This Application Form uses the same terms as defined in the prospectus of Persta Resources Inc. (the“Company”) dated February 28, 2017 (the “Prospectus”). 本申请表格使用Persta Resources Inc.（「本公司」）於二零一七年二月二十八日刊发的招股章程（「招股章程」）所界定的词汇。 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. The Offer Shares may not be offered, sold or resold, directly or indirectly, in Canada or to any resident of Canada in connection with the Global Offering, except pursuant to an exemption from the prospectus requirements of applicable Canadian securities laws, and in compliance with, or pursuant to exemptions from, the dealer registration requirements of such laws. 本申请表格及招股章程概不构成在香港以外任何司法权区要约出售或游说要约购买任何香港发售股份。若无根据美国 《证券法》登记或豁免登记，香港发售股份不得在美国提呈发售或出售。发售股份不得就全球发售在加拿大或向加拿大任何居民直接或间接提 呈、出售或转售，惟根据适用加拿大证券法的招股章程规定之豁免，以及遵照有关法律之交易商注册规定或根据该规定之豁免则除外。 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. 在任何根据当地法例不得发送、派发或复制本申请表格及招股章程的司法权区内概不得发送或派发或复制（不论方式，也不论全部或部分）本 申请表格及招股章程。 Copies of the Prospectus, all related Application Forms and the other documents specified in the paragraph headed “1. DocumentsDelivered to the Registrar of Companies in Hong Kong” in Appendix VII to the Prospectus, have been registered by the Registrar of Companies in Hong Kong as required by Section 342C of 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 of Hong Kong take no responsibility for the contents of these documents. 招股章程、所有相关申请表格及招股章程附录七「1.送呈香港公司注册处处长的文件」一段所列的其他文件已按香港法例第32章《公司�v清盘 及杂项条文�w条例》第342C条规定送呈香港公司注册处处长登记。香港交易及结算所有限公司、香港联合交易所有限公司（「联交所」）、 香 港 中央结算有限公司（「香港结算」）、香港证券及期货事务监察委员会（「证监会」）及香港公司注册处处长对此等文件的内容概不负责。 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Persta Resources Inc. (incorporated under the laws of Alberta with limited liability) （根据阿尔伯塔法律注册成立的有限公司） GLOBAL OFFERING 全球发售 Stock code : 3395 股份代号 : 3395 Maximum Offer Price : HK$3.80 per Offer Share (plus brokerage of 1%, a Stock Exchange trading fee of 0.005% and a SFC transaction levy of 0.0027%) payable in full in Hong Kong dollars on application and subject to refund 最高发售价 : 每股发售股份3.80港元，另加1%经纪佣金、0.005% 联交所交易费及0.0027%证监会交易徵费（须於申 请时以港元缴足及可予退还） You should read this Application Form in conjunction with the Prospectus, which contains further information on the application procedures. 招股章程尚有关於申请程序的其他资料，本申请表格应与招股章程一并阅读。 Application Form 申请表格 To: Persta Resources Inc. The Joint Global Coordinators 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：Persta Resources Inc. 联席全球协调人 香港包销商 申请人声明 本人�u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。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申 请。请参阅「填交本申请表格的效用」一节最後四 点。 Staple your payment here 请将股款 紧钉在此 Sample 样版 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 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 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�u 护照号码�u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�u护照号 码�u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) 所有其他联名申请人的英文姓名�u名称（如有） Name in English 英文姓名�u名称 Name in Chinese 中文姓名�u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) 香港地址（以英文填写）及电话号码（联名申请人只须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 addressin Hong Kong in BLOCK letters 请用英文正楷填写姓名�u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�u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�u银行本票的银行名称（见「申请手续」一节） Number of Hong Kong Offer Shares applied for (not more than 3,479,000 shares) 申请香港发售股份数目(不超过3,479,000股股 份） Sample 样版 (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’s validity. 