Chiho Tiande : 【Circulars】BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE AND TRANSFER OF THE CONVERTIBLE BONDS

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Hong Kong Exchanges and Clearing Limited, The Stock Exchange of Hong Kong Limited and Hong Kong Securities Clearing Company Limited take no responsibility for the contents of this BLUE Form of Convertible Bond Offer Acceptance, 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 BLUE Form of Convertible Bond Offer Acceptance.

香港交易及結算所有限公司、香港聯合交易所有限公司及香港中央結算有限公司對本藍色可換股債券要約接納表格之內容概不負責，對其準確性或完整性亦不發表任何 聲明，並明確表示概不對因本藍色可換股債券要約接納表格全部或任何部份內容而產生或因倚賴該等內容而引致之任何損失承擔任何責任。

Unless the context otherwise requires, terms used in this BLUE Form of Convertible Bond Offer Acceptance shall bear the same meanings as those defined in the composite offer and response document dated 25 January 2016 (the "Composite Document") issued jointly USUM Investment Group Hong Kong Limited and Chiho-Tiande Group Limited.

除文義另有所指外，本藍色可換股債券要約接納表格所用詞彙與渝商投資集團（香港）有限公司與齊合天地集團有限公司於二零一六年一月二十五日聯合刊發之綜合要約

及回應文件（「綜合文件」）所界定者具有相同涵義。

BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE AND TRANSFER FOR USE IF YOU WANT TO ACCEPT THE CONVERTIBLE BOND OFFER.

閣下如欲接納可換股債券要約，請使用本藍色可換股債券要約接納及過戶表格。

CHIHO-TIANDE GROUP LIMITED

齊合天地集團有限公司

(Incorporated in the Cayman Islands with limited liability)

（於開曼群島註冊成立之有限公司）

(Stock Code: 976)

（股份代號：976)

BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE AND TRANSFER OF THE CONVERTIBLE BONDS ISSUED BY CHIHO-TIANDE GROUP LIMITED

齊合天地集團有限公司發行之可換股債券之藍色可換股債券要約接納及過戶表格

To be completed in full 每項均須填寫

The company secretary, Chiho-Tiande Group Limited

公司秘書，齊合天地集團有限公司

48 Wang Lok Street, Yuen Long Industrial Estate, Hong Kong

香港元朗工業邨宏樂街 48 號

FOR THE CONSIDERATION stated below, the "Transferor(s)" named below hereby accepts the Convertible Bond Offer in respect of the Convertible Bonds held by the Transferor(s) specified below and transfers to "Transferee" such Convertible Bonds subject to the terms and conditions contained herein and in the Composite Document. 下述「轉讓人」謹此就以下註明轉讓人所持有之可換股債券接納可換股債券要約，並按下列代價向下述「承讓人」轉讓相關可 換股債券，惟須遵守本表格及綜合文件內之條款及條件。
Principal amount of the Convertible Bonds to which this acceptance relates (Note) 是項接納涉及之 可換股債券本金額（附註）	AMOUNT 金額	WORDS 大寫
Certificate number(s) 證書號碼
TRANSFEROR(S) name(s) and address in full 轉讓人 全名及詳細地址 (EITHER TYPEWRITTEN OR WRITTEN IN BLOCK CAPITALS) （請用打字機或正楷填寫）	Family name(s) ╱Company name(s) 姓氏╱ 公司名稱	Forename(s) 名字
	Registered address 登記地址
	Telephone number 電話號碼
CONSIDERATION 代價	HK$58,333.33 in cash for every HK$100,000 face value of the Convertible Bonds 就每 100,000 港元面值之可換股債券之代價為現金 58,333.33 港元
TRANSFEREE 承讓人	Name 名稱：USUM Investment Group Hong Kong Limited 渝商投資集團（香港）有限公司 Correspondence Address 通訊地址：Room 1602, 16/F., LHT Tower, No.31 Queen's Road Central, Hong Kong 香港中環皇后大道中 31 號陸海通大廈 16 樓 1602 室 Occupation 職業：Corporation 法團

N o t e : I n s e r t t h e principal amount of the Convertible Bonds for which the Convertible Bond Offer is accepted. If no principal amount is inserted or a principal amount in excess of your registered holding of the Convertible Bonds is inserted and you have signed this BLUE Form of Convertible Bond Offer Acceptance, you will be deemed to have accepted the Convertible Bond Offer for your entire registered holding of the Convertible Bonds.

