02172 微创脑科学 通函:代息股份选择表格

THIS DOCUMENT IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION 此乃要件 请即处理 HONG KONG EXCHANGES AND CLEARING LIMITED AND THE STOCK EXCHANGE OF HONG KONG LIMITED TAKE NO RESPONSIBILITY FOR THE CONTENTS OF THIS ELECTION FORM, MAKE NO REPRESENTATION AS TO ITS ACCURACY OR COMPLETENESS AND EXPRESSLY DISCLAIM ANY LIABILITY WHATSOEVER FOR ANY LOSS HOWSOEVER ARISING FROM OR IN RELIANCE UPON THE WHOLE OR ANY PART OF THE CONTENTS OF THIS ELECTION FORM. 香港交易及结算所有限公司及香港联合交易所有限公司对本选择表格之内容概不负责,对其准确性或完整性亦不发表任何声明,并明确表示,概不对因本选择表格全部或任何部份内容而产生或因倚赖该等 内容而引致之任何损失承担任何责任。 MicroPort NeuroScientific Corporation 微创脑科学有限公司 (Incorporated in the Cayman Islands with limited liability) (于开曼群岛注册成立的有限公司) (Stock Code: 2172) (股份代号:2172) FINAL DIVIDEND FOR THE YEAR ENDED 31 DECEMBER 2024 — SCRIP SHARE ELECTION FORM 截至二零二四年十二月三十一日止年度之末期股息 — 代息股份选择表格 IF YOU WISH TO RECEIVE SHARES OF US$0.00002 EACH (“SCRIP SHARES”) OF MICROPORT NEUROSCIENTIFIC CORPORATION (THE “COMPANY”) IN LIEU OF CASH FOR THE FINAL DIVIDEND (“FINAL DIVIDEND”) FOR THE WHOLE OR PART OF YOUR REGISTERED SHAREHOLDING, YOU SHOULD COMPLETE AND RETURN THIS ELECTION FORM IN ACCORDANCE WITH THE INSTRUCTIONS GIVEN BELOW. TO BE VALID, THIS ELECTION FORM MUST BE DULY SIGNED. YOUR ATTENTION IS ALSO DRAWN TO THE PROVISIONS HEADED “SCRIP DIVIDEND SCHEME” AS SET OUT IN THE CIRCULAR DATED 23 JULY 2025. 阁下如拟就名下的全部或部份登记股权选择收取微创脑科学有限公司(「本公司」)每股面值0.00002美元的股份(「代息股份」)以代替现金收取末期股息(「末期股息」),则须依照以下指示将本选择表格填妥及交回。 本选择表格必须签妥,方为有效。 阁下亦请垂注日期为二零二五年七月二十三日之通函所载有关「以股代息计划」之规定。
PART 1 第一部份 BOX A NAME(S) AND ADDRESS OF REGISTERED SHAREHOLDER(S) 甲栏 登记股东之姓名及地址 NUMBER OF SHARE(S) HELD ON THE RECORD BOX B DATE, 8 JULY 2025 乙栏 于记录日期(即二零二五 年七月八日) 所持有的股份数目
PART 2 第二部份 — SCRIP DIVIDEND ONLY 仅收取以股代息股份 If you wish to receive only New Shares (as defined in the Circular) for the Final Dividend, please just SIGN, DATE and RETURN this Election Form. 阁下如欲仅以收取新股(定义见通函)方式收取末期股息,则 阁下仅须于本选择表格上签名及填上日期,然后交回本选择表格。
PART 3 第三部份 — CASH DIVIDEND ONLY 仅收取现金股息 If you wish to receive only cash for the Final Dividend, you DO NOT need to take any action. Therefore, please DO NOT return this Election Form. 阁下如欲仅以收取现金方式收取末期股息,则 阁下毋须采取任何行动。因此,请不要交回本选择表格。