个别人士必须填写其香港身份证号码或（如非香港身份证持有人）其护照号码。法人团体必须填写其 香港商业登记号码。每名联名申请人均须提供其相关号码。该等香港身份证号码�u护照号码�u香港商 业登记号码将转交第三方以核实申请表格的有效性。 (2) 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). 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）上或会印有 阁下或（如属联名申请人）排名首位申请人的香港身份证号码�u护照号 码的一部分。银行兑现退款支票前或会要求查证 阁下的香港身份证号码�u护照号码。 (3) 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. 倘申请人是一间非上市公司，而： 该公司主要从事买卖证券；及 阁下对该公司可行使法定控制权， 是项申请将视作为 阁下的利益提出。 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Sample 样版 This page is intentionally left blank 此乃白页　 特意留空 Sample 样版 Please use this form if you want the Hong Kong Offer Shares to be issued in your name 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 1,000 Hong Kong Offer Shares and in one of the numbers set out in the table, or your application will be rejected. * Maximum number of Hong Kong Offer Shares you may apply for. 2. Complete the form in English and sign it. Only written signatures will be accepted (and not by way of personal chop). 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 ICBC (Asia) Nominee Limited ― PERSTA 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 preprinted 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 firstnamed applicant’s name. TABLE OF 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$ 1,000 3,838.29 2,000 7,676.59 3,000 11,514.88 4,000 15,353.17 5,000 19,191.46 6,000 23,029.76 7,000 26,868.05 8,000 30,706.34 9,000 34,544.63 10,000 38,382.93 15,000 57,574.39 20,000 76,765.85 25,000 95,957.32 30,000 115,148.78 35,000 134,340.24 40,000 153,531.70 45,000 172,723.17 50,000 191,914.63 60,000 230,297.56 70,000 268,680.48 80,000 307,063.41 90,000 345,446.33 100,000 383,829.26 200,000 767,658.52 300,000 1,151,487.78 400,000 1,535,317.04 500,000 1,919,146.30 600,000 2,302,975.56 700,000 2,686,804.82 800,000 3,070,634.08 900,000 3,454,463.34 1,000,000 3,838,292.60 1,500,000 5,757,438.90 2,000,000 7,676,585.20 2,500,000 9,595,731.50 3,000,000 11,514,877.80 3,479,000 * 13,353,419.96 Sample 样版 Please use this form if you want the Hong Kong Offer Shares to be issued in your 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 Industrial and Commercial Bank of China (Asia) Limited: District Branch Address Hong Kong Island Central Branch 1/F., 9 Queen’s Road Central, Hong Kong Causeway Bay Branch Shop A on G/F, 1/F, Hennessy Apartments, 488 & 490 Hennessy Road, Hong Kong North Point Branch G/F, 436�C438 King’s Road, North Point, Hong Kong Kowloon Mongkok Branch G/F, Belgian Bank Building,721�C725 Nathan Road, Mongkok, Kowloon Kwun Tong Branch Shop 5 & 6, 1/F, Crocodile Center, 79 Hoi Yuen Road, Kwun Tong, Kowloon New Territories Tsuen Wan Castle Peak Road Branch G/F, 423�C427 Castle Peak Road, Tsuen Wan, New Territories Shatin Branch Shop 22J, Level 3, Shatin Centre, New