to register any Hong Kong Offer Shares allocated to you in
the name of HKSCC Nominees as required by the Articles of
Association;
. agree to comply with the Companies Ordinance, the Companies
(Winding Up and Miscellaneous Provisions) Ordinance and the
Articles of Association;
. confirm that you have read the terms and conditions and
application procedures set out in the Prospectus and in this
Application Form and agree to be bound by them;
. confirm that you have received and read the Prospectus and have
only relied on the information and representations contained in
the Prospectus in making your application and will not rely on
any other information or representations except those in any
supplement to the Prospectus;
. confirm that you are aware of the restrictions on the Global
Offering in the Prospectus;
. agree that none of the Company, the Sole Sponsor, the Sole
Representative, the Joint Global Coordinators, the Joint
Bookrunners, the Joint Lead Managers, the Underwriters, their
respective directors, officers, employees, partners, agents,
advisers and any other parties involved in the Global Offering is
or will be liable for any information and representations not in
the Prospectus (and any supplement to it);
. undertake and confirm that you or the person(s) for whose benefit
you have made the application have not applied for or taken up,
or indicated an interest for, and will not apply for or take up,
or indicate an interest for, any International Offer Shares under
the International Offering nor participated in the International
Offering;
. agree to disclose to the Company, the Hong Kong Share
Registrar, the receiving bank, the Sole Sponsor, the Sole
Representative, the Joint Global Coordinators, the Joint
Bookrunners, the Joint Lead Managers, the Underwriters and/or
their respective advisers and agents any personal data which they
may require about you and the person(s) for whose benefit you
have made the application;
. if the laws of any place outside Hong Kong apply to your
application, agree and warrant that you have complied with
all such laws and none of the Company, the Sole Sponsor, the
Sole Representative, the Joint Global Coordinators, the Joint
Bookrunners, the Joint Lead Managers, the Underwriters nor
any of their respective officers or advisers will breach any law
outside Hong Kong as a result of the acceptance of your offer to
purchase, or any action arising from your rights and obligations
under the terms and conditions contained in the Prospectus and
this Application Form;
. agree that once your application has been accepted, you may not
rescind it because of an innocent misrepresentation;
. agree that your application will be governed by the laws of Hong
Kong;
. represent, warrant and undertake that (i) you understand that the
Hong Kong Offer Shares have not been and will not be registered
under the U.S. Securities Act; and (ii) you and any person for
whose benefit you are applying for the Hong Kong Offer Shares
are outside the United States (as defined in Regulation S) or are a
person described in paragraph (h)(3) of Rule 902 of Regulation S;
. warrant that the information you have provided is true and
accurate;
. agree to accept the Hong Kong Offer Shares applied for, or any
lesser number allocated to you under the application;
. authorise the Company to place the name of the HKSCC
Nominees on the Company’s register of members as the holder(s)
of any Hong Kong Offer Shares allocated to you, and the
Company and/or its agents to deposit any Share certificate(s) into
CCASS and/or to send any refund cheque(s) to you or the first-
named applicant for joint application by ordinary post at your
own risk to the address stated on the application, unless you have
fulfilled the criteria mentioned in 「How to Apply for Hong Kong
Offer Shares – 14. Despatch/Collection of Share Certificates and
Refund Monies – Personal Collection」 section in the Prospectus
to collect refund cheque(s) in person;
. agree that the Shares to be allotted shall be issued in the name of
HKSCC Nominees and deposited directly into CCASS for credit
to your investor participant stock account or the stock account of
your designated CCASS participant;
. agree that each of HKSCC and HKSCC Nominees reserves the
right (1) not to accept any or part of such allotted Shares issued
in the name of HKSCC Nominees or not to accept such allotted
Shares for deposit into CCASS; (2) to cause such allotted Shares
to be withdrawn from CCASS and issued in your name at your
own risk and costs; and (3) to cause such allotted Shares to be
issued in your name (or, if you are a joint applicant, to the first-
