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Yixin Group Limited — Share Issue/Capital Change 2017
Nov 6, 2017
50779_rns_2017-11-05_f441ba27-60ff-4576-9bed-7a90326e1936.pdf
Share Issue/Capital Change
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Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
This Application Form uses the same terms as defined in the prospectus of Yixin Group Limited (the “Company”) Staple your dated 6 November 2017 (the “Prospectus”). 本申請表格使用易鑫集团有限公司(「本公司」)於2017年11月6日 刊發的招股章程(「招股章程」)所界定的相同詞彙。 payment Neither this Application Form nor the Prospectus constitutes an offer to sell or the solicitation of an offer to buy any here Hong Kong Offer Shares in any jurisdiction other than Hong Kong. The Hong Kong Offer Shares may not be offered 請將股款 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的任何司法轄區要約出售或游說要約購買任何香港發售股份。 緊釘在此 若無根據美國證券法登記或獲豁免登記,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. 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 轄區內概不得發送或派發或複製(不論以任何方式,亦不論全部或部分)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」所述的其他文 件已遵照香港法例第32章《公司(清盤及雜項條文)條例》第342C條的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。 � YIXIN GROUP LIMITED 易鑫集團有限公司 (incorporated in the Cayman Islands with limited liability and carrying on business in Hong Kong as “Yixin Automotive Technology Group Limited”) (於開曼群島註冊成立的有限公司,以「Yixin Automotive Technology Group Limited」的名義於香港經營業務) Stock Code : 2858 股份代號 : 2858 Maximum Offer Price : HK$7.70 per Offer Share, plus brokerage of 1%, SFC transaction levy of 0.0027%, and Stock Exchange trading fee of 0.005% (payable in full on application in Hong Kong dollars and subject to refund) 最高發售價 : 每股發售股份7.70港元,另加1%經紀佣金、 0.0027%證監會交易徵費及0.005%聯交所交易費 (須在申請時以港元繳足,多繳股款可予退還) You should read this Application Form in conjunction with the Prospectus, which contains further 一 , information on the application procedures. 招股章程載有關於申請手續的進 步資料 本申請表格 一 。 應與招股章程 併閱讀 Application Form 申請表格 To: Yixin Group Limited 致: 易鑫集團有限公司 The Joint Global Coordinators 聯席全球協調人 The Hong Kong Underwriters 香港包銷商
Applicants’ declaration
I/We agree to the terms and conditions and application procedures in this Application Form and the Prospectus. Please refer to the “Effect of completing and submitting this Application Form” section of this Application Form.
Warning: Only one application may be made for the beneft of any person. Please refer to the last four bullets of “Effect of completing and submitting this Application Form” section.
申請人聲明
本人╱吾等同意本申請表格及招股章程的條款 及條件以及申請手續。請參閱本申請表格「填寫 及遞交本申請表格的效用」一節。
警告 : 僅可就任何人士的利益作出 一 份申請 。 請參閱「填寫及遞交本申請表格的效用」一節最 後四點。
Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
Signed by (all) applicant(s) (all joint applicants must sign): 由(所有)申請人簽署(所有聯名申請人必須簽署):
For Broker use 此欄供經紀填寫 Lodged by 遞交申請的經紀 Broker No. 經紀號碼 Broker’s Chop 經紀 印章
Date 日期: ╱ ╱ D 日 M 月 Y 年 Number of Hong Kong Offer Shares applied for (not more than 43,934,000 shares) 申請香港發售股份數目(不超過 43,934,000 股股 份)
Cheque/banker’s cashier order number 支票╱銀行本票號碼 份) Name of bank on which cheque/Banker’s cashier order is Total amount 總額 drawn (see “How to make your application” section) 兌現支 票╱銀行 本票的銀行名稱(見「申請手續」一節) HK$ 港元 Name in English 英文姓名╱名稱 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)pation in English 職業(以英文填寫)ation in English 職業(以英文填寫)glish 職業(以英文填寫)lish 職業(以英文填寫)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) Hong Kong identity card no./passport no./Hong Kong business 所有其他聯名申請人的英文姓名╱名稱(如有) 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 1) 照號碼╱香港商業登記號碼(請刪除不適用者) 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) 香港地址(以英文填寫)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: 閣下若不填寫本 節,是項申請將視作為 閣下本身利益提出。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 正楷 填寫 姓名╱名稱 及 香港 地址 )
Name in Chinese 中文姓名╱名稱中文姓名╱名稱
Occupation in English 職業(以英文填寫)pation in English 職業(以英文填寫)ation in English 職業(以英文填寫)glish 職業(以英文填寫)lish 職業(以英文填寫)職業(以英文填寫)
For Internal use 此欄供內部使用
Please use this form if you want the Hong Kong Offer Shares to be issued in your name 如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
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(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. 個人必須填寫其香港身份 證號碼或(如非香港身份證持有人)護照號碼。法人團體必須填寫其香港商業登記號碼。 每名聯名申請人均必須提供其相關號碼。該等香港身份證號碼╱護照號碼╱香港商業登 記號碼將轉交第三方以核實申請表格的有效性。
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(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。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。
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(3) If an application is made by an unlisted company and:
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the principal business of that company is dealing in securities; and