Territories 5. Your Application Form can be lodged at these times: Tuesday, February 28, 2017 ― 9:00 a.m. to 5:00 p.m. Wednesday, March 1, 2017 ― 9:00 a.m. to 5:00 p.m. Thursday, March 2, 2017 ― 9:00 a.m. to 5:00 p.m. Friday, March 3, 2017 ― 9:00 a.m. to 12:00 noon 6. The latest time for lodging your application is 12:00 noon on Friday, March 3, 2017. The application lists will be open between 11:45 a.m. to 12:00 noon on that day, subject only to the weather conditions, as described in “10. Effect of Bad Weather on the Opening of the Application Lists” in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus. Sample 样版 申请手续 1. 使用下表计算 阁下应付的款项。 阁下申请认购的股数必须至少为1,000股香港发售股份，并为下表 所载的其中一个数目，否则恕不受理。 * 阁下可申请认购的香港发售股份最高数目。 2. 以英文填妥及签署表格。只接纳亲笔签名（不得以个人印章代替）。 3. 阁下必须将支票或银行本票钉於表格上。每份香港发售股份申请须附一张独立开出支票或一张独立开 出银行本票。支票或银行本票必须符合以下所有规定，否则 阁下的认购申请不获接纳： 支票必须： 银行本票必须： 为港元； 不得为期票； 注明抬头人为工银亚洲代理人有限公司―PERSTA公开发售； 划线注明「只准入抬头人账户」； 从 阁下在香港的港元银行账户中开出；及 显示 阁下的账户名称，而该账户名称必须已 预印在支票上，或由有关银行授权的人士在支 票背书。账户名称必须与 阁下姓名�u名称相 同。如属联名申请，账户名称必须与排名首位 申请人的姓名�u名称相同。 须由香港持牌银行开出，并由有关银行授权的 人士在银行本票背面签署核证 阁下姓名�u 名称。银行本票所示姓名�u名称必须与 阁下 姓名�u名称相同。如属联名申请，银行本票背 面所示姓名�u名称必须与排名首位申请人的 姓名�u名称相同。 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 可申请认购股数及应缴款项一览表 申请认购的 香港发售 股份数目 申请时 应缴款项 港元 申请认购的 香港发售 股份数目 申请时 应缴款项 港元 申请认购的 香港发售 股份数目 申请时 应缴款项 港元 1,000 3,838.29 2,000 7,676.59 3,000 11,514.88 4,000 15,353.17 5,000 19,191.46 6,000 23,029.76 7,000 26,868.05 8,000 30,706.34 9,000 34,544.63 10,000 38,382.93 15,000 57,574.39 20,000 76,765.85 25,000 95,957.32 30,000 115,148.78 35,000 134,340.24 40,000 153,531.70 45,000 172,723.17 50,000 191,914.63 60,000 230,297.56 70,000 268,680.48 80,000 307,063.41 90,000 345,446.33 100,000 383,829.26 200,000 767,658.52 300,000 1,151,487.78 400,000 1,535,317.04 500,000 1,919,146.30 600,000 2,302,975.56 700,000 2,686,804.82 800,000 3,070,634.08 900,000 3,454,463.34 1,000,000 3,838,292.60 1,500,000 5,757,438.90 2,000,000 7,676,585.20 2,500,000 9,595,731.50 3,000,000 11,514,877.80 3,479,000 * 13,353,419.96 Sample 样版 4. 请撕下申请表格，对摺一次，并将填妥的申请表格（连同支票或银行本票）投入中国工商银行（亚洲） 有限公司的下列任何一间分行的收集箱： 地区 分行 地址 香港岛 中环分行 香港皇后大道中9号1字楼 铜锣湾分行 香港轩尼诗道488�C490号轩尼诗大厦地下A铺至1楼 北角分行 香港北角英皇道436�C438号地下 九龙区 旺角分行 九龙旺角弥敦道721�C725号华比银行大厦地下 观塘分行 九龙观塘开源道79号鳄鱼恤中心一楼5号和6号铺 新界 荃湾青山公路分行 新界荃湾青山公路423�C427号地下 沙田分行 新界沙田中心3楼22J号铺 5. 阁下可於下列时间递交申请表格： 二零一七年二月二十八日（星期二）―上午九时正至下午五时正 二零一七年三月一日（星期三）―上午九时正至下午五时正 二零一七年三月二日（星期四）―上午九时正至下午五时正 二零一七年三月三日（星期五）―上午九时正至中午十二时正 6. 截止递交申请的时间为二零一七年三月三日（星期五）中午十二时正。本公司将於当日上午十一时四十 五分至中午十二时正期间登记认购申请，仅受限於招股章程「如何申请香港发售股份」一节「10.恶劣天 气对开始办理申请登记的影响」所述的天气状况。 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Sample 样版 Conditions of your application A. Who can apply 1. You and any person(s) for whose benefit you are applying must be18 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 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 under the U.S. Securities Act), not be a legal or natural person of the PRC and not be a resident of Canada. 