named applicant) and in such a case, to post the certificates for
such allotted Shares at your own risk to the address on your
application form by ordinary post or to make available the same
for your collection;
. agree that each of HKSCC and HKSCC Nominees may adjust
the number of allotted Shares issued in the name of HKSCC
Nominees;
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
.agree that neither HKSCC nor HKSCC Nominees shall have any
liability for the information and representations not so contained
in the Prospectus and this application form;
.agree that neither HKSCC nor HKSCC Nominees shall be liable
to you in any way;
.declare and represent that this is the only application made and
the only application intended by you to be made to benefit you or
the person for whose benefit you are applying;
.understand that the Company, the Sole Sponsor, the Sole
Representative, the Joint Global Coordinators, the Joint
Bookrunners, the Joint Lead Managers and the Hong Kong
Underwriters will rely on your declarations and representations
in deciding whether or not to make any allotment of any of the
Hong Kong Offer Shares to you and that you may be prosecuted
for making a false declaration;
.(if the application is made for your own benefit) warrant that no
other application has been or will be made for your benefit on a
WHITE or YELLOW Application Form or by giving electronic
application instructions to HKSCC or to the HK eIPO WhiteForm Service Provider by you or by any one as your agent or by
any other person; and
.(if you are making the application as an agent for the benefit of
another person) warrant that (i) no other application has been or
will be made by you as agent for or for the benefit of that person
or by that person or by any other person as agent for that person
on a WHITE or YELLOW Application Form or by giving
electronic application instructions to HKSCC; and (ii) you have
due authority to sign the Application Form or give electronic
application instructions on behalf of that other person as his or
her agent.
D.Power of attorney
If your application is made through an authorised attorney, the Sole
Representative may accept or reject your application at its discretion
and on any conditions it thinks fit, including evidence of the attorney’s
authority.
Determination of Offer Price and Allocation of Hong Kong Offer
Shares
The Offer Price is expected to be fixed on or around Monday, 21
December 2020. Applicants are required to pay the maximum Offer
Price of HK$1.77 for each Hong Kong Offer Share together with 1%
brokerage, 0.0027% SFC transaction levy and 0.005% Stock Exchange
trading fee. If the Offer Price is not agreed between the Company and
the Sole Representative (for itself and on behalf of the Underwriters) by
Tuesday, 22 December 2020, the Global Offering will not proceed and
will lapse.
Applications for Hong Kong Offer Shares will not be processed and
no allotment of any Hong Kong Offer Shares will be made until the
application lists close.
The Company expects to announce the final Offer Price, the indication
of the level of interest in the International Offering, the level of
applications under the Hong Kong Public Offering and the basis of
allocation of the Hong Kong Public Offering on Monday, 28 December
2020 on the website of the Stock Exchange (www.hkexnews.hk) and
the Company’s website (www.cgiiholdings.com). Results of allocations
in the Hong Kong Public Offering and the Hong Kong Identity Card/
passport/Hong Kong business registration numbers of successful
applicants (where applicable) will be available on the above websites.
The allocation of Offer Shares between the Hong Kong Public Offering
and the International Offering is subject to adjustment as detailed in
the section headed 「Structure of the Global Offering – Hong Kong
Public Offering – Reallocation」 in the Prospectus. In particular, the
Sole Representative may reallocate Offer Shares from the International
Offering to the Hong Kong Public Offering to satisfy valid applications
under the Hong Kong Public Offering. In accordance with the Stock
Exchange’s Guidance Letter HKEX-GL91-18, if such reallocation is
done other than pursuant to Practice Note 18 of the Listing Rules, the
maximum total number of Offer Shares that may be reallocated to the
Hong Kong Public Offering following such reallocation shall not be
more than double of the number of Offer Shares initially allocated to
the Hong Kong Public Offering (i.e. 60,000,000 Offer Shares), and the
final Offer Price shall be fixed at the low-end of the indicative Offer
Price range (i.e. HK$1.37 per Offer Share) stated in the Prospectus.
