Concord Medical Services Holdings Limited (the “Company”) P R O X Y
Exhibit 99.3
Concord Medical Services Holdings Limited
(the “Company”)
P R O X Y
I/We* ............................................................... (name) of ........................................................................................................................ (address), the holder of ............................................................ (number) Class A ordinary shares and ............................................................ (number) Class B ordinary shares in the Company, hereby appoint .............................................................. (name) of ........................................................................................................................ (address) and/or* failing him/her*, .............................................................. (name) of ........................................................................................................................ (address), or failing him/her/them*, the Chairman of the meeting as my/our proxy/proxies* to attend on my/our* behalf at the annual general meeting of the Company to be held on the 27th December 2019 at 10:00 a.m. (Beijing time) at 18/F, Tower A, Global Trade Center, 00 Xxxxx 0xx Xxxx Xxxx Xxxx, Xxxxxxxxx Xxxxxxxx, Xxxxxxx, P.R. China, and at any adjournment thereof.
*Please delete as appropriate.
Date: __________________________
Signed by or on behalf of the above named
____________________________________
Name:
NOTES
1. | To be effective, this form of proxy must be duly completed, signed and delivered to 18/F, Tower A, Global Trade Center, 00 Xxxxx 0xx Xxxx Xxxx Xxxx, Xxxxxxxxx Xxxxxxxx, Xxxxxxx, P.R. China for the attention of director Xxxx Xxxxxx or emailed to xxxxxxxxx.xxxxx@xxx.xx no later than the time for holding the Meeting or the adjourned meeting at which the proxy is to be used. |
2. | Any alterations made to this form of proxy should be initialled. |
3. | In the case of a corporation, this instruction should be given under its Common Seal or under the hand of an officer, attorney or other person duly authorised in writing to sign the same. |