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; a Director or chief executive officer of the Company; an associate of any of the above; a connected person of the Company or will become a connected person of the Company immediately upon completion of the Global Offering; or have been allocated or have applied for or indicated an interest in any Offer Shares under 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 instructionsto HKSCC via Central Clearing and Settlement System (“CCASS”) (if you are a CCASS Participant); or (ii) using a WHITEor YELLOWApplication 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, 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 Joint Global Coordinators (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 your name as required by the Articles and the By-Laws; agree to comply with the Companies Ordinance, the Companies (Winding Up and Miscellaneous Provisions) Ordinance, the ABCA and its regulations, the Articles and the By-Laws; 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 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 Offer Shares under the International Offering nor participated in the International Offering; agree to disclose to the Company, our Hong Kong Share Registrar, receiving banks, 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 Joint Global Coordinators the Joint Bookrunners, the Joint Lead Managers and 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; represent that you are not a resident of Canada; acknowledge that the Hong Kong Offer Shares may not be resold in Canada or to any resident of Canada, directly or indirectly, during the four month period commencing with the completion of the Global Offering, except pursuant to an exemption from the prospectus requirements of applicable Canadian securities laws, and in compliance with, or pursuant to exemptions from, the dealer registration requirements of such laws; Persta Resources Inc. (incorporated under the laws of Alberta with limited liability) GLOBAL OFFERING Please use this form if you want the Hong Kong Offer Shares to be issued in your name Sample 样版 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 your name(s) 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 send any share certificate(s) and/or 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 are eligible to collect the share certificate(s) and/or refund cheque(s) in person; declare and represent that this is the only application made and the only application intended by me/us to be made to benefit me/us or the person for whose benefit I am/we are applying; understand that the Company and the Joint Global Coordinators 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 WHITEor YELLOWApplication Form or by giving electronic application instructionsto HKSCC or to the White Form eIPOService 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 WHITEor YELLOWApplication Form or by giving electronic application instructionsto HKSCC and (ii) you have due authority to sign the Application Form or give electronic application instructionson behalf of that other person as their agent. D. Power of attorney If your application is made through an authorised attorney, the Company and the Joint Global Coordinators may accept or reject your application at their discretion, and on any conditions they think 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 Friday, March 3, 2017. Applicants are required to pay the maximum Offer Price of HK$3.80 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 Joint Global Coordinators (for themselves and on behalf of the underwriters) on or before Wednesday, March 8, 2017, the Global Offering will not proceed. 