If your application for Hong Kong Offer Shares is successful (in
whole or in part)
If your application is wholly or partially successful, your Share
certificate(s) (subject to their becoming valid certificates of title
provided that the Hong Kong Public Offering has become unconditional
and not having been terminated at 8:00 a.m. on Tuesday, 29 December
2020) will be issued in the name of HKSCC Nominees and deposited
directly into CCASS for credit to your CCASS Investor Participant
stock account or the stock account of your designated CCASS
Participant as instructed by you in your Application Form on Monday,
28 December 2020 or, in the event of a contingency, on any other date
as shall be determined by HKSCC or HKSCC Nominees.
.If you are applying through a designated CCASS Participant
(other than a CCASS Investor Participant): For Hong Kong Offer
Shares credited to the stock account of your designated CCASS
Participant (other than a CCASS Investor Participant), you can
check the number of Hong Kong Offer Shares allotted to you
with that CCASS Participant.
.If you are applying as a CCASS Investor Participant: The
Company expects to publish the results of CCASS Investor
Participants』 applications together with the results of the Hong
Kong Public Offering on Monday, 28 December 2020 on the
website of the Stock Exchange (www.hkexnews.hk) and the
Company’s website (www.cgiiholdings.com). You should
check the announcement published by the Company and report
any discrepancies to HKSCC before 5:00 p.m. on Monday, 28
December 2020 or such other date as shall be determined by
HKSCC or HKSCC Nominees. Immediately after the credit
of the Hong Kong Offer Shares to your stock account you can
check your new account balance via the CCASS Phone System
and CCASS Internet System (under the procedures contained
in HKSCC’s 「An Operating Guide for Investor Participants」 in
effect from time to time). HKSCC will also make available to you
an activity statement showing the number of Hong Kong Offer
Shares credited to your stock account.
No receipt will be issued for application money paid. The Company
will not issue temporary documents of title.
Refund of your money
If you do not receive any Hong Kong Offer Shares or if your application
is accepted in part only or if the conditions of the Hong Kong Public
Offering are not fulfilled in accordance with the section 「Structure
of the Global Offering – Conditions of the Global Offering」 in the
Prospectus or if your application is revoked, the Company will refund
to you your application monies (including the related 1% brokerage,
0.0027% SFC transaction levy and 0.005% Stock Exchange trading
fee) without interest. If the Offer Price is less than the maximum Offer
Price, the Company will refund to you the surplus application monies
(including the related 1% brokerage, 0.0027% SFC transaction levy and
0.005% Stock Exchange trading fee) without interest.
The refund procedures are stated in the sections 「How to Apply
for Hong Kong Offer Shares – 14. Despatch/Collection of Share
Certificates and Refund Monies」 in the Prospectus.
Effect of the Information You Give to Tricor Investor Services
Limited
Tricor Investor Services Limited and its related bodies』 corporate,
directors, officers, employees and agents (「Representatives」) expressly
disclaim and exclude to the maximum extent permitted by law any
liability for any loss or damage suffered or incurred by the applicant
or any other person or entity however caused relating in any way
to, or connected with, any information provided by or on behalf of
the applicant on or in connection with this document or any services
provided hereunder, or any other written or oral communication
provided by or on behalf of the applicant in connection with this
document or any services provided hereunder. This includes, without
limitation, any errors or omissions in such information however
caused, or the Representatives or any other person or entity placing any
reliance on such information or any documentation, image, recording
or reproduction of such information, or its accuracy, completeness,
currency or reliability.
如 閣下欲以香港中央結算（代理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並
直接存入中央結算及交收系統（「中央結算系統」），以記存於 閣下的中央結算系統投資者戶口持有人股份戶
口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
CHINA GAS INDUSTRY INVESTMENT HOLDINGS CO. LTD.
