TOM集團CCASS申請表格

To:
TOM Group Limited (“Company”)
(Stock Code: 2383)
c/o Computershare Hong Kong Investor Services Limited
17M Floor, Hopewell Centre,
183 Queen’s Road East,
Wanchai, Hong Kong
(Hotline: (852) 2862 8688)

致：
TOM集團有限公司* (「公司」)
（股票號碼：2383）
經香港中央證券登記有限公司
香港灣仔皇后大道東183號
合和中心17M樓
(查詢熱線: (852) 2862 8688)

I/We would like to receive the Current Corporate Communication# of the Company in the manner as indicated below:
本人／吾等希望以下列方式收取公司之本次公司通訊#：

(Please mark ONLY ONE（X）of the following boxes)
(請從下列選擇中，僅在其中一個空白字元內劃上「X」號)

□to receive a printed copy in English; or
希望收取一份英文印刷本；或

□to receive a printed copy in Chinese; or
希望收取一份中文印刷本；或
□to receive both the printed English and Chinese copies.
希望收取英文和中文印刷本各一份。

Name(s) of Shareholder
股東名稱

Signature
簽名

Contact telephone number
聯絡電話號碼

Date
日期

Notes附注：

1.This CCASS Request Form is to be completed by the non-registered holders of the shares of the Company, whose shares are held in Central Clearing and Settlement System (“CCASS”) and who have notified the Company through Hong Kong Securities Clearing Company Limited that they wish to receive Corporate Communications. Please complete all your details clearly.
本CCASS申請表格應由本公司非登記股份持有人填寫。該等人士的股份存放於中央結算及交收系統（「CCASS」）而彼等已經透過香港中央結算有限公司通知本公司，希望收到公司通訊。請 閣下清楚填妥所有資料。

2.Any form with more than one box marked (X), with no box marked (X), with no signature or otherwise incorrectly completed will be void.
如在本表格作出超過一項選擇、或未有作出選擇、或未有簽署、或在其他方面填寫不正確，則本表格將會作廢。

3.The above instruction will apply to the future Corporate Communications to be sent to you until you notify the Company c/o Computershare Hong Kong Investor Services Limited to the contrary or unless you have at anytime ceased to have holdings in the Company.
上述指示適用於所有日後發送予 閣下之公司通訊，直至 閣下就另外之安排透過香港中央證券登記有限公司向本公司發出通知或於任何時候停止持有本公司的股份。

4.For the avoidance of doubt, we do not accept any special instructions written on this CCASS Request Form.
為免存疑，本公司概不接受於本CCASS申請表格上書寫之任何其他特定指示。

# Corporate Communications include but not limited to (a) the directors’ report, its annual accounts together with a copy of the auditor’s report and, where applicable, its summary financial report; (b) the interim report and, where applicable, summary interim report; (c) a notice of meeting; (d) a listing document; (e) a circular; and (f) a proxy form.

公司通訊包括但不限於：(a)董事會報告、年度財務報表連同核數師報告及如適用，財務摘要報告；(b)中期業績報告及如適用，中期摘要報告；(c)會議通告；(d)上市檔案；(e)通函；及(f)代表委任表格。
* for identification purpose以供識別之用

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