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you exercise statutory control over that company,
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then the application will be treated as being made for your benefit. 如申請人是一家非上市公司,而:
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該公司的主要業務為證券買賣;及
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閣下可對該公司行使法定控制權,
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是項申請將視作為 閣下的利益提出。
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Please use this form if you want the Hong Kong Offer Shares to be issued in your name
How to make your application
- Use the table below to calculate how much you must pay. Your application must be for a minimum of 500 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
| NUMBER OF SHARES THAT MAY BE APPLIED FOR AND PAYMENTS |
NUMBER OF SHARES THAT MAY BE APPLIED FOR AND PAYMENTS |
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$) |
| 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 6,000 7,000 8,000 9,000 10,000 15,000 20,000 3,888.79 7,777.60 11,666.39 15,555.19 19,443.98 23,332.78 27,221.58 31,110.37 34,999.17 38,887.97 46,665.56 54,443.16 62,220.74 69,998.34 77,775.93 116,663.90 155,551.86 |
25,000 30,000 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 400,000 500,000 600,000 700,000 194,439.83 233,327.79 272,215.76 311,103.72 349,991.69 388,879.65 466,655.57 544,431.50 622,207.43 699,983.36 777,759.29 1,555,518.58 2,333,277.87 3,111,037.16 3,888,796.45 4,666,555.74 5,444,315.03 le |
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 30,000,000 43,934,000 (1) 6,222,074.32 6,999,833.61 7,777,592.90 15,555,185.80 23,332,778.70 31,110,371.60 38,887,964.50 46,665,557.40 54,443,150.30 62,220,743.20 69,998,336.10 77,775,929.00 155,551,858.00 233,327,787.00 341,700,766.47 樣 |
(1) Maximum number of Hong Kong Offer Shares you may apply for.
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Complete the form in English and sign it. Only written signatures will be accepted (and not by way of personal chop).
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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:
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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 — YIXIN GROUP PUBLIC OFFER ”;
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• be crossed “Account Payee Only”;
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be drawn on your Hong Kong dollar bank • be issued by a licensed bank in Hong Kong, account in Hong Kong; and and have your name certified on the back by a
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• show your account name, which must either be person authorized by the bank. The name on pre-printed on the cheque, or be endorsed on the the banker’s cashier order must correspond with back by a person authorized by the bank. This your name. If it is a joint application, the name account name must correspond with your name. on the back of the banker’s cashier order must If it is a joint application, the account name be the same as the first-named applicant’s name. must be the same as the first-named applicant’s name.
Please use this form if you want the Hong Kong Offer Shares to be issued in your name
- 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 China (Hong Kong) Limited
Branch Name Address Hong Kong Island Bank of China Tower Branch 3/F, 1 Garden Road Sheung Wan Branch Shop 1–4, G/F, Tung Hip Commercial Building, 244–248 Des Voeux Road Central Lee Chung Street Branch 29–31 Lee Chung Street, Chai Wan Kowloon Shanghai Street (Mong Kok) 611–617 Shanghai Street, Mong Kok Branch Tsim Sha Tsui Branch 24–28 Carnarvon Road, Tsim Sha Tsui, Kowloon 194 Cheung Sha Wan Road 194–196 Cheung Sha Wan Road, Sham Shui Po, Branch Kowloon Kwun Tong Plaza Branch G1 Kwun Tong Plaza, 68 Hoi Yuen Road, Kwun Tong Metro City Branch Shop 209, Level 2, Metro City Phase 1, Tseung Kwan O New Territories Shatin Branch Shop 20, Level 1, Lucky Plaza, 1–15 Wang Pok Street, Sha Tin Fo Tan Branch No 2, 1/F Shatin Galleria, 18–24 Shan Mei Street, Fo Tan
- Your Application Form can be lodged at these times:
Monday, 6 November 2017 — 9:00 a.m. to 5:00 p.m. Tuesday, 7 November 2017 — 9:00 a.m. to 5:00 p.m. Wednesday, 8 November 2017 — 9:00 a.m. to 5:00 p.m. Thursday, 9 November 2017 — 9:00 a.m. to 12:00 noon
- The latest time for lodging your application is 12:00 noon on Thursday, 9 November 2017. 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 “Effect of Bad Weather on the Opening and Closing of the Application Lists” in the “How to Apply for Hong Kong Offer Shares” section of the Prospectus.