（於開曼群島註冊成立的成員有限公司）
全球發售
申請條件
甲. 可提出申請的人士
1. 閣下及 閣下為其利益提出申請的人士必須年滿18歲
並有香港地址。
2. 如 閣下為商號，申請須以個別成員名義提出。
3. 聯名申請人不得超過四名。
4. 如 閣下為法人團體，申請須經獲正式授權人員簽
署，並註明其所屬代表身份及蓋上公司印鑑。
5. 閣下必須身處美國境外，並非美國籍人士（定義見S規
例），亦非中國法人或自然人。
6. 除非上市規則批准，否則倘 閣下屬於以下情況，則
不得申請認購任何香港發售股份：
. 為本公司及╱或其任何附屬公司股份的現有實益
擁有人；
. 為本公司及╱或其任何附屬公司的董事或行政總
裁；
. 為本公司核心關連人士或緊隨全球發售完成後將
成為本公司核心關連人士的人士；
. 為上述任何人士的緊密聯繫人；或
. 已獲分配或已申請或表示有意申請認購任何國際
發售股份或以其他方式參與國際發售的人士。
乙. 如 閣下為代名人
閣下作為代名人可提交超過一份香港發售股份申請，方法
是：(i)透過中央結算及交收系統（「中央結算系統」）向香
港結算發出電子認購指示（如 閣下為中央結算系統參與
者）；或(ii)使用白色或黃色申請表格以自身名義代表不同
的實益擁有人提交超過一份申請。
丙. 填交本申請表格的效用
閣下填妥並遞交本申請表格，即表示（其中包括） 閣下（如
屬聯名申請人，即各人共同及個別）代表 閣下本身，或作
為 閣下代其行事的每位人士的代理或代名人：
. 承諾簽立所有相關文件，並指示及授權本公司及╱或
作為本公司代理的獨家代表（或其代理或代名人），為
按照組織章程細則的規定將 閣下獲分配的任何香港
發售股份以香港結算代理人名義登記而代表 閣下簽
立任何文件及辦理一切必要手續；
. 同意遵守公司條例、公司（清盤及雜項條文）條例及組
織章程細則；
. 確認 閣下已細閱招股章程及本申請表格所載的條款
及條件以及申請程序，並同意受其約束；
. 確認 閣下已收取及細閱招股章程，提出申請時亦僅
依賴本招股章程所載資料及陳述，而除本招股章程任
何補充文件外，不會依賴任何其他資料或陳述；
. 確認 閣下知悉招股章程內有關全球發售的限制；
. 同意本公司、獨家保薦人、獨家代表、聯席全球協調
人、聯席賬簿管理人、聯席牽頭經辦人、包銷商、彼
等各自的董事、高級職員、僱員、合夥人、代理、顧
問及參與全球發售的任何其他人士現時及日後均毋須
對並非本招股章程（及其任何補充文件）所載的任何資
料及陳述負責；
. 承諾及確認 閣下或 閣下為其利益提出申請的人士
並無申請或承購，或表示有意認購，及將不會申請或
承購，或表示有意認購國際發售項下的任何國際發售
股份，亦無參與國際發售；
. 同意向本公司、香港證券登記處、收款銀行、獨家保
薦人、獨家代表、聯席全球協調人、聯席賬簿管理
人、聯席牽頭經辦人、包銷商及╱或彼等各自的顧問
及代理披露彼等任何一方所要求有關 閣下及 閣下
為其利益提出申請的人士的任何個人資料；
. 若香港境外任何地方的法例適用於 閣下的申請，則
同意及保證 閣下已遵守所有有關法例，且本公司、
獨家保薦人、獨家代表、聯席全球協調人、聯席賬簿
管理人、聯席牽頭經辦人、包銷商以及彼等各自的任
何高級職員或顧問概不會因接納 閣下的購買要約，
或 閣下在招股章程及本申請表格所載條款及條件的
權利及責任所引致的任何行動，而違反香港境外的任
何法例；
. 同意 閣下的申請一經接納，即不得因無意的失實陳
述而撤銷；
. 同意 閣下的申請將受香港法例規管；
. 聲明、保證及承諾(i) 閣下明白香港發售股份不曾亦
不會根據美國證券法登記；及(ii) 閣下及 閣下為
其利益申請香港發售股份的任何人士均身處美國境外
（定義見S規例），或屬S規例第902條第(h)(3)段所述
的人士；
. 保證 閣下提供的資料真實準確；
. 同意接納所申請數目或根據申請分配予 閣下數目較
少的香港發售股份；
. 授權本公司將香港結算代理人的名稱列入本公司股東
名冊，作為 閣下獲分配的任何香港發售股份的持有
人，並授權本公司及╱或其代理將任何股票存入中央
結算系統及╱或以平郵方式按申請所示地址向 閣下
或聯名申請的排名首位申請人發送任何退款支票，郵
