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」）的名义登记将获发行的香港发售股份，并 直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投资者户口持有人股份户 口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 Staple your payment here 请将股款 紧钉在此 This Application Form uses the same terms as defi ned in the prospectus of Jilin Jiutai Rural Commercial Bank Corporation Limited (“the Bank”) dated December 30, 2016 (the “Prospectus”). 本申请表格使用吉林九台农村商业银行股份有限公司（「本行」）於2016年12月30日刊发的招股书（「招股书」）所界定的词语。 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. No registration has been or will be made under the U.S. Investment Company Act. 本申请表格及招股书概不构成在香港以外司法权区要约出售或游说要约购买香港发售股份。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。本行并无且不会根据美国投资公司法登记。 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书的司法权区内概不得发送、派发或复制（不论方式，也不论全部或部分）本申请表 格及招股书。 Copies of the Prospectus, all related Application Forms and the other documents specifi ed in the “Documents Delivered to the Registrar of Companies and Available for Inspection” section in Appendix VIII 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 Law of Hong Kong). Hong Kong Exchanges and Clearing Limited, The Stock Exchange of Hong Kong Limited (the “Hong Kong 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. 招股书、所有相关申请表格及招股书附录八「送呈公司注册处处长及备查文件」一节所述其他文件已遵照香港法例第32章《公司（清盘及杂项条文） 条例》第342C条的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（「香港联交所」）、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。 JILIN JIUTAI RURAL COMMERCIAL BANK CORPORATION LIMITED * 吉林九台农村商业银行股份有限公司* (A joint stock company incorporated in the People’s Republic of China with limited liability) （於中华人民共和国注册成立的股份有限公司） Stock Code : 6122 股份代号 : 6122 Maximum Offer Price : HK$4.76 per H Share (payable in full on application in Hong Kong dollars, subject to refund on final pricing), plus brokerage of 1%, SFC transaction levy of 0.0027% and Hong Kong Stock Exchange trading fee of 0.005% 最高发售价 : 每股H股4.76港元，另加1%经纪佣金、0.0027%证监会交易徵费 及0.005%香港联交所交易费（须於申请时以港元缴足，最终定 价後多缴款项可予退还） You should read this Application Form in conjunction with the Prospectus, which contains further information on the application procedures. 招股书尚有关於申请程序的其他资料，本申请表格应与招股书一并阅读。 To: Jilin Jiutai Rural Commercial Bank Corporation Limited Sole Sponsor Sole Representative Joint Global Coordinators Joint Bookrunners 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 benefi t of any person.Please refer to the last four bullets of “Effect of completing and submitting this Application Form” section. 致： 吉林九台农村商业银行股份有限公司 独家保荐人 独家代表 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�u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」一节最後四点。 Application Form 申请表格 * Jilin Jiutai Rural Commercial Bank Corporation Limited is not an authorized institution within the meaning of the Banking Ordinance (Chapter 155 of the 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. * 吉林九台农村商业银行股份有限公司并非香港法例第155章 银行业条例所指的认可机构，不受限於香港金融管理局的监 督、亦不获授权在香港经营银行�u接受存款业务。 Sample 样版 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」）的名义登记将获发行的香港发售股份，并 直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投资者户口持有人股份户 口或　阁下指定的中央结算系统参与者股份户口，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： �u �u D 日M 月Y 年 Number of Hong Kong Offer Shares applied for (not more than 33,000,000shares) 申请香港发售股份数目（不超过33,000,000股股份） Total amount 总额 HK$ 港元 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 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） Name in English 英文姓名�u名称 Family name or company name 姓氏或公司名称 Forename(s) 名字 Name in Chinese 中文姓名�u名称 Family name or company name 姓氏或公司名称 Forename(s) 名字 Occupation in English 职业（以英文填写） 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） 1) 2) 3) 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） 1) 2) 3) Hong Kong address in English and telephone no. (joint applicants should give the address and the telephone number of fi rst-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） Telephone No. 