如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
申請手續
- 請使用下表計算 閣下應付的款項。 閣下申請認購的股份數目須至少為500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。
| 1. 請使用下表計算 閣下應付的款項。 閣下申請認購的股份數目須至少為500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。 |
1. 請使用下表計算 閣下應付的款項。 閣下申請認購的股份數目須至少為500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。 |
1. 請使用下表計算 閣下應付的款項。 閣下申請認購的股份數目須至少為500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 |
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| 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) |
| 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 6,000 7,000 8,000 9,000 10,000 15,000 20,000 3,888.79 7,777.60 11,666.39 15,555.19 19,443.98 23,332.78 27,221.58 31,110.37 34,999.17 38,887.97 46,665.56 54,443.16 62,220.74 69,998.34 77,775.93 116,663.90 155,551.86 |
25,000 30,000 35,000 40,000 45,000 50,000 60,000 70,000 80,000 90,000 100,000 200,000 300,000 400,000 500,000 600,000 700,000 194,439.83 233,327.79 272,215.76 311,103.72 349,991.69 388,879.65 466,655.57 544,431.50 622,207.43 699,983.36 777,759.29 1,555,518.58 2,333,277.87 3,111,037.16 3,888,796.45 4,666,555.74 5,444,315.03 e |
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 30,000,000 43,934,000 (1) 6,222,074.32 6,999,833.61 7,777,592.90 15,555,185.80 23,332,778.70 31,110,371.60 38,887,964.50 46,665,557.40 54,443,150.30 62,220,743.20 69,998,336.10 77,775,929.00 155,551,858.00 233,327,787.00 341,700,766.47 樣版 |
(1) 閣下可申請認購的香港發售股份最高數目。
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請以英文填妥及簽署表格。僅接納親筆簽名(不得以個人印章代替)。
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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必須附上一張獨立開出的支票 或一張獨立開出的銀行本票。倘支票或銀行本票未符合以下所有規定, 閣下的認購申請將 不獲接納:
支票必須: 銀行本票必須: • 為港元支票; • 不得為期票; • 註明抬頭人為「 中國銀行(香港)代理人有限公司 — 易鑫集團公開發售 」; • 劃線註 明「只准入抬頭人 賬 戶」; • 從 閣下在香港的港元銀行賬戶中開出; • 須由香港持牌銀行開出,並由有關銀行授 及 權的人士在銀行本票背面簽署核證 閣 • 顯示 閣下的賬戶名稱,而該賬戶名稱必 下姓名╱名稱。銀行本票所示姓名╱名稱 須已預印在支票上,或由有關銀行授權的 須與 閣下姓名╱名稱相同。如屬聯名申 人士在支票背書。賬戶名稱必須與 閣下 請,銀行本票背面所示姓名╱名稱必須與 姓名╱名稱相同。如屬聯名申請,賬戶名 排名首位申請人的姓名╱名稱相同。 稱必須與排名首位申請人的姓名╱名稱相 。 同
如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
- 請撕下申請表格,對摺一次,然後將填妥的申請表格(連同隨附支票或銀行本票)投入下列任 何一家分行的收集箱:
中國銀行(香港)有限公司
分行名稱 地址
香港島 中銀大廈分行 花園道1號3樓 上環分行 德輔道中244–248號東協商業大廈地下1–4號舖 利眾街分行 柴灣利眾街29–31號 九龍 旺角上海街分行 旺角上海街611–617號 尖沙咀分行 九龍尖沙咀加拿芬道24–28號 長沙灣道194號分行 九龍深水埗長沙灣道194–196號 觀塘廣場分行 觀塘開源道68號觀塘廣場G1 新都城分行 將軍澳新都城一期二樓209號 新界 沙田分行 沙田橫壆街1–15號好運中心地下20號舖 火炭分行 火炭山尾街18–24號沙田商業中心1樓2號
- 閣下可於下列時間遞交申請表格:
— 2017年11月6日(星期一) 上午九時正至下午五時正 — 2017年11月7日(星期二) 上午九時正至下午五時正 — 2017年11月8日(星期三) 上午九時正至下午五時正 — 2017年11月9日(星期四) 上午九時正至中午十二時正
- 閣下遞交申請的最後時間為2017年11月9日(星期四)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,惟須視乎當日的天氣情況(詳見招股章程「如 何申請香港發售股份」一節「惡劣天氣對開始及截止辦理申請登記的影響」)。
Please use this form if you want the Hong Kong Offer Shares to be issued in your name
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YIXIN GROUP LIMITED 易鑫集团有限公司
(incorporated in the Cayman Islands with limited liability and carrying on business in Hong Kong as “Yixin Automotive Technology Group Limited”)
GLOBAL OFFERING
• 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 Relevant Persons and the White Form eIPO Service Provider 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 Placing Shares nor participated in the International Placing;
Conditions of your application
A. Who can apply
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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.