誤風險由 閣下承擔，除非 閣下已符合招股章程內
「如何申請香港發售股份－14.寄發╱領取股票及退還
股款－親自領取」章節的條件親身領取退款支票；
. 同意獲配發的股份是以香港結算代理人的名義發行，
並直接存入中央結算系統，以便記存於 閣下的中央
結算系統投資者戶口持有人股份戶口或 閣下的指定
中央結算系統參與者股份戶口；
. 同意香港結算及香港結算代理人各自保留權利(1)不
接納以香港結算代理人名義發行的該等獲配發的任何
或部分股份，或不接納該等獲配發的股份存入中央結
算系統；(2)促使該等獲配發的股份從中央結算系統
提取，並轉入 閣下名下，有關風險及費用概由 閣
下自行承擔；及(3)促使該等獲配發的股份以 閣下
名義發行（或如屬聯名申請人，則以排名首位申請人
的名義發行），而在此情況下，會以平郵方式將該等
獲配發股份的股票寄往 閣下在申請表格上所示地
址（郵誤風險概由 閣下自行承擔）或提供該等股票
予 閣下領取；
如 閣下欲以香港中央結算（代理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並
直接存入中央結算及交收系統（「中央結算系統」），以記存於 閣下的中央結算系統投資者戶口持有人股份戶
口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
.同意香港結算及香港結算代理人均可調整獲配發以香
港結算代理人名義發行的股份數目；
.同意香港結算及香港結算代理人對招股章程及本申請
表格未有載列的資料及陳述概不負責；
.同意香港結算及香港結算代理人概不以任何方式
對 閣下負責；
.聲明及表示此乃 閣下為本身或 閣下為其利益提出
申請的人士提出及擬提出的唯一申請；
.明白本公司、獨家保薦人、獨家代表、聯席全球協調
人、聯席賬簿管理人、聯席牽頭經辦人及香港包銷商
將依賴 閣下的聲明及陳述決定是否向 閣下配發任
何香港發售股份， 閣下如作出虛假聲明，可能會被
檢控；
.（倘申請為 閣下本身的利益提出）保證 閣下或作
為 閣下代理的任何人士或任何其他人士未曾亦不會
為 閣下的利益以白色或黃色申請表格或向香港結算
或網上白表服務供應商發出電子認購指示提出其他申
請；及
.（倘 閣下作為代理為另一人士的利益提出申請）保證
(i)閣下（作為代理或為該人士利益）或該人士或任何
其他作為該人士代理的人士未曾亦不會以白色或黃色
申請表格或向香港結算發出電子認購指示提出其他申
請；及(ii) 閣下獲正式授權作為該其他人士的代理
代其簽署申請表格或發出電子認購指示。
丁.授權書
如 閣下透過授權人士提出申請，獨家代表可按其認為合
適的條件（包括出示獲授權證明）酌情接納或拒絕 閣下的
申請。
釐定發售價及香港發售股份的分配
預期發售價於2020年12月21日（星期一）或前後釐定。申
請人須繳付每股香港發售股份1.77港元的最高發售價，另
加1%經紀佣金、0.0027%證監會交易徵費及0.005%聯交
所交易費。倘若本公司與獨家代表（為其本身及代表包銷
商）並無於2020年12月22日（星期二）前協定發售價，全球
發售將不會進行並將告失效。
截止登記認購申請前，概不處理香港發售股份的申請或配
發任何香港發售股份。
本公司預期於2020年12月28日（星期一）在聯交所網站
(www.hkexnews.hk)及本公司網站(www.cgiiholdings.com)
公佈最終發售價、國際發售踴躍程度、香港公開發售認購
水平及香港公開發售分配基準。香港公開發售的分配結果
及成功申請人的香港身份證╱護照╱香港商業登記號碼（如
適用）亦同於上述網站公佈。
香港公開發售及國際發售之間的發售股份分配可按照招股
章程「全球發售的架構－香港公開發售－重新分配」分節所
詳述者予以調整。具體而言，獨家代表可將發售股份自國
際發售重新分配至香港公開發售，以滿足根據香港公開發
售提出的有效申請。根據聯交所指引信HKEX-GL91-18，
倘該重新分配並非根據上市規則第18項應用指引而作出，
則於該重新分配後可能分配至香港公開發售的發售股份總
數最多不得超過香港公開發售最初分配的發售股份兩倍（即
60,000,000股發售股份），及最終發售價將定為招股章程所
述指示性發售價範圍的下限（即每股發售股份1.37港元）。