附註： 請填上接納可換 股債券要約之現有可換 股債券本金額。如 閣

下已簽署本藍色可換股

債券要約接納表格但並 無填上本金額或所填本 金額超過 閣下登記持 有之現有可換股債券 , 則 閣下將被視為已就 名下登記持有之全部現 有可換股債券接納可換 股債券要約。

Signed by or on behalf of the Transferor(s) in the presence of:

轉讓人或其代表在下列見證人見證下簽署：

Signature of Witness 見證人簽署 Name of Witness 見證人姓名 Address of Witness 見證人地址

Occupation of Witness 見證人職業

Signature(s) of Transferor(s)/ Company chop, if applicable 轉讓人簽署╱ 公司印鑑（如適用）

Date of submission of this BLUE Form of Convertible Bond Offer Acceptance

提交本藍色可換股債券要約接納表格之日期

ALL JOINT HOLDERS

MUST SIGN HERE

所有聯名持有人 均須於本欄 個別簽署

Do not complete 請勿填寫本欄

Signed by or on behalf of the Transferee in the presence of: For and on behalf of 代表 承讓人或其代表在下列見證人見證下簽署： USUM Investment Group Hong Kong Limited

渝商投資集團（香港）有限公司

Signature of Witness 見證人簽署

Name of Witness 見證人姓名

Address of Witness 見證人地址

Occupation of Witness 見證人職業

Date of transfer 轉讓日期

Signature of Transferee or its duly authorised agent(s)

承讓人或其正式獲授權代表簽署

THIS BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION.

If you are in any doubt as to any aspect of this BLUE Form of Convertible Bond Offer Acceptance or as to the action to be taken, you should consult your licensed securities dealer or registered institution in securities, bank manager, solicitor, professional accountant or other professional adviser.

If you have sold or otherwise transferred all your Convertible Bond(s), you should at once hand this BLUE Form of Convertible Bond Offer Acceptance and the Composite Document to the purchaser(s) or transferee(s) or to the bank, licensed securities dealer, registered institution in securities or other agent through whom the sale or transfer was effected for transmission to the purchaser(s) or transferee(s).

China Galaxy is making the Convertible Bond Offer on behalf of the Offeror. The making of the Convertible Bond Offer to the Convertible Bondholders with a registered address in jurisdictions outside Hong Kong may be prohibited or affected by the laws of the relevant jurisdictions. Convertible Bondholders who are citizens or residents or nationals of jurisdictions outside Hong Kong should inform themselves about and observe any applicable legal requirements. It is your responsibility to satisfy yourself as to the full observance of the laws of the relevant jurisdiction in connection therewith, including the obtaining of any governmental, exchange control or other consents which may be required or the compliance with other necessary formalities or legal requirements and the payment of any transfer or other taxes or other required payments due in respect of such jurisdiction. The Offeror, the Company, China Galaxy, Somerley Capital, the Registrar, their respective ultimate beneficial owners, directors, officers, agents, advisers and associates and any other person involved in the Convertible Bond Offer shall be entitled to be fully indemnified and held harmless by you for any taxes as you may be required to pay. Acceptance of the Convertible Bond Offer by you will constitute a warranty by you to the Offeror and the Company that you have observed and are permitted under all applicable laws and regulations to receive and accept the Convertible Bond Offer, and any revision thereof, and that you have obtained all requisite governmental, exchange control or other consents in compliance with all necessary formalities and regulatory or legal requirements and have paid all issue, transfer or other taxes or other required payments due from you in connection with such acceptance in any territory, and that such acceptance shall be valid and binding in accordance with all applicable laws and regulations.

This BLUE Form of Convertible Bond Offer Acceptance should be read in conjunction with the Composite Document.