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If you are a firm, the application must be in the individual members’ names.
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The number of joint applicants may not exceed four.
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If you are a body corporate, the application must be signed by a duly authorized officer, who must state his representative capacity, and stamped with your corporation’s chop.
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You must be outside the United States (within the meaning of Regulation S) or are a person described in paragraph (h)(3) of Rule 902 of Regulation S and not be a legal or natural person of the PRC (except qualified domestic institutional investors).
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Unless permitted by the Listing Rules, you cannot apply for any Hong Kong Offer Shares if you:
• agree to disclose to the Company, the Hong Kong Share Registrar, the receiving bank, the Relevant Persons 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 neither the Company, the Relevant Persons 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;
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are an existing beneficial owner of Shares in the Company and/or a substantial shareholder of any of its subsidiaries;
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are a director or chief executive of the Company and/or • any of its subsidiaries;
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are a close associate (as defined in the Listing Rules) of any of the above;
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are a connected person (as defined in the Listing Rules) of the Company or will become a connected person of the Company immediately upon completion of the Global Offering; or
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have been allocated or have applied for any International • Placing Shares or otherwise participate in the International Placing. •
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B. If you are a nominee
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 (within the meaning of Regulation S) or are a person described in paragraph (h)(3) of Rule 902 of Regulation S;
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 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, 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:
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warrant that the information you have provided is true and accurate;
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agree to accept the Hong Kong Offer Shares applied for or any lesser number allocated to you under the application;
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authorize (i) 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 such other registers as required under the Memorandum and Articles of Association of the Company, and (ii) the Company 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 firstnamed 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 “— Personal Collection” section of the Prospectus to collect the Share certificate(s) and/or refund cheque(s) in person;
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undertake to execute all relevant documents and instruct and authorize 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 of Association;
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agree to comply with the Memorandum and Articles of Association of the Company, the Companies (Winding Up and Miscellaneous Provisions) Ordinance (Chapter 32 of the Laws of Hong Kong) and Cayman Companies Law;
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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;
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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;
Please use this form if you want the Hong Kong Offer Shares to be issued in your name
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understand that the Company, the Directors and the Joint Global Coordinators will rely on your declarations and representations in deciding whether or not to allocate any of the Hong Kong Offer Shares to you and that you may be prosecuted for making a false declaration;
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(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 through the WHITE Form eIPO service by you or by any one as your agent or by any other person; and
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(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 their agent.
D. Power of attorney
If your application is made by a person under a power of attorney, the Company and the Joint Global Coordinators, as the Company’s agent, may accept or reject your application at their discretion and on any conditions they think fit, including requiring evidence of the attorney’s authority.
Price Determination of the Global Offering
The Offer Price is expected to be fixed on or around Thursday, 9 November 2017. Applicants are required to pay the Maximum Offer Price of HK$7.70 for each Hong Kong Offer Share together with brokerage of 1%, SFC transaction levy of 0.0027% and Stock Exchange trading fee of 0.005%. If the Offer Price is not agreed between the Company and the Joint Global Coordinators (for itself and on behalf of the Hong Kong Underwriters) by Wednesday, 15 November 2017, 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.
Publication of results
The Company expects to announce the Offer Price, the level of indication of interest in the International Placing, the level of applications under the Hong Kong Public Offering and the basis of allocation of the Hong Kong Offer Shares on or before Wednesday, 15 November 2017 in the South China Morning Post (in English) and the Hong Kong Economic Times (in Chinese) and on the websites of the Company at www.yixincars.com and the Stock Exchange at www.hkexnews.hk The results of allocations and the Hong Kong identity card/passport/Hong Kong business registration numbers of successful applicants under the Hong Kong Public Offering 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 and have provided all information required by this Application Form, you may collect your refund cheque(s) and/or Share certificate(s) (where applicable) from Computershare Hong Kong Investor Services Limited, at Shops 1712–1716, 17th Floor, Hopewell Centre, 183 Queen’s Road East, Wanchai, Hong Kong from 9:00 a.m. to 1:00 p.m. on Wednesday, 15 November 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 authorize any other person to collect for you. If you are a corporate applicant which is eligible for personal collection, your authorized representative must bear a letter of authorization from your corporation stamped with your corporation’s chop. Both individuals and authorized representatives must produce, at the time of collection, evidence of identity acceptable to Computershare Hong Kong Investor Services Limited.
