AuthoriSed Representatives Company secretary Form .doc

AuthoriSed Representatives / Company secretary Form* (please complete the English or Chinese version of this form) Case Number: Name of Issuer: (Listed issuer/Unit Trust/ Mutual Fund ) Stock code: 1. Details of the two authorised representatives of the listed issuer/the management company of the Unit Trust/ Mutual Fund are as follows: Authorised Representative (1) Name (English Chinese): Position: Telephone Facsimile Office Home Mobile Other Office Home E-mail address Correspondence address ** Authorised Representative (2) Name (English Chinese): Position: Telephone Facsimile Office Home Mobile Other Office Home E-mail address Correspondence address ** ** Applicable if the Authorised Representative is not based at the registered office of the listed issuer/ Unit Trust/ Mutual Fund 2. Details of the alternates of the Authorised Representatives are as follows: Alternate to Authorised Representative (1) Name (English Chinese): Position: Applicable period (if any): Telephone Facsimile Office Home Mobile Other Office Home E-mail address Correspondence address ** Alternate to Authorised Representative (2) Name (English Chinese): Position: Applicable period (if any): Telephone Facsimile Office Home Mobile Other Office Home E-mail address Correspondence address ** ** Applicable if the alternate to the Authorised Representative is not based at the registered office of the listed issuer/Unit Trust/ Mutual Fund  3. Company Secretary Name (English Chinese): Appointment Date: Telephone No.: Facsimile No.: Remarks: Submitted by: Date: Signature Name in Block Letters * Please provide the Exchange immediately with details of changes to the above, if any, and