新股认购申请（新股认购申请（代理）

新股认购申请（（（代理（代理）））IPOSubscriptionApplication(Nominee)帐户名称A/CName:_______________________________________________帐户号码A/CNumber:_______________________________________________新股名称IPOStockName新股编号IPOStockCode认购数量SubscriptionQuantity认购金额SubscriptionAmount注意事项Notice1.请客户仔细阅读上述新股之招股章程及申请表并谨遵守其所载之条款及细则。PleasekindlyreadcarefullytheProspectusandApplicationForm,andcomplyfullywiththetermsandconditionssetouttherein.2.客户承诺不在此新股认购申请以外作重复申请。Thereshallbenoduplicatedsubscriptionapartfromthecaptionedapplication.3.新股认购申请之有关费用将由客户上述之帐户扣除。TheIPOsubscriptionfeewillbedeductedfromthecaptionedaccount.4.客户请于截止认购日前将所需资金存入上述帐户，资金将于截止认购日被冻结直至认购活动完成。Thesubscriptionfundshallbedepositedbeforetheapplicationdeadlineday,thefundwillbeholdupuntiltheIPOsubscriptionactivityisover.5.视乎总体认购量而定，客户未必能够成功认购或获分派所认购之股份数量。Thesubscriptionmaynotsuccessoronlypartialsuccessdependingontheoverallsubscriptioncondition.6.新股上市之价格有可能较认购价格为低。ThelistingsharepricemightbelowerthantheIPOsubscriptionprice客户签署ClientSignature:ClientSignature:ClientSignature:X__________________________________________________________________________________日期Date:Date:Date:ForInternalUseOnlyConfirmedbyInputtedbyCheckedbyApprovedbyName:Name:Name:Name:Date:Date:Date:Date中国平安证券(香港)有限公司PingAnofChinaSecurities(HongKong)Co.Ltd.香港中环德辅道中19号环球大厦24楼2402室Unit2,24/F,WorldwideHouse,19DesVoeuxRoadCentral,HongKong电话:37629778传真:37629668Tel:37629778Fax:37629668