如 閣下成功申請認購香港發售股份（全部或部分）
如 閣下的申請全部或部分獲接納， 閣下的股票（前提是
於2020年12月29日（星期二）上午八時正香港公開發售成
為無條件且並無終止，股票方成為有效的所有權證明）將以
香港結算代理人名義發出，並按 閣下在申請表格的指示
於2020年12月28日（星期一）或在特別情況下由香港結算
或香港結算代理人指定的任何其他日期直接存入中央結算
系統，記入 閣下的中央結算系統投資者戶口持有人股份
戶口或 閣下指定的中央結算系統參與者股份戶口。
.如 閣下透過中央結算系統投資者戶口持有人以外的
指定中央結算系統參與者提出申請：香港發售股份將
存入 閣下指定的中央結算系統參與者（非中央結算
系統投資者戶口持有人）股份戶口， 閣下可向該中央
結算系統參與者查詢 閣下獲配發的香港發售股份數
目。
.如 閣下以中央結算系統投資者戶口持有人身份提
出申請：本公司預期於2020年12月28日（星期一）
在聯交所網站(www.hkexnews.hk)及本公司網站
(www.cgiiholdings.com)刊登中央結算系統投資者戶
口持有人的申請結果及香港公開發售的結果。 閣下
應查閱本公司刊發的公佈，如有任何資料不符，請
於2020年12月28日（星期一）或香港結算或香港結算
代理人釐定的任何其他日期下午五時正前知會香港結
算。在香港發售股份存入 閣下的股份戶口後， 閣
下即可透過「結算通」電話系統及中央結算系統網際網路
系統（根據香港結算不時生效的《投資者戶口持有人操
作簡介》所載程序）查詢 閣下的新戶口結餘。香港結
算亦將向 閣下提供一份活動結單，列出存入 閣下
股份戶口的香港發售股份數目。
本公司不會就申請時繳付的款項發出收據，亦不會發出臨
時所有權文件。
退回款項
若 閣下未獲分配任何香港發售股份或申請僅部分獲接納
或倘香港公開發售的條件並未根據招股章程「全球發售的架
構－全球發售的條件」一節達成或 閣下的申請遭撤銷，
本公司將不計利息退回 閣下的申請股款（包括相關的1%
經紀佣金、0.0027%證監會交易徵費及0.005%聯交所交易
費）。如發售價低於最高發售價，本公司將不計利息退回多
收申請股款（包括相關的1%經紀佣金、0.0027%證監會交
易徵費及0.005%聯交所交易費）。
有關退款程序載於招股章程「如何申請香港發售股份－
14.寄發╱領取股票及退還股款」一節。
閣下提供給卓佳證券登記有限公司的資訊的有關影響
卓佳證券登記有限公司和其有關連的法人團體、董事、高
級人員、僱員及代理人（「代表」）在法律所容許的最大限
度內明確卸棄及免除在任何方面與申請人或代表申請人在
此文件提供的或與此文件或在此文件下提供的任何服務相
關的任何資料，或任何申請人或代表申請人提供與此文件
或在此文件下提供的任何服務相關的任何其它書面或口頭
通訊，有關或相關由申請人或任何其他人士或實體所遭受
或招致不論如何造成的任何損失或損害的任何法律責任。
此包括，但不限於，該等資料中不論如何造成的任何錯誤
或遺漏，或代表或任何其他人士或實體對該等資料或任何
該等資料的文件記錄、影像、記錄或複製品作出的任何依
據，或其準確性、完整性、合時性或可靠性。
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
Personal Data
Personal Information Collection Statement
This Personal Information Collection Statement informs
the applicant for, and holder of, Hong Kong Offer Shares,
of the policies and practices of the Company and its Hong
Kong Share Registrar in relation to personal data and the
Personal Data (Privacy) Ordinance (Chapter 486 of the
Laws of Hong Kong) (the 「Ordinance」).