If you do not collect your refund cheque(s) and/or Share certificate(s) (where applicable) personally within the time specified for collection, they will be despatched 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) (where applicable) will be sent to the address specified in your Application Form on or before Wednesday, 15 November 2017, by ordinary post and at your own risk.
Refund of application monies 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, or the appropriate portion thereof, together with brokerage of 1%, SFC transaction levy of 0.0027% and Stock Exchange trading fee of 0.005%, without interest. If the Offer Price is less than the Maximum Offer Price, the Company will refund to you the surplus application monies together with the related brokerage of 1%, SFC transaction levy of 0.0027% and Stock Exchange trading fee of 0.005%, without interest.
The refund procedures are stated in the “Despatch/Collection of Share Certificates/e-Refund Payment Instructions/Refund Cheques” 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:
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“Applicants’ declaration” on the first page;
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“Warning” on the first page;
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“If you are a nominee”;
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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;
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“If your application for Hong Kong Offer Shares is successful (in whole or in part)”; and
• “Refund of application monies”. 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:
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“How many applications can you make”; and
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“Circumstances in which you will not be allocated Hong Kong Offer Shares”.
如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
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YIXIN GROUP LIMITED 易鑫集团有限公司
(於開曼群島註冊成立的有限公司,以「Yixin Automotive Technology Group Limited」的名義於香港經營業務)
全球發售
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申請條件 • 確認 閣下已接獲及閱讀招股章程,並於作 甲. 可提出申請的人士 出申請時僅倚賴招股章程所載資料及陳述, 1. 閣下及 閣下為其利益提出申請的任何人士 且將不會倚賴招股章程任何補充文件所載者 必須年滿18歲並擁有香港地址。 以外的任何其他資料或陳述;
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- 如 閣下為商號,申請必須以個人成員名義 • 確認 閣下已知悉招股章程內有關全球發售 提出。 的限制;
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- 聯名申請人不得超過四名。 • 同意本公司、相關人士及白表eIPO服務供應 4. 如 閣下為法人團體,申請須經獲正式授權 商均不會或將不會對招股章程(及其任何補 人士簽署,並註明其代表身份及加蓋公司印 充文件)所載者之外的任何資料及陳述負責; 章。 • 承諾及確認 閣下或 閣下為其利益提出申
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- 閣下必須身處美國境外(定義見S規例)或屬S規例)或屬規例)或屬 請的人士並無申請或認購或表示有意申請或 S規例第902條第(h)(3)段所述的人士,且並非規例第902條第(h)(3)段所述的人士,且並非902條第(h)(3)段所述的人士,且並非條第(h)(3)段所述的人士,且並非(h)(3)段所述的人士,且並非段所述的人士,且並非 認購任何國際發售股份,亦將不會申請或認 中國法人或自然人(合資格境內機構投資者 購或表示有意申請或認購任何國際配售股 除外)。 份,亦不會參與國際配售;
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- 除非上市規則允許,否則下列人士不得申請 • 同意向本公司、香港證券登記處、收款銀 任何香港發售股份: 行、相關人士披露彼等所需有關 閣下 • 本公司股份的現有實益擁有人及╱或本 及 閣下為其利益提出申請的人士的任何個 公司任何附屬公司的主要股東; 人資料;