HOW TO COMPLETE THIS BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE

The Convertible Bond Offer is unconditional. Convertible Bondholder is advised to read the Composite Document before completing this BLUE Form of Convertible Bond Offer Acceptance. To accept the Convertible Bond Offer made by China Galaxy on behalf of the Offeror, you should complete and sign this BLUE Form of Convertible Bond Offer Acceptance overleaf and forward this entire form, together with the relevant certificate(s) of the Convertible Bonds and/or other document(s) of title (and/or any satisfactory indemnity or indemnities required in respect thereof), for the principal amount of the Convertible Bonds in respect of which you wish to accept the Convertible Bond Offer, by post or by hand, to the company secretary of the Company at 48 Wang Lok Street, Yuen Long Industrial Estate, Hong Kong as soon as possible, but in any event not later than 4:00 p.m. on Monday, 15 February 2016 or such later time(s) and/or date(s) as the Offeror may determine and announce in accordance with the Code. The provisions contained in Appendix I to the Composite Document are incorporated into and form part of this BLUE Form of Convertible Bond Offer Acceptance.

Warning: If you are holding the Convertible Bonds on behalf of another person as nominee or otherwise, you should refer to the section headed"1. PROCEDURES FOR ACCEPTANCE - 1.2 The Convertible Bond Offer"in Appendix I to the Composite Document in particular as to the matters which you should consider.

BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE IN RESPECT OF THE CONVERTIBLE BOND OFFER

To: The Offeror and China Galaxy

1. My/Our execution of this BLUE Form of Convertible Bond Offer Acceptance (whether or not such BLUE Form of Convertible Bond Offer Acceptance is dated) shall be binding on my/our successors and assignees, and shall constitute:

2. my/our irrevocable acceptance of the Convertible Bond Offer made by China Galaxy on behalf of the Offeror, as contained in the Composite Document, for the consideration and on and subject to the terms and conditions therein and herein mentioned, in respect of the principal amount of the Convertible Bonds specified in this BLUE Form of Convertible Bond Offer Acceptance or, if no such principal amount is specified or a greater principal amount is specified than I/we am/are registered as the holder(s) thereof, in respect of such principal amount of the Convertible Bonds as to which I/we am/are registered as the Convertible Bondholders;

3. my/our irrevocable instruction and authority to each of the Offeror and/or China Galaxy or their respective agent(s) to send a cheque crossed"Not negotiable-account payee only"drawn in my/our favour for the cash consideration to which I/we shall have become entitled under the terms of the Convertible Bond Offer (less seller's ad valorem stamp duty payable by me/us in connection with my/our acceptance of the Convertible Bond Offer), by ordinary post at my/our risk to the person and the address stated below or, if no name and address is stated below, to me/us or the first-named of us (in the case of joint registered holders) at the address as shown in the register of Convertible Bondholders maintained by the Company within seven Business Days of the date of receipt by the company secretary of the Company of all the relevant documents to render the acceptance under the Convertible Bond Offer complete and valid;

   (Note: Insert name and address of the person to whom the cheque is to be sent if different from the registered holder(s) of the relevant Convertible Bonds or the first-named of joint registered holders.)

   
   

   Name: (in BLOCK LETTERS)

   
   

   Address: (in BLOCK LETTERS)

4. my/our irrevocable instruction and authority to each of the Offeror and/or China Galaxy and/or such person or persons as any of them may direct for the purpose, on my/our behalf, to make and execute the contract note as required by Section 19(1) of the Stamp Duty Ordinance (Chapter 117 of the Laws of Hong Kong) to be made and executed by me/us as the seller(s) of the Convertible Bond(s) to be sold by me/us under the Convertible Bond Offer and to cause the same to be stamped and to cause an endorsement to be made on this BLUE Form of Convertible Bond Offer Acceptance in accordance with the provisions of that Ordinance;

5. my/our undertaking to execute such further documents and to do such acts and things by way of further assurance as may be necessary or desirable to transfer my/our Convertible Bonds tendered for acceptance under the Convertible Bond Offer to the Offeror or such person or persons as it may direct free from all third-party rights, liens, claims, charges, equities, and encumbrances whatsoever and together with all rights accruing or attaching thereto on or after the date of the Composite Document; and

6. my/our agreement to ratify each and every act or thing which may be done or effected by the Offeror and/or China Galaxy or their respective agent(s) or such person or persons as any of them may direct on the exercise of any rights contained herein.