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 identifi cation 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 Internal use 此栏供内部使用 THIS BOX MUST BE DULY COMPLETED 必须填妥此栏 Participant I.D. of the CCASS Investor Participant or designated CCASS Participant 中央结算系统投资者户口持有人或指定的中 央结算系统参与者的参与者编号 For designated CCASS Participant or Corporate CCASS Investor Participant, please also affix the Bank chop bearing its company name 指定的 中央结算系统参与者或中央结算系统公司投资者户口持有人， 请加盖显示公司名称的公司印监 (See paragraph 2 in the section “How to make your application”) （请参阅「申请手续」一节第2段） Sample 样版 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」）的名义登记将获发行的香港发 售股份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投 资者户口持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 * (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　阁下为中央结算系统投资者户口持有人，是项申请仅接纳香港身份证号码（如属个别 人士）或香港商业登记号码（如属法人团体）；请参阅「申请手续」一节第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　阁下透过中央结算系统投资者户口持有人以外的指定中央结算系统参与者提出申请： 如属个别人士，必须填写　阁下的香港身份证号码或护照号码（持有香港身份证者请填写 香港身份证号码，否则请填写护照号码）；如属法人团体，请填写香港商业登记号码。 (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 verifi cation of your Hong Kong Identity Card number/passport number before you can cash your refund cheque. 退款支票（如有）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。有关资料将用於核实申请表格的有效性，亦会转交第三方作资料核 实和退款。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。 (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. 倘若申请人是一家非上市公司，而： 该公司主要从事证券买卖业务；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。 (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. 所有联名申请人必须提供（如属个别人士）其香港身份证号码或（如适用）护照号码，或（如 属法人团体）其香港商业登记号码。 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 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 1,000 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 No. of Hong Kong Offer Shares applied for Amount payable on application No. of Hong Kong Offer Shares applied for Amount payable on application No. of Hong Kong Offer Shares applied for Amount payable on application 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 15,000 20,000 25,000 30,000 4,807.97 9,615.94 14,423.90 19,231.86 24,039.83 28,847.80 33,655.77 38,463.73 43,271.70 48,079.67 72,119.50 96,159.33 120,199.16 144,239.00 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 400,000 500,000 600,000 168,278.83 192,318.66 216,358.49 240,398.33 288,477.99 336,557.66 384,637.32 432,716.99 480,796.65 961,593.30 1,442,389.96 1,923,186.61 2,403,983.26 2,884,779.91 700,000 800,000 900,000 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 9,000,000 10,000,000 20,000,000 3,365,576.56 3,846,373.22 4,327,169.87 4,807,966.52 9,615,933.04 14,423,899.56 19,231,866.08 24,039,832.60 28,847,799.12 33,655,765.64 38,463,732.16 43,271,698.68 48,079,665.20 96,159,330.40 33,000,000 (1) 158,662,895.16 (1) Maximum number of Hong Kong Offer Shares you may apply for. 2. You, as the applicant(s), must complete the form in English 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. Sample 样版 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 COMMUNICATIONS (NOMINEE) CO. LTD. ― JIUTAI RCB 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: Bank of Communications Co., Ltd. Hong Kong Branch District Branch Name Address Hong Kong Island Hong Kong Branch 20 Pedder Street, Central Chai Wan Sub-Branch G/F., 121�C121A Wan Tsui Road, Chai Wan Cinema Building, Chai Wan Kowloon Mongkok