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Subscription Rights.
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Execution By Registered Holder. The signature on the
Subscription Certificate must correspond with the name of the registered holder exactly as it appears on the face of the Subscription Certificate without any alteration or change whatsoever. Persons who sign the Subscription Certificate in
a representative or other fiduciary capacity must indicate their capacity when signing and, unless waived by the Subscription Agent in its sole and absolute discretion, must present to the Subscription Agent satisfactory evidence of their
authority so to act.
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| b) |
Execution By Person Other Than Registered Holder. If the
Subscription Certificate is executed by a person other than the holder named on the face of the Subscription Certificate, proper evidence of authority of the person executing the Subscription Certificate must accompany the same unless the
Subscription Agent, in its discretion, dispenses with proof of authority.
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| a) |
Share Certificates. The Subscription Agent will mail to each
validly-exercising Subscription Rights holder who is a record holder certificates representing Ordinary Shares purchased pursuant to the Subscription Right and the Over-Subscription Right.
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| b) |
Excess Payments. If you exercised your Over-Subscription Right
and are allocated less than all of the Ordinary Shares for which you wished to over-subscribe, then your excess Subscription Price payment for Ordinary Shares that were not allocated to you will be returned to you by mail, without interest
or deduction, as soon as practicable after the Issuance Date.
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SUBSTITUTE
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Part 1 - PLEASE PROVIDE YOUR
TIN IN THE BOX AT RIGHT AND
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TIN:
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Form W-9
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CERTIFY BY SIGNING AND DATING BELOW
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Social Security Number or
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Department of the Treasury
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Employer Identification Number
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Internal Revenue Service
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Payer’s Request for Taxpayer
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Part 2 - TIN Applied
for ☐
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Identification Number (“TIN”)
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(1)
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the number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued
to me);
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(2)
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I am not subject to backup withholding either because (a) I am exempt from backup withholding or (b) I have not been notified
by the Internal Revenue Service (the “IRS”) that I am subject to backup withholding as a result of a failure to report all interest or dividends or (c) the IRS has notified me that I am no longer subject to backup withholding; and
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(3)
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I am a U.S. person (including a U.S. resident alien).
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SIGNATURE
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DATE
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NOTE:
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FAILURE TO COMPLETE AND RETURN THIS FORM MAY RESULT IN BACKUP WITHHOLDING ON ANY PAYMENTS MADE TO YOU IN
CONNECTION WITH THE RIGHTS OFFERING. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS.
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SIGNATURE
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DATE
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For this type of account
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Give the SOCIAL SECURITY number of -
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For this type of account
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Give the EMPLOYER IDENTIFICATION number of -
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1. Individual
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The individual
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6. Sole proprietorship
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The owner3
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2. Two or more individuals (joint account)
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The actual owner of the account, or if combined funds, the first individual on the account1
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7. A valid trust, estate, or pension trust
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The legal entity4
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3. Custodian account of a minor (Uniform Gift to Minors Act)
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The minor2
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8. Corporate
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The corporation
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4. a. The usual revocable savings trust account (grantor is also trustee)
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The grantor-trustee1
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9. Association, club, religious, charitable, educational, or other tax-exempt
organization
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The organization
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b. So-called trust account that is not a legal or valid trust under state law
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The actual owner1
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5. Sole proprietorship
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The owner3
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10. Partnership
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The partnership
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11. A broker or registered nominee
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The broker or nominee
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12. Account with the Department of Agriculture in the name of a public entity
(such as a state or local government, school district, or prison) that receives agricultural program payments
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The public entity
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(1)
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List first and circle the name of the person whose number you furnish. If only one person on a joint account has a social
security number, that person’s number must be furnished.
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(2)
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Circle the minor’s name and furnish the minor’s social security number.
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(3)
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You must show your individual name, but you may also enter your business or “doing business as” name. You may use either your
social security number or your employer identification number (if you have one).
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(4)
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List first and circle the name of the legal trust, estate, or pension trust. (Do not furnish the taxpayer identification number
of the personal representative or trustee unless the legal entity itself is not designated in the account title).
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An organization exempt from tax under Section 501(a), an individual retirement account (IRA), or a custodial account under
Section 403(b)(7), if the account satisfies the requirements of Section 401(f)(2).
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The United States or a state thereof, the District of Columbia, a possession of the United States, or a political subdivision
or wholly-owned agency or instrumentality of any one or more of the foregoing.
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An international organization or any agency or instrumentality thereof.
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A corporation.
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A financial institution.
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A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of
the United States.
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A real estate investment trust.
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A common trust fund operated by a bank under Section 584(a).
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An entity registered at all times during the tax year under the Investment Company Act of 1940.
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A middleman known in the investment community as a nominee or who is listed in the most recent publication of the American
Society of Corporate Secretaries, Inc., Nominee List.
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A futures commission merchant registered with the Commodity Futures Trading Commission.
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A foreign central bank of issue.
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Payments to nonresident aliens subject to withholding under Section 1441.
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Payments to partnerships not engaged in a trade or business in the United States and that have at least one nonresident alien
partner.
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Payments of patronage dividends not paid in money.
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Payments made by certain foreign organizations.
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Section 404(k) payments made by an ESOP.
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Payments of interest on obligations issued by individuals. Note: You may be subject to backup withholding if this interest is
$600 or more and you have not provided your correct taxpayer identification number to the payer.
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Payments of tax-exempt interest (including exempt- interest dividends under Section 852).
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Payments described in Section 6049(b)(5) to nonresident aliens.
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Payments on tax-free covenant bonds under Section 1451.
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Payments made by certain foreign organizations.
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Mortgage interest paid to you.
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(1)
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Failure to Furnish Taxpayer Identification Number - If you fail to furnish your taxpayer identification number to a payer, you are subject to a penalty of $50 for each
such failure unless your failure is due to reasonable cause and not to willful neglect.
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(2)
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Civil Penalty for False
Information With Respect to Withholding - If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.
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(3)
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Criminal Penalty for
Falsifying Information - Willfully falsifying certificates or affirmations may subject you to criminal penalties including fines and/or imprisonment.
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