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 Thursday, March 9, 2017 on the website of the Stock Exchange at www. hkexnews.hkand the Company’s website at www.persta.ca. Results of allocations in 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. If your application for Hong Kong Offer Shares is successful (in whole or in part) If you apply for 1,000,000 or more Hong Kong Offer Shares, you may collect it/them in person from: Hong Kong Share Registrar at Shops 1712�C1716, 17th Floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong Kong, from 9:00 a.m. to 1:00 p.m. on Thursday, March 9, 2017 or such other date as notified by us in the newspapers. If you are an individual who is eligible for personal collection, you must not authorise any other person to collect for you. If you are a corporate applicant which is eligible for personal collection, your authorised representative must bear a letter of authorisation from your corporation stamped with your corporation’s chop. Both individuals and authorised representatives must produce, at the time of collection, evidence of identity acceptable to the Hong Kong Share Registrar. If you do not collect your Share certificate(s) personally within the time period specified for collection, they will be dispatched promptly to the address as specified on this Application Form by ordinary post at your own risk. If you apply for less than 1,000,000 Hong Kong Offer Shares, your refund cheque(s) and/or share certificate(s) will be sent to the address on the relevant Application Form on or before Thursday, March 9, 2017, by ordinary post and at your own risk. Refund of your money If you do not receive any Hong Kong Offer Shares or if your application is accepted only in part, 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 as finally determined 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 “14. Despatch/Collection of share certificates and refund monies” in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus. Application by HKSCC Nominees Limited (“HKSCC Nominees”) Where this Application Form is signed by HKSCC Nominees on behalf of persons who have given electronic application instructions to apply for the Hong Kong Offer Shares, the provisions of this Application Form which are inconsistent with those set out in the Prospectus shall not apply and provisions in the Prospectus shall prevail. Without limiting the generality of this paragraph, the following sections of this Application Form are inapplicable where this form is signed by HKSCC Nominees: “Applicants’ declaration” on the first page; “Warning” on the first page; “If you are a nominee”; All representations and warranties under the “Effect of completing and submitting this Application