Sub-Branch G/F. and 1/F., Shun Wah Building, Nos. 735 & 735A Nathan Road, Mongkok Hunghom Sub-Branch Shop A6, G/F., Whampoa Estate Planet Square, 1�C3 Tak Man Street New Territories Sha Tsui Road Sub-Branch Shops Nos. 3�C5 on G/F., Kwong Ming Building, 120�C130 Sha Tsui Road, Tsuen Wan Tiu Keng Leng Sub-Branch Shops Nos. L2-064 and L2-065, Level 2, Metro Town, Tiu Keng Leng 5. Your Application Form can be lodged at these times: Friday, December 30, 2016 ― 9:00 a.m. to 5:00 p.m. Saturday, December 31, 2016 ― 9:00 a.m. to 1:00 p.m. Tuesday, January 3, 2017 ― 9:00 a.m. to 5:00 p.m. Wednesday, January 4, 2017 ― 9:00 a.m. to 5:00 p.m. Thursday, January 5, 2017 ― 9:00 a.m. to 12:00 noon 6. The latest time for lodging your application is 12:00 noon on Thursday, January 5, 2017. The application lists will be opened between 11:45 a.m.�C12:00 noon on that day, subject only to the weather conditions, as described in “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 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」）的名义登记将获发行的香港发 售股份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投 资者户口持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 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须至少为1,000股香港发售股份，并 为下表所列的其中一个数目，否则恕不受理。 可供申请认购股份数目及应缴款项 申请认购的 香港发售 股份数目 申请时 应缴款项 申请认购的 香港发售 股份数目 申请时 应缴款项 申请认购的 香港发售 股份数目 申请时 应缴款项 申请认购的 香港发售 股份数目 申请时 应缴款项 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000 15,000 20,000 25,000 30,000 4,807.97 9,615.94 14,423.90 19,231.86 24,039.83 28,847.80 33,655.77 38,463.73 43,271.70 48,079.67 72,119.50 96,159.33 120,199.16 144,239.00 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 400,000 500,000 600,000 168,278.83 192,318.66 216,358.49 240,398.33 288,477.99 336,557.66 384,637.32 432,716.99 480,796.65 961,593.30 1,442,389.96 1,923,186.61 2,403,983.26 2,884,779.91 700,000 800,000 900,000 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 8,000,000 9,000,000 10,000,000 20,000,000 3,365,576.56 3,846,373.22 4,327,169.87 4,807,966.52 9,615,933.04 14,423,899.56 19,231,866.08 24,039,832.60 28,847,799.12 33,655,765.64 38,463,732.16 43,271,698.68 48,079,665.20 96,159,330.40 33,000,000 (1) 158,662,895.16 (1) 阁下可申请认购的香港发售股份最 高数目。 2. 阁下作为申请人，必须按照下列指示以英文填妥表格，并於申请表格次页签署，只接纳亲笔 签名（不得以个人印章代替）。 如　阁下透过中央结算系统投资者户口持有人以外的指定中央结算系统参与者提出申请： 该指定中央结算系统参与者必须於表格盖上公司印监（附有公司名称），并在适当方格内 填写参与者编号。 如　阁下以个人中央结算系统投资者户口持有人名义提出申请： 表格须载有　阁下的姓名和香港身份证号码。 须在适当方格内填写　阁下的参与者编号。 如　阁下以联名个人中央结算系统投资者户口持有人名义提出申请： 表格须载有所有联名投资者户口持有人的姓名和香港身份证号码； 须在适当方格内填写　阁下的参与者编号。 如　阁下以公司中央结算系统投资者户口持有人名义提出申请： 表格须载有　阁下的公司名称和香港商业登记号码； 须在适当方格内填写　阁下的参与者编号并盖上公司印监（附有公司名称）。 中央结算系统参与者的资料（包括参与者编号及�u或显示公司名称之公司印监）或其他类似事 项如有不确或遗漏，均可能导致申请无效。 Sample 样版 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」）的名义登记将获发行的香港发 售股份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投 资者户口持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 3. 阁下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，否则有关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「交通银行（代理人）有限公司 ― 九台农商银行公开发售」； 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 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。 4. 请撕下申请表格，对摺一次，然後将填妥的申请表格（连同支票或银行本票）投入下列任何一 家分行特设的收集箱： 交通银行股份有限公司香港分行 地区 分行名称 地址 香港岛 香港分行 中环毕打街20号 柴湾支行 柴湾环翠道121�C121A号柴湾戏院大厦地下 九龙 旺角支行 旺角弥敦道735�C735A号迅华大厦地下及1楼 红�|支行 黄埔新�德民街1�C3号地下A6号�m 新界 沙咀道支行 荃湾沙咀道120�C130号光明大厦地下3�C5号�m 调景岭支行 调景岭都会�k商场2楼L2�C064及L2�C065号�m 5. 阁下可於下列时间递交申请表格： 2016年12月30日（星期五） ― 上午九时正至下午五时正 2016年12月31日（星期六） ― 上午九时正至下午一时正 2017年1月3日（星期二） ― 上午九时正至下午五时正 2017年1月4日（星期三） ― 上午九时正至下午五时正 2017年1月5日（星期四） ― 上午九时正至中午十二时正 6. 截止递交申请的时间为2017年1月5日（星期四）中午十二时正。本行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，唯一会影响此时间的变化因素为当日的天气情况（详 见招股书「如何申请香港发售股份」一节「恶劣天气对开始办理申请登记的影响」）。 