1. Reasons for the collection of your personal data
It is necessary for applicants and registered holders of
securities to supply correct personal data to the Company
or its agents and the Hong Kong Share Registrar when
applying for securities or transferring securities into or out
of their names or in procuring the services of the Hong
Kong Share Registrar.
Failure to supply the requested data may result in your
application for securities being rejected, or in delay or the
inability of the Company or its Hong Kong Share Registrar
to effect transfers or otherwise render their services. It may
also prevent or delay registration or transfers of the Hong
Kong Offer Shares which you have successfully applied
for and/or the dispatch of Share certificate(s) and/or refund
cheque(s) and/or e-Auto Refund payment instructions to
which you are entitled.
It is important that securities holders inform the Company
and the Hong Kong Share Registrar immediately of any
inaccuracies in the personal data supplied.
2. Purposes
The personal data of the securities holders may be used,
held, processed, and/or stored (by whatever means) for the
following purposes:
. processing your application and/or refund cheque and/
or an e-Auto Refund payment instructions, where
applicable, verification of compliance with the terms
and application procedures set out in this Application
Form and the Prospectus and announcing results of
allocation of the Hong Kong Offer Shares;
. compliance with applicable laws and regulations in
Hong Kong and elsewhere;
. registering new issues or transfers into or out of
the names of securities』 holders including, where
applicable, HKSCC Nominees;
. maintaining or updating the register of securities』
holders of the Company;
. verifying securities holders』 identities;
. establishing benefit entitlements of securities』 holders
of the Company, such as dividends, rights issues,
bonus issues, etc.;
. distributing communications from the Company and
its subsidiaries;
. compiling statistical information and securities』
holders profiles;
. disclosing relevant information to facilitate claims on
entitlements; and
. any other incidental or associated purposes relating to
the above and/or to enable the Company and the Hong
Kong Share Registrar to discharge their obligations to
securities』 holders and/or regulators and/or any other
purposes to which the securities』 holders may from
time to time agree.
3. Transfer of personal data
Personal data held by the Company and its Hong Kong
Share Registrar relating to the securities holders will be
kept confidential but the Company and its Hong Kong
Share Registrar may, to the extent necessary for achieving
any of the above purposes, disclose, obtain or transfer
(whether within or outside Hong Kong) the personal data
to, from or with any of the following:
. the Company’s appointed agents such as financial
advisers, receiving bankers and overseas principal
share registrar;
. where applicants for securities request a deposit into
CCASS, HKSCC or HKSCC Nominees, who will
use the personal data for the purposes of operating
CCASS;
. any agents, contractors or third-party service providers
who offer administrative, telecommunications,
computer, payment or other services to the Company
or the Hong Kong Share Registrar in connection with
their respective business operation;
. the Stock Exchange, the SFC and any other statutory
regulatory or governmental bodies or otherwise as
required by laws, rules or regulations; and
. any persons or institutions with which the securities』
holders have or propose to have dealings, such as their
bankers, solicitors, accountants or stockbrokers etc.
4. Retention of personal data
The Company and its Hong Kong Share Registrar will keep
the personal data of the applicants and holders of securities
for as long as necessary to fulfil the purposes for which
the personal data were collected. Personal data which
is no longer required will be destroyed or dealt with in
accordance with the Ordinance.
5. Access to and correction of personal data
Securities holders have the right to ascertain whether the
Company or the Hong Kong Share Registrar hold their
personal data, to obtain a copy of that data, and to correct
any data that is inaccurate. The Company and the Hong
Kong Share Registrar have the right to charge a reasonable
fee for the processing of such requests.
All requests for access to data or correction of data should
be addressed to us, at our registered address disclosed
in the 「Corporate Information」 section of the Prospectus
or as notified from time to time, for the attention of the
company secretary, or our Hong Kong Share Registrar for
the attention of the privacy compliance officer.
