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登記持有人適用之申請表格

CCS1014 CKPH Request Form 申 请表格 To: CHEUNG KONG PROPERTY HOLDINGS LIMITED (“Company”) (Stock Code: 1113) c/o Computershare Hong Kong Investor Services Limited 17M Floor, Hopewell Centre, 183 Queen’s Road East, Hong Kong 致�U 长江实业地产有限公司�C 「本公司」或「贵公司」 �D �C股份代号�U1113�D 经香港中央证券登记有限公司 香港皇后大道东 183 号 合和中心 17M 楼 I/We have chosen (or am/are deemed to have consented) to read the Current Corporate Communications posted on the Company’s website. I/We would like to request a printed copy of the Current Corporate Communications. 本人/吾等已选择(或被视为已同意)浏览在 贵公司网站登载之是次公司通讯,现要求索取一份是次公司通讯印刷本。 Name(s) of Shareholder(s) # 股东姓名 # Signature 签名 ( Please use ENGLISH BLOCK LETTERS 请 用 英文 正 楷 填写 ) Address # 地址 # ( Please use ENGLISH BLOCK LETTERS 请 用 英文 正 楷 填写 ) Contact telephone number (Optional) 联络电话号码(可 选择 是否 填 写) Date 日期 # You are required to fill in the details if you download this Request Form from the Company’s website or the website of Hong Kong Exchanges and Clearing Limited. 假 如 阁 下从 本 公司 或香 港 交易 及 结算 所 有限 公司 之 网 站下 载 本申 请表 格 ,请 必 须填 上 有关 资料 。 Notes 附 注 : 1. Please complete all your details clearly. 请 阁下清楚填妥所有资料。 2. If your shares are held in joint names, the shareholder whose name stands first on the register of members of the Company in respect of the joint holding should sign on this Request Form in order to be valid. 如属联名股东,则本申请表格须由该名於本公司股东名册上排名首位之联名股东签署,方为有效。 3. Any form with no signature or otherwise incorrectly completed will be void. 如本表格未有签署或填写不正确,则本表格将会作废。 4. For the avoidance of doubt, the Company does not accept any other special instructions written on thisRequest Form. 为免存疑,本公司概不接受於本申请表格上书写之任何其他特定指示。 PERSONAL INFORMATION COLLECTION STATEMENT 收集个人资料声明 CKPH-22022017-1(7) “Personal Data” in this statement has the same meaning as “personal data” in the Personal Data (Privacy) Ordinance, Cap 486 (“PDPO”), which includes your name, mailing address and contact telephone number. 本声明所指的「个人资料」具有《个人资料(私隐)条例》(第 486 章)(「私隐条例」)赋予「个人资料」之相同涵义,当中包括 阁下的姓名、邮 寄地址及联络电话号码。 Your Personal Data provided in this form will be used in connection with processing your request for obtaining printed copy of the relevant Corporate Communication(s). Your supply of Personal Data is on a voluntary basis. However, we may not be able toprocess your request unless you provide us with your Personal Data. 阁下於本表格所提供的个人资料将用以处理 阁下要求索取相关公司通讯印刷本之指示。 阁下乃基於自愿性质提供个人资料,惟倘 阁下并无提 供个人资料,本公司可能无法处理 阁下的指示。 Your Personal Data may be disclosed or transferred to the Company’s Hong Kong Share Registrar and/or other companies or bodies for the purpose stated above, or when it is required to do so by law, for example, in response to a court order or a law enforcement agency’s request, and will be retained for such period as may be necessary for our verification andrecord purpose. 本公司可就上述用途将 阁下的个人资料披露或转移给本公司的香港股份登记处及/或其他公司或团体,或按法例规定(例如应法庭命令或执法机 关的要求)作出披露或转移,并将在适当期间内保留该等个人资料作核实及记录用途。 You have the right to request access to and/or correction of your Personal Data respectively in accordance with the provisions of the PDPO. Any such request for access to and/or correction of your Personal Data should be in writing by either of the following means: 阁下有权根据私隐条例分别查阅及/或更正 阁下的个人资料。任何查阅及/或更正 阁下个人资料的要求,均须透过以下其中一项途径以书面方 式提出: By mail to: Personal Data Privacy Officer Computershare Hong Kong Investor Services Limited 17M Floor, Hopewell Centre, 183 Queen’s Road East, Hong Kong 邮寄: 香港皇后大道东 183 号合和中心 17M 楼 香港中央证券登记有限公司 个人资料私隐主任 By e-mail to: hkinfo@computershare.com.hk 电邮: hkinfo@computershare.com.hk ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 邮寄标签 MAILING LABEL 阁下寄回此申请表格时,请将邮寄标签剪贴於信封上。 如在本港投寄毋须贴上邮票。 Please cut the mailing label and stick this on the envelope to return this Request Form to us. No postage stamp necessary if posted in Hong Kong. 香港中央证券登记有限公司 Computershare Hong Kong Investor Services Limited 简便回邮号码 Freepost No. 37 香港 Hong Kong
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