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• 本公司及╱或其任何附屬公司的董事或 • 若香港以外任何地區的法例適用於 閣下的 最高行政人員; 申請,則 閣下同意及保證 閣下已遵守所
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• 上述任何人士的緊密聯繫人(定義見上 有有關法例,且本公司、相關人士將不會因 市規則); 接納 閣下的購買要約或因 閣下於招股章
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• 本公司的關連人士(定義見上市規則)或 程及本申請表格所載條款及條件項下的權利 緊隨全球發售完成後將成為本公司關連 與義務所引申的任何行動而違反香港以外地 人士的人士;或 區的任何法例;
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• 已獲分配或已申請任何國際配售股份或 • 同意 閣下的申請一經接納,即不得因無意 以其他方式參與國際配售。 作出的失實陳述而撤銷申請; • 同意 閣下的申請受香港法例規管;
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乙. . 如 閣下為代名人 • 表示、保證及承諾(i) 閣下明白香港發售股 閣下作為代名人可提出超過一份香港發售股份 份並無及將不會根據美國證券法登記;及 申請,方法是:(i)透過中央結算及交收系統(「中(i)透過中央結算及交收系統(「中透過中央結算及交收系統(「中 (ii) 閣下及 閣下為其利益申請香港發售 央結算系統」)向香港結算發出電子認購指示 股份的任何人士均身處美國境外(定義見S規
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(如 閣下為中央結算系統參與者);或(ii)使用(ii)使用使用 例),或屬S規例第902條第(h)(3)段所述的人 士;
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聯名申請人不得超過四名。
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如 閣下為法人團體,申請須經獲正式授權 人士簽署,並註明其代表身份及加蓋公司印 章。
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閣下必須身處美國境外(定義見S規例)或屬S規例)或屬規例)或屬 S規例第902條第(h)(3)段所述的人士,且並非規例第902條第(h)(3)段所述的人士,且並非902條第(h)(3)段所述的人士,且並非條第(h)(3)段所述的人士,且並非(h)(3)段所述的人士,且並非段所述的人士,且並非 中國法人或自然人(合資格境內機構投資者 除外)。
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除非上市規則允許,否則下列人士不得申請 • 任何香港發售股份:
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已獲分配或已申請任何國際配售股份或 • 以其他方式參與國際配售。 •
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乙. . 如 閣下為代名人 •
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閣下作為代名人可提出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(i)透過中央結算及交收系統(「中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
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(如 閣下為中央結算系統參與者);或(ii)使用(ii)使用使用 白色 或 黃色 申請表格以本身名義代表不同實益 擁有人提交超過一份申請。 丙. 填寫及遞交本申請表格的效用 閣下填妥並遞交本申請表格,即表示 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 閣下代其行事的每名人士的代 理或代名人: • 承諾簽立所有有關文件,並指示及授權本公 司及╱或作為本公司代理的聯席全球協調人
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(或其代理或代名人),代表 閣下簽立任何 文件,並代表 閣下處理一切必要事務,以 便根據組織章程細則的規定,以 閣下名義 登記 閣下獲分配的任何香港發售股份;
- 保證 閣下所提供的資料真實準確; 同意接納所申請的香港發售股份或根據申請 向 閣下所分配任何較少數目的股份; 授權(i)本公司將 閣下的姓名╱名稱列入本 公司股東名冊及本公司的組織章程大綱及細 則規定之其他名冊,作為 閣下獲分配任何 香港發售股份的持有人,及(ii)本公司及╱或 其代理將任何股票及╱或任何電子退款指示 及╱或任何退款支票以普通郵遞方式按申請 所示地址寄予 閣下或(如屬聯名申請)排名 首位的申請人,郵誤風險概由 閣下自行承 擔,除非 閣下已符合招股章程「— 親身領 取」一節所載親身領取股票及╱或退款支票 的條件;
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同意遵守本公司的組織章程大綱及細則、香 港法例第32章《公司(清盤及雜項條文)條例》 及開曼公司法;
- 聲明及表示此乃 閣下作出的唯一申請 及 閣下擬以本身或 閣下為其利益提出申 請的人士為受益人作出的唯一申請;
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確認 閣下已閱讀招股章程及本申請表格所 載條款及條件以及申請手續,並同意受其約 束;
如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
- 明白本公司、董事及聯席全球協調人將倚 賴 閣下的聲明及陳述以決定是否向 閣下 分配任何香港發售股份及 閣下如作出虛假 聲明,則可能會被檢控;