PART 4 第四部份 — PART CASH DIVIDEND AND PART SCRIP DIVIDEND 部份收取现金股息及部份收取以股代息股份 NUMBER OF SHARES HELD ON RECORD DATE, 8 JULY If you wish to receive your entitlement to the Final Dividend partly in cash and partly in Scrip Shares, please ENTER in Box C the 2025, FOR WHICH FINAL number of shares which you held on the Record Date, 8 July 2025, for which you require the Final Dividend to be paid in Scrip DIVIDEND IS TO BE PAID IN Shares. Then SIGN, DATE and RETURN this Election Form. BOX C 阁下如欲以部份收取现金及部份收取代息股份方式收取 阁下应收的末期股息,请于丙栏填写 阁下欲以收 丙栏 SCRIP SHARES 取代息股份方式收取末期股息的有关股份数目(该等股份须为 阁下在记录日期(即2025年7月8日)持有的股份), 欲以收取代息股份方式收取 然后于本选择表格上签名及填上日期,并交回本选择表格。 末期股息的有关股份数目(该 等股份须为 在记录日期(即 If you elect to receive Scrip Shares in respect of a greater number of shares than your registered holding on the Record Date, 8 July 2025, you will be deemed to have elected to receive only Scrip Shares in respect of all the shares registered in your name on the 2025年7月8日)持有的股份) Record Date, 8 July 2025. Therefore, you will receive only Scrip Shares for the Final Dividend. 倘若 阁下选择收取代息股份的有关股份数目超过 阁下在记录日期(即2025年7月8日)持有的股份数目,则 阁下将被视为就在记录日期(即2025年7月8日)登记在 阁下名下的所有股份选择了只收取代息股份。 因此, 阁下将只会收到代息股份作为末期股息。
PART 5 第五部份 TO THE BOARD OF DIRECTORS OF MICROPORT NEUROSCIENTIFIC CORPORATION: 致微创脑科学有限公司董事会: I/WE, THE UNDERSIGNED AND ABOVENAMED SHAREHOLDER(S), HEREBY GIVE NOTICE THAT THE FINAL DIVIDEND SHOULD BE PAID IN ACCORDANCE WITH THE INSTRUCTIONS GIVEN ABOVE. 本人╱吾等为于下方签署兼上述之股东,兹通知末期股息应按照上述指示派付。 SIGNED (signature(s) must match the records maintained by the Company’s Branch Share Registrar) 签署(签名必须与本公司股份过户登记分处保存的记录相符) (1) (2) (3) (4) DAYTIME TELEPHONE NUMBER (IF ANY): 日间电话号码(如有): DATE日期: 2025 IN THE CASE OF JOINT HOLDERS, ALL MUST SIGN. 如属联名持有人,所有联名持有人均须签署。
THIS DULY COMPLETED ELECTION FORM MUST BE RETURNED TO THE SHARE REGISTRAR OF THE COMPANY IN HONG KONG AT THE ADDRESS SHOWN BELOW NOT LATER THAN 4:30 P.M. ON WEDNESDAY, 6 AUGUST 2025. 填妥之选择表格须于二零二五年八月六日(星期三)下午四时三十分前交回下列地址之本公司香港股份过户登记处。 COMPUTERSHARE HONG KONG INVESTOR SERVICES LIMITED SHOPS 1712–1716, 17TH FLOOR HOPEWELL CENTRE 183 QUEEN’S ROAD EAST HONG KONG 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 17楼1712–1716号舖 FAILURE TO COMPLETE AND RETURN THIS ELECTION FORM WILL RESULT IN YOUR FINAL DIVIDEND BEING PAID WHOLLY IN CASH. 阁下如未填妥及交回本选择表格, 阁下之末期股息将全部以现金支付。 * For identification purposes only * 仅供识别
BOX A 甲栏NAME(S) AND ADDRESS OF REGISTERED SHAREHOLDER(S) 登记股东之姓名及地址
BOX B 乙栏NUMBER OF SHARE(S) HELD ON THE RECORD DATE, 8 JULY 2025 于记录日期(即二零二五 年七月八日) 所持有的股份数目
BOX C 丙栏NUMBER OF SHARES HELD ON RECORD DATE, 8 JULY 2025, FOR WHICH FINAL DIVIDEND IS TO BE PAID IN SCRIP SHARES 欲以收取代息股份方式收取 末期股息的有关股份数目(该 等股份须为 在记录日期(即 2025年7月8日)持有的股份)

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