Form” section, except the first one regarding registration of Hong Kong Offer Shares in the applicant’s name and the signing of documents to enable the applicant to be registered as the holder of the Hong Kong Offer Shares; “If your application for Hong Kong Offer Shares is successful (in whole or in part)”; and “Refund of your money”. The following sections in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus are inapplicable where this form is signed by HKSCC Nominees “8. How many applications can you make”; and “12. Circumstances in which you will not be allotted Offer Shares”. Please use this form if you want the Hong Kong Offer Shares to be issued in your name Sample 样版 申请条件 甲. 可提出申请的人士 1. 阁下及 阁下为其利益提出申请的任何人士必须年满18 岁并必须有香港地址。 2. 如 阁下为商号，申请必须以个别成员名义 提出。 3. 联名申请人不得超过4名。 4. 如 阁下为法人团体， 申请必须经获正式授权人员签 署，并注明其所属代表身份及盖 上公司印监。 5. 阁下必须身处美国境外，并非美国籍人士 （定义见美国 《证券法》S规例），亦非中国法人或自然人及并非加拿大 居民。 6. 除《上市规则》批准外，下列人士概不得申请认购任何香 港发售股份： 本公司股份的现有实益拥有人； 本公司董事或行政总裁； 上述任何人士的联系人； 本公司关连人士或紧随全球发售完成後成为本公司 关连人士的人士；或 已获分配或已申请或表示有意申请国际发售的任何 发售股份。 乙. 如 阁下为代名人 阁下作为代名人可提交超过一份香港发售股份申请，方法是： (i)透过中央结算及交收系统（「中央结算系统」）向香港结算发 出电子认购指示（如 阁下为中央结算系统参与者）；或(ii)使 用白色或黄色申请表格，以自身名义代表不同的实益拥有人提 交超过一份申请。 丙. 填交本申请表格的效用 阁下填妥并递交本申请表格，即表示 阁下（如属联名申请 人，即各人共同及个别）代表 阁下本身，或作为 阁下代其 行事的每位人士的代理或代名人： 承诺签立所有相关文件，并指示及授权本公司及�u或作 为本公司代理的联席全球协调人（或彼等的代理或代名 人），代表 阁下签立任何文件及代表 阁下采取一切必 要行动，以按照细则及附例的规定将 阁下获分配的任 何香港发售股份以 阁下名义登记； 同意遵守《公司条例》、《公司（清盘及杂项条文）条例》、 阿尔伯塔公司法及其法规、细则及附例； 确认 阁下已细阅招股章程及本申请表格所载的条款及 条件以及申请程序，并同意受其约束； 确认 阁下已接获及细阅招股章程，提出申请时也仅依 据招股章程载列的资料及陈述，而除招股章程任何补充 文件外，不会依赖任何其他资料或陈述； 确认 阁下知悉招股章程内有关全球发售的限制； 同意本公司、联席全球协调人、联席账簿管理人、联席 牵头经办人、包销商、彼等各自的董事、高级职员、雇 员、合夥人、代理、顾问及参与全球发售的任何其他人 士现时及日後均毋须对并非载於招股章程（及其任何补充 文件）的任何资料及陈述负责； 承诺及确认 阁下或 阁下为其利益提出申请的人士并 无申请或接纳或表示有意认购（亦不会申请或接纳或表示 有意认购）国际发售的任何发售股份，亦无参与国际发 售； 同意在本公司、香港证券登记处、收款银行、联席全球 协调人、 联席账簿管理人、 联席牵头经办人、 包销商 及�u或彼等各自的顾问及代理提出要求时，向彼等披露 其所要求提供有关 阁下及 阁下为其利益提出申请的 人士的任何个人资料； 如香港境外任何地方的法例适用於 阁下的申请，则同 意及保证 阁下已遵守所有有关法例，且本公司、联席 全球协调人、联席账簿管理人、联席牵头经办人及包销 商和彼等各自的高级职员或顾问概不会因接纳 阁下的 购买要约，或 阁下在招股章程及本申请表格所载的条 款及条件项下的权利及责任所引致的任何行动，而违反 香港境外的任何法律； 同意 阁下的申请一经接纳，即不得因无意的失实陈述 而撤销； 同意 阁下的申请受香港法例规管； 声明、保证及承诺：(i) 阁下明白香港发售股份不曾亦 不会根据美国《证券法》登记；及(ii) 阁下及 阁下为其 利益申请香港发售股份的任何人士均身处美国境外（定义 见S规例），或属S规例第902条第(h)(3)段所述的人士； 表示 阁下并非加拿大居民； 承认香港发售股份不可於全球发售完成起计四个月期间 内直接或间接在加拿大或向加拿大居民转售，惟根据适 用加拿大证券法的招股章程规定之豁免，以及遵照有关 法律之交易商注册规定或根据该规定之豁免则除外； 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Persta Resources Inc. （根据阿尔伯塔法律注册成立的有限公司） 全球发售 Sample 样版 保证 阁下提供的资料真实及准确； 同意接纳所申请数目或根据申请分配予 阁下但数目较 少的香港发售股份； 授权本公司将 阁下的姓名�u名称列入本公司股东名 册，作为 阁下获分配的任何香港发售股份的持有人， 并授权本公司及�u或其代理以普通邮递方式按申请所示 地址向 阁下或联名申请的首名申请人发送任何股票 及�u或任何退款支票，邮误风险由 阁下自行承担，除 非 阁下已符合资格亲身领取股票及�u或退款支票； 声明及表示此乃本人�u吾等为本身或本人�u吾等为其利 益提出申请的人士提出及拟提出的唯一申请； 明白本公司及联席全球协调人将依据 阁下的声明及陈 述而决定是否向 阁下分配任何香港发售股份， 阁下如 作出虚假声明，可能会被检控； （如本申请为 阁下本身的利益提出）保证 阁下或作 为 阁下代理的任何人士或任何其他人士不曾亦不会 为 阁下的利益以白色或黄色申请表格或向香港结算或 eIPO白表服务供应商发出电子认购指示而提出其他申 请；及 （如 阁下作为代理为另一名人士的利益提出申请）保证 (i) 阁下（作为代理或为该人士利益）或该人士或任何其 他作为该人士代理的人士不曾亦不会以白色或黄色申请 表格或向香港结算发出电子认购指示而提出其他申请； 及(ii) 阁下获正式授权作为该人士的代理代为签署申请 表格或发出电子认购指示。 丁. 授权书 如 阁下透过授权人士提出申请，本公司及联席全球协调人可 按其认为合适的任何条件（包括出示获授权证明）酌情接纳或 拒绝 阁下的申请。 厘定发售价及香港发售股份的分配 预期发售价於二零一七年三月三日（星期五）或前後厘定。申 请人须缴付每股香港发售股份3.80港元的最高发售价，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。