7. I/We understand that acceptance of the Convertible Bond Offer by me/us will be deemed to constitute a warranty by me/us to the Offeror and China Galaxy that the principal amount of Convertible Bonds specified in this BLUE Form of Convertible Bond Offer Acceptance are sold free from all third-party rights, liens, claims, charges, equities, and encumbrances whatsoever and together with all rights accruing or attaching thereto on or after the date of the Composite Document.

8. In the event that my/our acceptance is not valid, or is treated as invalid, in accordance with the terms of the Convertible Bond Offer, all instructions, authorizations and undertakings contained in paragraph 1 above shall cease and in which event, I/we authorise and request you to return to me/us my/our relevant certificate(s) of the Convertible Bonds and/or other document(s) of title (and/or satisfactory indemnity or indemnities required in respect thereof), together with this BLUE Form of Convertible Bond Offer Acceptance duly cancelled, by ordinary post at my/our risk to the person and address stated in 1(b) above or, if no name and address is stated, to me or the first-named of us (in the case of joint registered holders) at the address as shown in the register of the Convertible Bondholders maintained by the Company.

   Note: If you submit the transfer receipt(s) upon acceptance of the Convertible Bond Offer and in the meantime the relevant certificate(s) in respect of the Convertible Bonds is/are collected by any of the Offeror and/or China Galaxy or any of their agent(s) from the Company or the Registrar on your behalf, you will be returned such certificate(s) in respect of the Convertible Bonds in lieu of the transfer receipt(s).

9. I/We enclose the relevant certificate(s) the Convertible Bonds and/or other document(s) of title (and/or any satisfactory indemnity or indemnities required in respect thereof) for the whole or part of my/our holding of the relevant Convertible Bonds which are to be held by you on the terms and conditions of the Convertible Bond Offer. I/We understand that no acknowledgement of receipt of any BLUE Form of Convertible Bond Offer Acceptance, certificate(s) and/or transfer receipt(s) (if applicable) and/or other document(s) of title (and/ or satisfactory indemnity or indemnities required in respect thereof) will be given. I/we further understand that all documents will be sent by ordinary post at my/our own risk.

10. I/We warrant and represent to the Offeror, China Galaxy and the Company that I am/we are the registered holder(s) of the Convertible Bonds specified in this BLUE Form of Convertible Bond Offer Acceptance. I/we have the full right, power and authority to sell and pass the title and ownership of my/our Convertible Bonds to the Offeror by way of acceptance of the Convertible Bond Offer.

11. I/We warrant to the Offeror, China Galaxy and the Company that I/we have observed and are permitted under all applicable laws and regulations where my/our address is located as set out in the register of the Convertible Bondholders to accept the Convertible Bond Offer, and any revision thereof; and that I/we have obtained all requisite governmental, exchange control or other consents and made all registration or filing required in compliance with all necessary formalities and regulatory or legal requirements; and I/we have paid all issue, transfer or other taxes or other required payments due from me/us in connection with such acceptance; and that such acceptance shall be valid and binding in accordance with all applicable laws and regulations.

12. I/We warrant to the Offeror, China Galaxy and the Company that I/we shall be fully responsible for payment of any transfer or other taxes and duties payable by me/us in respect of the jurisdiction where my/our address is located as set out in the register of the Convertible Bondholders maintained by the Company in connection with my/our acceptance of the Convertible Bond Offer.

13. I/We acknowledge that, save as expressly provided in the Composite Document and this BLUE Form of Convertible Bond Offer Acceptance, all acceptance, instructions, authorities and undertakings hereby given shall be irrevocable.

14. I/We acknowledge that my/our Convertible Bonds sold to the Offeror by way of acceptance of the Convertible Bond Offer will be registered under the name of the Offeror or its nominee.

