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To: Customer Service Centre

Hong Kong Securities Clearing Company Limited11F, One & Two EXchange Square,8 Connaught Place, Central, Hong Kong

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Participant ID^.!61^#;;31;

SAMPLE

11_12_I. ^. 1.1:I. ^. If:.!

Details of Instruction

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#Tender Instruction No

I^i^}^;i^, Ii/\keel;

Stock Code

If!I^I^31;

Price Bid (%)I^^81, g

Application Quantity ^ I_I_I_I_I_I_I_I_I_12,191. alEja ^13 Alt "^

EFN, GOVERNMENT BONDS, SPECIFIEDINSTRUMENTS ANDIOR CMU INSTRUMENTS

TENDER INSTRUCTION INPUT REQUEST FORM

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CUSTOMER SERVICE CENTRE

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Appendix N (^^14. IV)

IL:, 111.1J^. 11:1. I_IAI^. IC, I_I_I_I_I_I_I_I

Participant Short Name^ 8i^ ^ ^a lis

:I_I_I_I_I_I_I_I_I_I

11ZI Add ,ill*

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To feeMtate processing, please fill in block letters.""""""" ' 8341^, t'rig4, ^' ,

Authorised Signature(s)(with company chop, ONLY applicable if it forms part of your signing instruction)I^jig^I^A^^'^

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I. Your instruction will be rejected if this form is incomplete or is riot completed accurately and rejected instrudion notification will riot e issueWarningby Hong Kong Securities Cleating Company Limited ('HKSCC').It is important that yori read the Information Memorandum. Prospectus or Supplemental Prospectus. if any. or other documents re ajing o etender which are available from the issuer or HKSCC. It sets out the information needed to make an informed decision about the ten er.you are in any doubt about the tender. you should consult your stockbrokers. bank manager or other professional adviser. You s ou ncomplete this form unless you are satisfied that you have received sufficient information about the lender.

. Cancel all;I^

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Date

El^a

DD MMYY

I. 16251"T5EfiE!age:*^5485tFfi!R^a^I*;^:I:^, it - IUT;alba, 185i^Kg^!. 12th - Ifi*eggt>=3:4:a^dai^Mt. ;i;:I:"12th train*D .2. IUT^,;amRB^11,191, Bai^, 41^;:;, a . 18/9. I^^tl;Elq, time, tin3^.;^533*jusc{* - ize, :$:{*616t^atjAeg*891t;=laim . Dag::cl*Ffi"aji.

$4^ginT, ^^Baiat. fFtb;a^Bin!:^ - an SRI"ITzt^,, t^I, ^I;Elq, *ER - ,, I^l^"IQ*a - antia3ie:"^lib^^ingt - 194F!111T", aFm&^I^Bat9t, akyi. *4Bi^$6 - ^PI:Fig!1.1";*5516 .

1.9. .1.9. I^!. I. ^^. ILl

Broker No.

4:3#8:1:55^ IL12. I. ^:. 11^::. I

ACtivMes under CCASS are subject forhe General Rules of CCASS and Open"urialProced"res in effect.^a'^4, ^",*, e, b, 15', 9^'DJ9^, 15', 9 f4, ^"',,:, 6-"*,\, ^ f4,5@^',,,,,,,^'^,$7M, ^', 956 -# To be completed byHKSCC ^^',^,'^,,

Signature verified

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For Office Use OnI

Input by Checked by

OSIgnature differ

Jun 2017

BLANK