By signing an Application Form or by giving electronic
application instructions to HKSCC, you agree to all of
the above.
如 閣下欲以香港中央結算（代理人）有限公司（「香港結算代理人」）的名義登記將獲發行的香港發售股份，並
直接存入中央結算及交收系統（「中央結算系統」），以記存於 閣下的中央結算系統投資者戶口持有人股份戶
口或 閣下指定的中央結算系統參與者股份戶口，請使用本表格
個人資料
個人資料收集聲明
此項個人資料收集聲明是向香港發售股份的申請人和持有
人說明有關本公司及其香港證券登記處有關個人資料和香
港法例第486章《個人資料（隱私）條例》（「《條例》」）方面的
政策和慣例。
1.收集 閣下個人資料的原因
證券申請人及登記持有人以本身名義申請證券或轉讓或受
讓證券時或尋求香港證券登記處的服務時，必須向本公司
或其代理人及香港證券登記處提供準確個人資料。
未能提供所要求的資料可能導致 閣下申請證券被拒或延
遲，或本公司或其香港證券登記處無法落實轉讓或提供服
務。此舉也可能妨礙或延遲登記或轉讓 閣下成功申請的
香港發售股份及╱或寄發 閣下應得的股票及╱或退款支
票及╱或電子自動退款指示。
證券持有人所提供的個人資料如有任何錯誤，須立即通知
本公司及香港證券登記處。
2.目的
證券持有人的個人資料可被採用及以任何方式持有、處理
及╱或保存，以作下列用途：
.處理 閣下的申請及╱或退款支票及╱或電子自動
退款指示（如適用）、核實是否符合本申請表格及招
股章程載列的條款和申請程序以及公佈香港發售股
份的分配結果；
.遵守香港及其他地區的適用法律及規例；
.以證券持有人（包括香港結算代理人（如適用））的名
義登記新發行證券或轉讓或受讓證券；
.存置或更新本公司證券持有人的名冊；
.核實證券持有人的身份；
.確定本公司證券持有人可享有的權利，例如股息、
供股和紅股等；
.分發本公司及其附屬公司的通訊；
.編製統計數據和證券持有人資料；
.披露有關資料以便就權益索償；及
.與上述有關的任何其他附帶或相關目的及╱或使本
公司及香港證券登記處能履行對證券持有人及╱或
監管機構承擔的責任及╱或證券持有人不時同意的
任何其他目的。
3.轉交個人資料
本公司及其香港證券登記處所持有關證券持有人的個人資
料將會保密，但本公司及其香港證券登記處可以在為達到
上述任何目的之必要情況下，向下列任何人士披露、獲取
或轉交（無論在香港境內或境外）有關個人資料：
.本公司委任的代理，例如財務顧問、收款銀行和主
要海外證券登記處；
.（如證券申請人要求將證券存於中央結算系統）香港
結算或香港結算代理人將會就中央結算系統的運作
使用有關個人資料；
.向本公司或香港證券登記處提供與其各自業務營運
有關的行政、電訊、電腦、付款或其他服務的任何
代理、承包商或第三方服務供應商；
.聯交所、證監會及任何其他法定監管機關或政府部
門或遵照其他法例、規則或規例；及
.證券持有人與其進行或擬進行交易的任何人士或機
構，例如彼等的銀行、律師、會計師或股票經紀等。
4.個人資料的保留
本公司及其香港證券登記處將按收集個人資料所需的用途
保留證券申請人及持有人的個人資料。毋須保留的個人資
料將會根據《條例》銷毀或處理。
5.查閱和更正個人資料
證券持有人有權確定本公司或香港證券登記處是否持有其
個人資料，並有權索取有關該資料的副本並更正任何不準
確資料。本公司和香港證券登記處有權就處理任何查閱資
料的要求收取合理費用。
所有查閱資料或更正資料的要求應按招股章程「公司資料」
一節所披露或不時通知的本公司註冊地址送交公司秘書，
或向本公司的香港證券登記處的個人資料隱私條例事務主
任提出。
閣下簽署申請表格或向香港結算發出電子認購指示，即表
示同意上述各項。
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