本藍色可換股債券要約接納表格乃重要文件， 閣下須即時處理。 閣下如對本藍色可換股債券要約接納表格任何方面或應採取之行動有任何疑問，應諮詢 閣下的持牌證券商或註冊證券機構、銀行經理、律 師、專業會計師或其他專業顧問。 閣下如已將名下之可換股債券全部售出或以其他方式轉讓，應立即將本藍色可換股債券要約接納表格連同綜合文件一併送交買主或承讓人，或 送交經手買賣或轉讓之銀行、持牌證券商、註冊證券機構或其他代理，以便轉交買主或承讓人。

中國銀河正代表要約人提出可換股債券要約。向登記地址位於香港境外司法權區之可換股倩券持有人提出可換股債券要約或會被禁止或受到有 關司法權區之法例影響。身為香港境外司法權區公民或居民或國民的可換股債券持有人應了解並遵守任何適用法律規定。 閣下有責任就此確保 本身完全遵守有關司法權區的法例，包括取得任何可能規定的政府、外匯管制或其他同意或遵守其他必要法律手續或法律規定，並支付任何轉 移稅或其他稅項或相關司法權區的其他應付的規定款項。就 閣下可能須繳付的任何稅項而言。要約人、本公司、中國銀河、新百利融資、過 戶處、彼等各自之最終實益擁有人、董事、高級職員、代理人、顧問及聯繫人以及任何其他參與可換股債券要約的人士均有權獲 閣下提供全 額彌償保證並確保不致遭受損害。 閣下接納可換股債券要約，即構成 閣下向要約人及本公司保證其已遵守所有適用法律及法規以及根據所有 適用法律及法規獲允許接收及接納可換股債券要約及其任何修訂，而 閣下已根據一切必要手續及遵守監管或法律規定取得一切所需之政府、 外匯管制或其他方面之同意，並已支付 閣下於任何地區接納而應付之所有發行費、轉讓費或其他稅項或其他所需款項，而有關接納根據一切 適用法律及法規屬有效及具約束力。

本藍色可換股債券要約接納表格應連同綜合文件一併閱覽。

本藍色可換股債券要約接納表格之填寫方法 可換股債券要約為無條件。可換股債券持有人於填妥本藍色可換股債券要約接納表格前務請先閱讀綜合文件。 閣下如欲接納中國銀河代表要約 人提出之可換股債券要約，應填妥及簽署本藍色可換股債券要約接納表格背頁，連同 閣下欲接納可換股債券要約之可換股債券本金額之相關 證書及╱或其他所有權文件（及╱或就此所需並令人信納之任何彌償保證），一併以郵寄或專人送交方式盡快送抵本公司之公司秘書，地址為香 港元朗工業邨宏樂街 48 號，無論如何不得遲於二零一六年二月十五日（星期一）下午四時正或要約人根據守則所釐定及公佈之較後時間及╱或日 期。綜合文件附錄一所載之條文已載入並構成本藍色可換股債券要約接納表格之一部份。




注意事項：如 閣下以代名人或其他身份代表另一位人士持有可換股債券，敬請閱覽綜合文件附錄一「1. 接納程序 -1.2 可換股債券要約」一節，尤 其關於 閣下應加以考慮的該等事項。




致： 要約人及中國銀河 可換股債券要約之藍色可換股債券要約接納表格

1. 本人╱吾等一經簽立本藍色可換股債券要約接納表格（不論藍色可換股債券要約接納表格是否註明日期），本人╱吾等之承繼人及受讓人將 受此約束，並表示：

(a) 本人╱吾等按綜合文件及本藍色可換股債券要約接納表格所述代價，按照並遵守當中所述條款及條件，就本藍色可換股債券要約接 納表格所註明之可換股債券本金額，不可撤回地接納綜合文件所載由中國銀河代表要約人提出之可換股債券要約，或如未有填上該 等本金額或填上之本金額超過本人╱吾等以登記持有人名義持有之本金額，則就本人╱吾等作為可換股債券持有人名下登記持有之 有關可換股債券本金額接納可換股債券要約；