明白本公司、董事及聯席全球協調人將倚 如 閣下屬可親自領取的個人申請人,則不得 賴 閣下的聲明及陳述以決定是否向 閣下 授權任何其他人士代表 閣下領取。如 閣下 分配任何香港發售股份及 閣下如作出虛假 屬可親自領取的公司申請人,則必須委派授權 聲明,則可能會被檢控; 代表攜同加蓋公司印章的授權書領取。個人和 • (如申請以 閣下本身為受益人提出)保 授權代表於領取時均須出示獲香港中央證券登 證 閣下或 閣下任何代理或任何其他人士 記有限公司接納的身份證明文件。 並無及將不會為 閣下的利益以 白色 或 黃色 如 閣下未於指定領取時間內親自領取退款支 申請表格或向香港結算或通過 白表eIPO 服務 票及╱或股票(如適用),有關退款支票及╱或 發出 電子認購指示 而作出其他申請;及 股票隨即會以普通郵遞方式寄往本申請表格所 • (如 閣下作為代理為其他人士利益提出申 示地址,郵誤風險概由 閣下自行承擔。 請)保證(i) 閣下(作為該名人士的代理或為 如 閣下申請認購 1,000,000 股以下香港發售股 其利益)或該名人士或作為其代理的任何其 份,則 閣下的退款支票及╱或股票(如適用) 他人士並無及將不會以 白色 或 黃色 申請表格 將於2017年11月15日(星期三)或之前以普通郵遞 或向香港結算發出 電子認購指示 作出其他申 方式寄往 閣下申請表格所示地址,郵誤風險 請;及(ii) 閣下已獲正式授權以該名其他 概由 閣下自行承擔。 人士代理的身份簽署申請表格或發出 電子認 。 購指示 退還申請股款 若 閣下未獲分配任何香港發售股份或申請僅 丁. 授權書 部分獲接納,本公司將不計利息退還 閣下的 如 閣下的申請由獲有授權書的人士提出,本公 申請股款或其適當部分連同相關的 1%經紀佣 司及聯席全球協調人(作為本公司代理)可按其 金、0.0027%證監會交易徵費及0.005%聯交所交 認為合適的任何條件(包括要求出示授權證明) 易費。如發售價低於最高發售價,本公司將不 酌情接納或拒絕 閣下的申請。 計利息退還多收申請股款連同相關的1%經紀佣 金、0.0027%證監會交易徵費及0.005%聯交所交 全球發售定價 易費。 預期發售價將於2017年11月9日(星期四)或前後 有關退款手續載於招股章程「如何申請香港發售 釐定。申請人須繳付最高發售價每股香港發售 股份」一節「發送╱領取股票╱電子退款指示╱ 股份7.70 港元,另加1%經紀佣金、0.0027%證監 退款支票」。 會交易徵費及0.005%聯交所交易費。倘本公司與 聯席全球協調人(為其本身及代表香港包銷商) 香港中央結算(代理人)有限公司(「香港結算 並無於 2017 年 11 月 15 日(星期三)之前協定發售 代理人」)提出的申請 價,全球發售將不會進行並將告失效。截止登 如本申請表格由香港結算代理人代表已發出電 記申請前,不會處理香港發售股份的申請或配 子認購指示申請香港發售股份的人士簽署,本 發任何香港發售股份。 申請表格與招股章程不符的條文將不適用,且 以招股章程所述者為準。 公佈結果 在不限制此段一般性的原則下,本申請表格的 本公司預期於 2017 年 11 月 15 日(星期三)或之前 以下部分在香港結算代理人簽署本表格時並不 在南華早報(以英文)、香港經濟日報(以中文) 適用:
本公司預期於 2017 年 11 月 15 日(星期三)或之前 在南華早報(以英文)、香港經濟日報(以中文) 及本公司網站 www.yixincars.com 及 聯交所網站 www.hkexnews.hk 公 佈發售價、國際配售踴躍程 度、香港公開發售的申請數量及香港發售股份 的分配基準。香港公開發售的分配結果以及獲 接納申請人的香港身份證╱護照╱香港商業登 記號碼亦將於上述網站公佈。
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第一頁的「申請人聲明」;
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• 第一頁的「警告」;
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「如 閣下為代名人」;
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「填寫及遞交本申請表格的效用」一節內所有 陳述及保證,惟首項有關以申請人名義登記 香港發售股份及簽署文件使申請人登記成為 香港發售股份持有人者除外;
如 閣下的香港發售股份申請獲接納(全部 或部分) 如 閣下申請認購1,000,000股或以上香港發售股 份並已提供本申請表格規定的全部資料, 閣 下可於2017年11月15日(星期三)或本公司在報章 上公佈的其他日期上午九時正至下午一時正, 前往香港中央證券登記有限公司(地址為香港灣 仔皇后大道東183號合和中心17樓1712至1716室) 領取 閣下的退款支票及╱或股票(如適用)。
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「如 閣下的香港發售股份申請獲接納(全部 或部分)」;及
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「退還申請股款」。
招股章程「如何申請香港發售股份」一節的以下 部分在香港結算代理人簽署本表格時並不適用:
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「閣下可提交的申請數目」;及
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「閣下不獲配發香港發售股份的情況」。
Please use this form if you want the Hong Kong Offer Shares to be issued in your name
Personal Data
3. Transfer of personal data Personal data held by the Company and the Hong Kong Share Registrar relating to the securities holders will be kept confidential but the Company and the Hong Kong Share Registrar may, to the extent necessary for achieving any of the above purposes, disclose or transfer (whether within or outside Hong Kong) the personal data to any of the following:
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 the 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”).
- the Company’s appointed agents such as financial advisers, receiving bank and overseas principal share registrar;
1. Reasons for the collection of your personal data It is necessary for applicants and registered holders 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 the 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.