Sample 样版 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 JILIN JIUTAI RURAL COMMERCIAL BANK CORPORATION LIMITED * 吉林九台农村商业银行股份有限公司* (A joint stock company incorporated in the People’s Republic of China with limited liability) GLOBAL OFFERING Conditions of your application A. Who can apply 1. You or 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. You must be outside the United States, not be a United States Person (as defined in Regulation S under the U.S. Securities Act) or a person described in paragraph (h)(3) of Rule 902 of Regulation S and not be a legal or natural person of the PRC. 3. If you are a firm, the application must be in the individual members’ names. 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. The number of joint applicants may not exceed 4. 6. Unless permitted by the Hong Kong Listing Rules or any relevant waivers that have been granted by the Hong Kong Stock Exchange, you cannot apply for any Hong Kong Offer Shares if you are: an existing beneficial owner of Shares in the Bank and/or any of its subsidiaries; a director or chief executive officer of the Bank and/or any of its subsidiaries; a connected person (as defined in the Hong Kong Listing Rules) of the Bank or will become a connected person of the Bank immediately upon completion of the Global Offering; an associate (as defined in the Hong Kong Listing Rules) of any of the above; and have been allocated or have applied for 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 instructions to 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: undertaketo execute all relevant documents and instruct and authorise the Bank and/or the Sole Representative (or its agents or nominees), as agents of the Bank, 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 of the Bank; agreeto comply with the Companies Ordinance, the Companies (Winding Up and Miscellaneous Provisions) Ordinance and the Articles of Association; confirmthat 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; confirmthat 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; confirmthat you are aware of the restrictions on the Global Offering in the prospectus; agreethat none of the Bank, the Selling Shareholders, 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); undertakeand confirmthat 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; agreeto disclose to the Bank, the H 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, agreeand warrantthat you have complied with all such laws and none of the Bank, the Selling Shareholders, the Sole Sponsor, the Sole Representative, 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; agreethat once your application has been accepted, you may not rescind it because of an innocent misrepresentation; agreethat your application will be governed by the laws of Hong Kong; represent, warrantand undertakethat (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; warrantthat the information you have provided is true and accurate; agreeto accept the Hong Kong Offer Shares applied for, or any lesser number allocated to you under the application; authorisethe Bank to place your name(s) or the name of the HKSCC Nominees on the Bank’s register of members as the holder(s) of any Hong Kong Offer Shares allocated to you, and the Bank and/or its agents to send any share certificate(s) and/or any e-Refund payment instructions 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 have fulfilled the criteria set out in “Personal Collection” section in this prospectus to collect the share certificate(s) and/or refund cheque(s) in person; * Jilin Jiutai Rural Commercial Bank