(b) 本人╱吾等不可撤回地指示及授權要約人及╱或中國銀河或彼等各自之代理，各自就本人╱吾等根據可換股債券要約之條款應得之 現金代價（扣除本人╱吾等有關本人╱吾等接納可換股債券要約應付之賣方從價印花稅）以「不得轉讓 - 只准入抬頭人賬戶」方式向本 人╱吾等開出劃線支票，然後於自本公司之公司秘書接獲一切有關文件致使可換股債券要約項下之接納為完整及有效之日起計七個 營業日內按以下地址以平郵方式寄予以下人士；如無於下欄填上姓名及地址，則按本人╱吾等在本公司之可換股債券持有人名冊所 示地址寄予本人╱吾等或吾等當中名列首位者（如屬聯名登記持有人），郵誤風險概由本人╱吾等承擔；

（附註： 倘收取支票之人士並非相關可換股債券之登記持有人或名列首位之聯名登記持有人，則請在本欄填上該名人士之姓名及 地址。）




姓名：（請用正楷填寫）




地址：（請用正楷填寫）




(c) 本人╱吾等不可撤回地指示及授權要約人及╱或中國銀河及╱或彼等其中一方可能就此指定之人士各自代表本人╱吾等以根據可換 股債券要約出售可換股債券之賣方身份訂立及簽署香港法例第 117 章印花稅條例 19(1) 條所規定須訂立及簽署之買賣單據，並根據該

條例規定在本藍色可換股債券要約接納表格加蓋印章及背書證明；

(d) 本人╱吾等承諾於必需或合宜時簽署有關其他文件及辦理有關其他手續及事項，以將本人╱吾等根據可換股債券要約提交接納之可 換股債券轉讓予要約人或其可能指定之有關人士，該等可換股債券不附帶一切第三方權利、留置權、申索權、押記、衡平權及產權 負擔，並連同於綜合文件日期或之後累算或附帶之一切權利；及

(e) 本人╱吾等同意追認要約人及╱或中國銀河或彼等各自之代理或彼等任何一方可能指定之有關人士於行使本表格所載任何權利時可 能作出或進行之各種行動或事宜。

2. 本人╱吾等明白本人╱吾等接納可換股債券要約將被視為構成本人╱吾等向要約人及中國銀河保證本藍色可換股債券要約接納表格所註明 可換股債券本金額將不附帶一切第三方權利、留置權、申索權、押記、衡平權及產權負擔而連同於綜合文件日期或之後累算或附帶之一切 權利一併出售。

3. 倘按可換股債券要約之條款本人╱吾等之接納屬無效或被視為無效，則上文第 1 段所載之所有指示、授權及承諾均會失效。在此情況下， 本人╱吾等授權並懇請 閣下將本人╱吾等可換股債券之相關證書及╱或其他所有權文件（及╱或就此所需並令人信納之彌償保證）連同已

正式註銷之本藍色可換股債券要約接納表格以平郵方式一併寄予上述第 1(b) 段所列之人士及地址；如未有列明姓名及地址，則按本人在本

公司之可換股債券持有人名冊所示地址寄予本人或吾等當中名列首位者（如屬聯名登記持有人），郵誤風險概由本人╱吾等承擔。

附註：若 閣下於接納可換股債券要約時提交過戶收據，而與此同時任何要約人及╱或中國銀河或彼等之任何代理已代表 閣下向本公司 或過戶登記處領取有關可換股債券相關證書，則 閣下將獲發還有關可換股債券相關證書，而並非上述過戶收據。

4. 本人╱吾等茲附上本人╱吾等持有之全部或部份可換股債券之相關證書及╱或其他所有權文件（及╱或就此所需並令人信納之任何彌償保 證），由 閣下按可換股債券要約之條款及條件予以保存。本人╱吾等明白任何交回之藍色可換股債券要約接納表格、證書及╱或過戶收

據（如適用）及╱或其他所有權文件（及╱或就此所需並令人信納之彌償保證）概不獲發收據。本人╱吾等亦了解所有文件將以平郵方式寄 出，郵誤風險概由本人╱吾等自行承擔。

5. 本人╱吾等向要約人、中國銀河及本公司保證及聲明，本人╱吾等為本藍色可換股債券要約接納表格所註明可換股債券之登記持有人。本 人╱吾等有十足權利、權力及授權以接納可換股債券要約之方式，向要約人出售及移交本人╱吾等之可換股債券之所有權及擁有權。