倘若本公司与联席全球协调人（为其本身及代表包销商） 并无於二零一七年三月八日（星期三）或之前协定发售价，全 球发售将不会进行。 截止登记认购申请前，概不处理香港发售股份的申请或配发任 何香港发售股份。 本公司预期於二零一七年三月九日（ 星期四 ）在联交所网站 www.hkexnews.hk及本公司网站www.persta.ca公布最终发售 价、国际发售踊跃程度、香港公开发售认购水平及香港公开发 售分配基准。香港公开发售的分配结果以及成功申请人的香港 身份证�u护照�u香港商业登记号码（按适用者）亦同於上述网 站公布。 如 阁下成功申请认购香港发售股份（全部或部分） 如 阁下申请认购1,000,000股或以上香港发售股份， 阁下可 於二零一七年三月九日（星期四）上午九时正至下午一时正或 本公司在报章上公布的其他日期，亲身前往香港证券登记处 （地址为香港湾仔皇后大道东183号合和中心17楼1712�C1716 室）领取股票。 如 阁下为个人申请人并合资格亲身领取， 阁下不得授权 任何其他人士代领。如 阁下为公司申请人并合资格派人领 取， 阁下的授权代表必须携同盖上公司印监的授权书领取。 个人申请人及授权代表领取股票时均必须出示香港证券登记处 接纳的身份证明文件。 如 阁下并无在指定领取时间内亲身领取股票，有关股票将 会以普通邮递方式立刻寄往本申请表格所示地址，邮误风险 由 阁下自行承担。 如 阁下申请认购1,000,000股以下香港发售股份， 阁下的退 款支票及�u或股票将於二零一七年三月九日（星期四）或之前 以普通邮递方式寄往相关申请表格所示地址，邮误风险由 阁 下自行承担。 退回款项 如 阁下未获分配任何香港发售股份或申请仅获部分接纳，本 公司将不计利息退回 阁下的申请股款（包括相关的1%经纪佣 金、0.0027%证监会交易徵费及0.005%联交所交易费）。如最 终厘定的发售价低於最高发售价，本公司将不计利息退回多缴 申请股款（包括相关的1%经纪佣金、0.0027%证监会交易徵费 及0.005%联交所交易费）。 有关退款程序载於招股章程「如何申请香港发售股份」一节「14. 寄发�u领取股票及退还股款」。 香港中央结算（代理人）有限公司（「香港结算代理人」）提出的 申请 如本申请表格由香港结算代理人代表发出电子认购指示申请香 港发售股份的人士签署，本申请表格与招股章程不符的条文将 不适用，且以招股章程的条文为准。 在不限制此段一般应用的前提下，本申请表格的以下部分在香 港结算代理人作签署人的情况下并不适用： 第一页的「申请人声明」； 第一页的「警告」； 「如 阁下为代名人」； 「填交本申请表格的效用」一节项下的所有陈述及保证， 惟首项有关以申请人名义登记香港发售股份及签署使申 请人登记成为香港发售股份持有人的文件除外； 「如 阁下成功申请认购香港发售股份（全部或部分）」； 及 「退回款项」。 招股章程「如何申请香港发售股份」一节的以下部分在香港结 算代理人作签署人的情况下并不适用： 「8. 阁下可提交的申请数目」；及 「12. 阁下不获配发发售股份的情况」。 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Sample 样版 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) 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 refund cheque, 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’ holder 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. Please use this form if you want the Hong Kong Offer Shares to be issued in your name Sample 样版 个人资料 个人资料收集声明 此项个人资料收集声明是向香港发售股份的申请人 和持有人说明本公司及其香港证券登记处有关个人 资料及香港法例第486章《个人资料（私隐）条例》 （「《条例》」）方面的政策和惯例。 1. 收集 阁下个人资料的原因 证券申请人及登记持有人以本身名义申请证券或转 让或受让证券时或寻求香港证券登记处的服务时， 必须向本公司或其代理及香港证券登记处提供准确 个人资料。 未能提供所要求的资料可能导致 阁下申请证券被 拒或延迟，或本公司或其香港证券登记处无法落实 转让或提供服务。此举也可能妨碍或延迟登记或转 让 阁下成功申请的香港发售股份及�u或寄发 阁 下应得的股票及�u或退款支票。 证券持有人所提供的个人资料如有任何错误，须立 即通知本公司及香港证券登记处。 2. 目的 证券持有人的个人资料可（以任何方式）被采用、 持有、处理及�u或保存，以作下列用途： 处理 阁下的申请及退款支票（按适用者）、 核实是否符合本申请表格及招股章程载列的条 款和申请程序以及公布香港发售股份的分配结 果； 遵守香港及其他地区的适用法律及法规； 以证券持有人（包括香港结算代理人（按适用 者））的名义登记新发行或转让或受让证券； 存置或更新本公司证券持有人的名册； 核实证券持有人的身份； 确定本公司证券持有人的受益权利， 例如股 息、供股和红股等； 分发本公司及其附属公司的通讯； 编制统计数据和证券持有人资料； 披露有关资料以便提出权益索偿；及 与上述有关的任何其他附带或相关目的及�u或 使本公司及香港证券登记处能履行对证券持有 人及�u或监管机构承担的责任及�u或证券持有 人不时同意的任何其他目的。 3. 转交个人资料 本公司及其香港证券登记处所持有关证券持有人的 个人资料将会保密，但本公司及其香港证券登记处 可以在为达到上述任何目的之必要情况下，向下列 任何人士披露、获取或转交（无论在香港境内或境 外）有关个人资料： 本公司委任的代理，例如财务顾问、收款银行 和主要海外股份过户登记处； （如证券申请人要求将证券存於中央结算系统） 香港结算或香港结算代理人，彼等将会就中央 结算系统的运作使用有关个人资料； 向本公司或香港证券登记处提供与其各自业务 营运有关的行政、电讯、电脑、付款或其他服 务的任何代理、承包商或第三方服务供应商； 联交所、证监会及任何其他法定监管机关或政 府部门或遵照其他法例、规则或法规；及 证券持有人与其进行或拟进行交易的任何人士 或机构，例如彼等的银行、律师、会计师或股 票经纪等。 4. 个人资料的保留 本公司及其香港证券登记处将按收集个人资料所需 的用途保留证券申请人及持有人的个人资料。无需 保留的个人资料将会根据《条例》销毁或处理。 5. 查阅和更正个人资料 证券持有人有权确定本公司或香港证券登记处是否 持有其个人资料，并有权索取有关该资料的副本并 更正任何不准确资料。本公司和香港证券登记处有 权就处理有关要求收取合理费用。 所有查阅资料或更正资料的要求应按招股章程「公 司资料」一节所披露或不时通知的本公司注册地址 送交公司秘书，或向本公司的香港证券登记处的私 隐事务主任提出。 阁下签署申请表格或向香港结算发出电子认购指 示，即表示同意上述各项。 如 阁下欲以本身名义登记将获发行的香港发售股份，请使用本表格 Sample 样版