Corporation Limited is not an authorized institution within the meaning of the Banking Ordinance (Chapter 155 of the 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. Sample 样版 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 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; 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; declareand representthat 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; understandthat the Bank and the Sole Representative 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 instructions to HKSCC or to the White Form eIPO 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 WHITEor YELLOWApplication 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 their agent. D. Power of attorney If your application is made through an authorised attorney, the Bank, the Sole Sponsor and the Sole Representative 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 Thursday, January 5, 2017. Applicants are required to pay the maximum Offer Price of HK$4.76 for each Hong Kong Offer Share together with 1% brokerage, 0.0027% SFC transaction levy and 0.005% Hong Kong Stock Exchange trading fee. If the Offer Price is not agreed between the Bank (for itself and on behalf of the Selling Shareholders) and the Sole Representative (for itself and on behalf of the Joint Bookrunners and the Underwriters) on or before Wednesday, January 11, 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 Bank 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 Wednesday, January 11, 2017 in the South China Morning Post (in English) and the Hong Kong Economic Times (in Chinese) and on the website of the Hong Kong Stock Exchange at www.hkexnews.hkand the Bank’s website at www.jtnsh.com. 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 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 Thursday, January 12, 2017) 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 Wednesday, January 11, 2017 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 Bank expects to publish the results of CCASS Investor Participants’ applications together with the results of the Hong Kong Public Offering in the South China Morning Post (in English) and the Hong Kong Economic Times (in Chinese) on Wednesday, January 11, 2017. You should check the announcement published by the Bank and report any discrepancies to HKSCC before 5:00 p.m. on Wednesday, January 11, 2017 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 Bank 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 only in part, the Bank will refund to you your application monies (including the related 1% brokerage, 0.0027% SFC transaction levy and 0.005% Hong Kong Stock Exchange trading fee) without interest. If the offer price is less than the maximum Offer Price, the Bank will refund to you the surplus application monies (including the related 1% brokerage, 0.0027% SFC transaction levy and 0.005% Hong Kong Stock Exchange trading fee) without interest. The refund procedures are stated in the “Dispatch/Collection of share certificates and refund monies” in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus. Sample 样版 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」）的名义登记将获发行的香港发售股 份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投资者户口 持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 JILIN JIUTAI RURAL COMMERCIAL BANK CORPORATION LIMITED * 吉林九台农村商业银行股份有限公司* （於中华人民共和国注册成立的股份有限公司） 全球发售 申请条件 甲、 可提出申请的人士 1. 阁下或　阁下为其利益提出申请的人士必须年 满18岁并有香港地址。 2. 阁下必须身处美国境外，并非美籍人士（定义 见美国证券法S规例）或属S规例第902条(h)(3)段 所述的人士，亦非中国法人或自然人。 3. 如　阁下为公司，申请须以个别成员名义提出。 4. 如　阁下为法人团体，申请须经获正式授权人 员签署，并注明其所属代表身份及盖上公司印 监。 5. 联名申请人不得超过四名。 6. 