6. 本人╱吾等向要約人、中國銀河及本公司保證，本人╱吾等已遵守本人╱吾等於可換股債券持有人名冊所列地址所有適用法律及法規以及 根據所有適用法律及法規獲允許接納可換股債券要約及其任何修訂；而本人╱吾等已取得任何所需政府、外匯管制或其他方面之同意，及 作出所有必要手續或遵守監管或法律規定所規定之一切登記或存檔；且本人╱吾等已支付本人╱吾等就該接納應付之所有發行費、轉讓費 或其他稅項或其他所需款項；而有關接納將根據一切適用法律及法規屬有效及具約束力。

7. 本人╱吾等向要約人、中國銀河及本公司保證，本人╱吾等須就支付本人╱吾等於可換股債券持有人名冊所示地址所在司法權區關於本 人╱吾等接納可換股債券要約應付之任何轉讓費或其他稅項或征費承擔全部責任。

8. 本人╱吾等知悉，除綜合文件及本藍色可換股債券要約接納表格明文規定外，據此作出之所有接納、指示、授權及承諾均不可撤回。

9. 本人╱吾等知悉，本人╱吾等以接納可換股債券要約之方式向要約人出售之可換股債券將以要約人或其代名人名義登記。

PERSONAL DATA




Personal Information Collection Statements

This personal information collection statement informs you of the policies and practices of the Offeror, China Galaxy, the Company and the Registrar and 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

   To accept the Convertible Bond Offer for your Convertible Bonds, you must provide the personal data requested. Failure to supply the requested data may result in the processing of your acceptance being rejected or delayed. It may also prevent or delay the despatch of the consideration to which you are entitled under the Convertible Bond Offer.

2. Purposes

   The personal data which you provide on this BLUE Form of Convertible Bond Offer Acceptance may be used, held and/or stored (by whatever means) for the following purposes:

   • processing your acceptance and verification of compliance with the terms and application procedures set out in this BLUE Form of Convertible Bond Offer Acceptance and the Composite Document;

   • registering transfers of the Convertible Bonds out of your name;

   • maintaining or updating the relevant register of Convertible Bondholders;

   • conducting or assisting to conduct signature verifications, and any other verification or exchange of information;

   • distributing communications from the Offeror and/or the Company and/or their respective agents, officers and advisers;

   • compiling statistical information and Convertible Bondholder profiles;

   • establishing benefit entitlements of the Convertible Bondholder(s);

   • making disclosures as required by laws, rules or regulations (whether statutory or otherwise);

   • disclosing relevant information to facilitate claims on entitlements;

   • any other purpose in connection with the business of the Offeror and the Company; and

   • any other incidental or associated purposes relating to the above and/or to enable the Offeror and/or China Galaxy and/or the Company to discharge its obligations to the Convertible Bondholder(s) and/or under applicable regulations, and other purpose to which the Convertible Bondholder(s) may from time to time agree to or be informed of.

3. Transfer of personal data

   The personal data provided in this BLUE Form of Convertible Bond Offer Acceptance will be kept confidential but the Offeror and/or China Galaxy and/or the Company and/or the Registrar may, to the extent necessary for achieving the purposes above or any of them, make such enquiries as they consider necessary to confirm the accuracy of the personal data and, in particular, they may disclose, obtain, transfer (whether within or outside Hong Kong) such personal data to, from or with any and all of the following persons and entities:

   • the Offeror, China Galaxy, the Company, any of their agents and the Registrar;

   • any agents, contractors or third party service providers who offer administrative, telecommunications, computer, payment or other services to the Offeror and/or China Galaxy and/or the Company and/or the Registrar;

   • any regulatory or governmental bodies;

   • any other persons or institutions with which you have or propose to have dealings, such as your bankers, solicitors, accountants or licensed securities dealers or registered institution in securities; and

   • any other persons or institutions whom the Offeror and/ or China Galaxy and/or the Company and/or the Registrar considers to be necessary or desirable in the circumstances.