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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;
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• 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;
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the Stock Exchange, the SFC and any other statutory regulatory or governmental bodies or otherwise as required by laws, rules or regulations; and
It is important that securities holders inform the Company required by laws, rules or regulations; and and the Hong Kong Share Registrar immediately of any • any persons or institutions with which the securities inaccuracies in the personal data supplied. holders have or propose to have dealings, such as 2. Purposes their bankers, solicitors, accountants or stockbrokers The personal data of the securities holders may be held, etc. processed and/or stored (by whatever means) for the 4. Retention of personal data following purposes:
The Company and the 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.
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processing your application and refund cheque and e-Refund payment instruction(s), 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;
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compliance with applicable laws and regulations in Hong Kong and elsewhere;
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.
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registering new issues or transfers into or out of the names of securities holders including, where applicable, HKSCC Nominees;
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• maintaining or updating the register of securities holders of the Company;
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• verifying securities holders’ identities; • establishing benefit entitlements of securities holders of the Company, such as dividends, rights issues and bonus issues;
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• distributing communications from the Company and its subsidiaries;
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• compiling statistical information and shareholder profiles;
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.
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disclosing relevant information to facilitate claims on entitlements; and
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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.
如 閣下欲以本身名義登記將獲發行的香港發售股份,請使用本表格
個人資料
3. 轉交個人資料
個人資料收集聲明
- 本公司及香港證券登記處會對所持有關證券持 有人的個人資料保密,但本公司及香港證券登 記處可在作上述任何用途屬必要之情況下,向 下列任何人士披露或轉交(不論在香港境內或境 外)有關個人資料:
此項個人資料收集聲明是向香港發售股份的申 請人及持有人說明本公司及香港證券登記處有 關個人資料及香港法例第 486 章《個人資料(私 隱)條例》(「條例」)方面的政策及常規。
- 本公司委任的代理,例如財務顧問、收款銀 行及海外股份過戶登記總處;
1. 收集 閣下個人資料的原因
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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 能會導致 閣下的證券申請被拒或延遲,或本 公司或香港證券登記處無法進行過戶或以其他 方式提供服務。此舉亦可能妨礙或延遲登記或 轉讓 閣下已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。 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。
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(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,彼等將會 就中央結算系統的運作使用有關個人資料;
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• 向本公司或香港證券登記處提供與其各自 業務運作有關的行政、電訊、電腦、付款或 其他服務的任何代理、承辦商或第三方服 務供應商;
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• 聯交所、證監會及任何其他法定監管機關 或政府部門或法例、規則或法規另行規定 者;及
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• 證券持有人與之有業務往來或擬有業務往 來的任何人士或機構,例如彼等的銀行、律 師、會計師或股票經紀等。
2. 用途
證券持有人的個人資料可作以下用途及以任何 方式持有、處理及╱或保存:
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處理 閣下的申請及退款支票及電子退款 4. 保留個人資料 指示(如適用)、核實是否符合本申請表格 本公司及香港證券登記處將按收集個人資料所 及招股章程載列的條款與申請手續以及公 需的用途保留證券申請人及持有人的個人資 佈香港發售股份的分配結果; 料。無需保留的個人資料將會根據條例銷毀或
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• 遵守香港及其他地區的適用法例及法規; 處理。 • 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 5. 查閱及更正個人資料 證券; 證券持有人有權確定本公司或香港證券登記處
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• 存置或更新本公司的證券持有人名冊; 是否持有其個人資料,並有權索取有關資料的 • 核實證券持有人身份; 副本及更正任何不準確資料。本公司及香港證 • 確定本公司證券持有人的受益權利,例如 券登記處有權就處理任何該等要求收取合理費 股息、供股及紅股等; 用。
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• 分發本公司及其附屬公司的通訊; 所有查閱資料或更正資料的要求應按招股章程 • 編製統計數據及股東資料; 「公司資料」一節所披露或不時通知的本公司註 • 披露有關資料以便就權益提出申索;及 冊地址送交公司秘書,或向本公司的香港證券 • 與上述者有關的任何其他附帶或相關用途 登記處的私隱事務主任提出。
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編製統計數據及股東資料; 「公司資料」一節所披露或不時通知的本公司註
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• 披露有關資料以便就權益提出申索;及 冊地址送交公司秘書,或向本公司的香港證券 • 與上述者有關的任何其他附帶或相關用途 登記處的私隱事務主任提出。 及╱或讓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 閣下簽署申請表格或向香港結算發出電子認購 及╱或證券持有人不時同意的任何其他用 指示,即表示同意上述各項。 途。