除香港上市规则或香港联交所已授予的任何相 关豁免批准外，下列人士概不得申请认购任何 香港发售股份： 本行及�u或本行任何子公司股份的现有实 益拥有人； 本行及�u或本行任何子公司的董事或行政 总裁； 本行的关连人士（定义见香港上市规则）或 紧随全球发售完成後成为本行关连人士的 人士； 上述任何人士的联系人（定义见香港上市规 则）；及 已获分配或已申请认购任何国际发售股份 或以其他方式参与国际发售的人士。 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，并指示及授权本行 及�u或作为本行代理的独家代表（或其代理或 代名人），代表　阁下签立任何文件及办理一 切必要手续，并为按照本行的公司章程的规定 将　阁下获分配的任何香港发售股份以香港结 算代理人的名义登记； 同意遵守公司条例、公司（清盘及杂项条文）条 例及公司章程； 确认　阁下已细阅招股书及本申请表格所载的 条款及条件和申请程序，并同意受其约束； 确认　阁下已接获及细阅招股书，提出申请时 也仅依据招股书载列的资料及陈述，而除招股 书任何补充文件外，不会依赖任何其他资料或 陈述； 确认　阁下知悉招股书中有关全球发售的限 制； 同意本行、售股股东、独家保荐人、独家代 表、联席全球协调人、联席账簿管理人、联席 牵头经办人、承销商、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 发售的任何其他各方现时及日後均毋须对并非 招股书（及其任何补充文件）所载的任何资料及 陈述负责； 承诺及确认　阁下或　阁下为其利益提出申请 的人士并无且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，也没有参与国际 发售； 同意在本行、H股证券登记处、收款银行、独 家保荐人、独家代表、联席全球协调人、联席 账簿管理人、联席牵头经办人、承销商及�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 提出申请的人士的个人资料； 若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，且本行、售股股东、独家保荐人、独家代 表、联席全球协调人、联席账簿管理人、联席 牵头经办人及承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 下在招股书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 港境外的任何法例； 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； 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； 授权本行将　阁下的姓名�u名称或香港结算代 理人的名称列入本行股东名册，作为　阁下获 分配的任何香港发售股份的持有人，并授权本 行及�u或其代理以普通邮递方式按申请所示地 * 吉林九台农村商业银行股份有限公司并非香港法例第155章银行业条例所指的认可机构，不受限於香港金融管理局的监督、亦不获授权在香 港经营银行�u接受存款业务。 Sample 样版 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」）的名义登记将获发行的香港发售股 份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投资者户口 持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 址向　阁下或联名申请的排名首位申请人发送 任何股票及�u或任何电子退款指示及�u或任何 退款支票，邮误风险由　阁下承担，除非　阁 下已符合招股书「亲身领取」一节的条件亲身领 取股票及�u或退款支票； 同意获配发的股份是以香港结算代理人的名 义发行，并直接存入中央结算系统，以便记存 於　阁下的中央结算系统投资者户口持有人股 份户口或　阁下的指定中央结算系统参与者股 份户口； 同意香港结算及香港结算代理人各自保留权利 (1)不接纳以香港结算代理人名义发行的该等 获配发的任何或部分股份，或不接纳该等获配 发的股份存入中央结算系统；(2)促使该等获配 发的股份从中央结算系统提取，并转入　阁下 名下，有关风险及费用概由　阁下自行承担； 及(3)促使该等获配发的股份以　阁下名义发行 （或如属联名申请人，则以排名首位申请人的 名义发行），而在此情况下，会以普通邮递方式 将该等获配发股份的股票寄往　阁下申请表格 所示地址（邮误风险概由　阁下自行承担）或提 供该等股票予　阁下领取； 同意香港结算及香港结算代理人均可调整获配 发以香港结算代理人名义发行的股份数目； 同意香港结算及香港结算代理人对招股书及本 申请表格未有载列的资料及陈述概不负责； 同意香港结算及香港结算代理人概不以任何方 式对　阁下负责； 声明及表示此乃　阁下为本身或为其利益提出 申请的人士提出及拟提出的唯一申请； 明白本行及独家代表将依据　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； （如本申请是为　阁下本身利益提出）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　阁下利益而以白色或黄色申 请表格或向香港结算或白表eIPO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本申 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，本行、独家保荐 人及独家代表可按其认为合适的条件（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2017年1月5日（星期四）或前後厘定。 申请人须缴付每股香港发售股份4.76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%香港联交所交易费。倘若本行（代表其自 身和售股股东）与独家代表（代表其自身和联席账簿 管理人及承销商）并无於2017年1月11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。 本行预期於2017年1月11日（星期三）在南华早报 （英文）、香港经济日报（中文）、香港联交所网站 www.hkexnews.hk及本行网站www.jtnsh.com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（如适用）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　阁下的申请全部或部分获接纳，　阁下的股 票（前提是到2017年1月12日（星期四）上午八时正香 港公开发售成为无条件而并无终止，股票成为有 效的所有权证明）将以香港结算代理人名义发出， 并按　阁下在申请表格的指示於2017年1月11日（星 期三）或在特别情况下由香港结算或香港结算代理 人指定的任何其他日期直接存入中央结算系统，记 入　阁下的中央结算系统投资者户口持有人股份户 口或　阁下指定的中央结算系统参与者股份户口。 如　阁下透过中央结算系统投资者户口持有人 以外的指定中央结算系统参与者提出申请：香 港发售股份将存入　阁下指定的中央结算系统 参与者（非中央结算系统投资者户口持有人）股 份户口，　阁下可向该中央结算系统参与者查 询　阁下获配发的香港发售股份数目。 如　阁下以中央结算系统投资者户口持有人身 份提出申请：本行预期於2017年1月11日（星期 三）在南华早报（英文）及香港经济日报（中文） 刊登中央结算系统投资者户口持有人的申请结 果及香港公开发售的结果。　阁下应查阅本行 刊发的公告，如有任何资料不符，请於2017年 1月11日（星期三）下午五时正或香港结算或香 港结算代理人厘定的任何其他日期前知会香港 结算。在香港发售股份存入　阁下的股份户口 後，　阁下即可透过「结算通」电话系统及中央 结算系统互联网系统（根据香港结算不时生效 的「投资者户口操作简介」所载程序）查询　阁 下的新户口结余。香港结算亦将向　阁下提供 一份活动结单，列出存入　阁下股份户口的香 港发售股份数目。 本行不会就申请时缴付的款项发出收据，亦不会发 出临时所有权文件。 退回款项 若　阁下未获分配任何香港发售股份或申请仅部 分获接纳，本行将不计利息退回　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%香港联交所交易费）。