4. Access and correction of personal data

The Ordinance provides you with rights to ascertain whether the Offeror and/or China Galaxy and/or the Company and/ or the Registrar hold your personal data, to obtain a copy of that data, and to correct any data that is incorrect. In accordance with the Ordinance, the Offeror and/or China Galaxy and/or the Company and/or the Registrar have the right to charge a reasonable fee for the processing of any data access request. All requests for access to data or correction of data or for information regarding policies and practices and the kinds of data held should be addressed to the Offeror, China Galaxy, the Company or the Registrar (as the case may be).

BY SIGNING THIS BLUE FORM OF CONVERTIBLE BOND OFFER ACCEPTANCE, YOU AGREE TO ALL OF THE ABOVE







個人資料




收集個人資料聲明

本收集個人資料聲明旨在知會 閣下有關要約人、中國銀河、本公司 及股份過戶登記處及有關個人資料及香港法例第 486 章個人資料（私 隱）條例（「該條例」）之政策及慣例。

1. 收集 閣下個人資料之原因

倘 閣下欲就 閣下之可換股債券而接納可換股債券要約， 則 閣下須提供所需之個人資料，若未能提供所需資料，可能 會導致 閣下之接納申請被拒或受到延誤。這亦可能妨礙或延 遲寄發 閣下根據可換股債券要約應得之代價。

2. 用途 閣下於本藍色可換股債券要約接納表格提供之個人資料可能會 用作、持有及╱或保存（以任何方式）作下列用途：

• 處理 閣下之接納申請及核實或遵循本藍色可換股債券要 約接納表格及綜合文件載列之條款及申請手續；

• 登記以 閣下名義之可換股債券轉讓；

• 保存或更新有關可換股債券持有人之名冊；

• 核實或協助核實簽名，以及進行任何其他資料核實或交 換；

• 發佈要約人及╱或本公司及╱或彼等各自之代理、高級職 員、顧問及股份過戶登記處之通訊；

• 編製統計資料及可換股債券持有人之資料；

• 確立可換股債券持有人之獲益權利；

• 按法例、規則或規例規定（無論法定或其他規定）作出披 露；

• 披露有關資料以方便進行權益申索；

• 有關要約人及本公司業務之任何其他用途；及

• 有關上文所述任何其他臨時或關連用途及╱或令要約人 及╱或中國銀河及╱或本公司得以履行彼等對可換股債券 持有人及╱或適用法規項下之責任，及可換股債券持有人 可能不時同意或知悉之其他用途。

3. 轉交個人資料 本藍色可換股債券要約接納表格提供之個人資料將會保密，惟 要約人及╱或中國銀河及╱或本公司及╱或股份過戶登記處為

達致上述或有關任何上述之用途，可能作出必需之查詢，以確 認個人資料之準確性，尤其彼等可能向或自下列任何及所有個 人及實體披露、獲取或轉交（無論在香港境內或香港境外地區） 該等個人資料：

• 要約人、中國銀河、本公司、其任何代理及股份過戶登記 處；

• 為要約人及╱或中國銀河及╱或本公司及╱或股份過戶登 記處提供與其業務營運有關的行政、電訊、電腦、付款或 其他服務之任何代理、承包商或第三方服務供應商；

• 任何監管或政府機構；

• 與 閣下進行交易或建議進行交易之任何其他個人或機 構，例如 閣下之銀行、律師、會計師或持牌證券商或註 冊證券機構；及

• 要約人及╱或中國銀河及╱或本公司及╱或過戶登記處在 相關情況下認為屬必需或適當之任何其他個人或機構。

4. 獲取及更正個人資料

根據該條例之規定 閣下可確認要約人及╱或中國銀河及╱或 本公司及╱或股份過戶登記處是否持有 閣下之個人資料，獲 取該資料副本，以及更正任何錯誤資料。依據該條例之規定， 要約人及╱或中國銀河及╱或本公司及╱或股份過戶登記處可 就獲取任何資料之請求收取合理之手續費。獲取資料或更正資 料或獲取有關政策及慣例及所持資料類型之資料之所有請求， 須提交予要約人、中國銀河、本公司或股份過戶登記處（視情況 而定）。

閣下一經簽署本藍色可換股債券要約接納表格即表示同意上述所有條 款。