如最终厘定的发售 价低於最高发售价，本行将不计利息退回多收申请 股款（包括相关的1%经纪佣金、0.0027%证监会交易 徵费及0.005%香港联交所交易费）。 有关退款程序载於招股书「如何申请香港发售股份」 一节「发送�u领取股票及退回股款」。 Sample 样版 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 Bank and its H 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 Bank or its agents and the H Share Registrar when applying for securities or transferring securities into or out of their names or in procuring the services of the H 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 Bank or its H 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 certifi cate(s) and/or refund cheque(s) to which you are entitled. It is important that securities holders inform the Bank and the H 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, verifi cation 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 Bank; verifying securities holders’ identities; establishing benefit entitlements of securities’ holders of the Bank, such as dividends, rights issues, bonus issues, etc.; distributing communications from the Bank 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 Bank and the H 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 Bank and its H Share Registrar relating to the securities holders will be kept confidential but the Bank and its H 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 Bank’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 Bank or the H Share Registrar in connection with their respective business operation; the Hong Kong 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 Bank and its H Share Registrar will keep the personal data of the applicants and holders of securities for as long as necessary to fulfi l 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 Bank or the H Share Registrar hold their personal data, to obtain a copy of that data, and to correct any data that is inaccurate. The Bank and the H 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 the Bank, at its registered address disclosed in the “Corporate Information” section of the Prospectus or as notifi ed from time to time, for the attention of the Bank secretary, or the H 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. Sample 样版 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」）的名义登记将获发行的香港发 售股份，并直接存入中央结算及交收系统（「中央结算系统」），以记存於　阁下的中央结算系统投 资者户口持有人股份户口或　阁下指定的中央结算系统参与者股份户口，请使用本表格 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 请人和持有人说明有关本行及其H股证券登记处 有关个人资料和香港法例第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H股证券登记处的服 务时，必须向本行或其代理人及H股证券登记处 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，或本行或其H股证券登记处无 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， 须立即通知本行及H股证券登记处。 2. 用途 证券持有人的个人资料可被采用及以任何方式 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（如适用）、 核实是否符合本申请表格及招股书载列的 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（如适 用））的名义登记新发行证券或转让或受让 证券； 存置或更新本行证券持有人的名册； 核实证券持有人的身份； 确定本行证券持有人的受益权利，例如股 息、供股和红股等； 分发本行及其附属公司的通讯； 编制统计数据和证券持有人资料； 披露有关资料以便就权益索偿；及 与上述有关的任何其他附带或相关目的及�u 或使本行及H股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 本行及其H股证券登记处所持有关证券持有人的 个人资料将会保密，但本行及其H股证券登记处 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： 本行委任的代理人，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； 向本行或H股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 服务的任何代理人、承包商或第三方服务 供应商； 香港联交所、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 本行及其H股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行或H股证券登记处是否 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。本行和H股证券登记 处有权就处理任何查阅资料的要求收取合理费 用。 所有查阅资料或更正资料的要求应按招股书「公 司资料」一节所披露或不时通知的本行注册地址 送交本行的公司秘书，或向H股证券登记处的个 人资料私隐事务主任提出。 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。 Sample 样版