| | THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 12:00 MIDNIGHT, NEW YORK CITY TIME, AT THE END OF THE DAY ON DECEMBER 22, 2022, UNLESS THE OFFER IS EXTENDED OR TERMINATED (SUCH DATE AND TIME, AS THEY MAY BE EXTENDED, THE “EXPIRATION TIME”). | | |
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DESCRIPTION OF SHARES TENDERED
(SEE INSTRUCTION 13) |
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NAME(S) AND ADDRESS(ES) OF REGISTERED HOLDER(S) (PLEASE FILL IN, IF BLANK, EXACTLY AS NAME(S) APPEAR(S) ON THIS LETTER OF TRANSMITTAL and/or ACCOUNT STATEMENT
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SHARES TENDERED
(ATTACH ADDITIONAL SIGNED LIST, IF NECESSARY) |
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Shares
Certificate Number(s)(1) |
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Total Number
of Shares Represented by Certificates(1) |
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Total Number
of Shares Represented by Book Entry |
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Total Number
of Shares Tendered(2) |
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Total Shares
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(1)
Need not be completed by holders tendering by book-entry transfer.
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(2)
Unless a lower number of Shares to be tendered is otherwise indicated, it will be assumed that all Shares described above are being tendered.
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DESCRIPTION OF ADSs TENDERED
(SEE INSTRUCTION 13) |
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NAME(S) AND ADDRESS(ES) OF REGISTERED HOLDER(S) (PLEASE FILL IN, IF BLANK, EXACTLY AS NAME(S) APPEAR(S) ON THIS LETTER OF TRANSMITTAL and/or ACCOUNT STATEMENT
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ADSs TENDERED
(ATTACH ADDITIONAL SIGNED LIST, IF NECESSARY) |
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ADS
Certificate Number(s)(1) |
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Total Number
of ADSs Represented by Certificates(1) |
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Total Number
of ADSs Represented by Book Entry |
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Total Number
of ADSs Tendered(2) |
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Total ADSs
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(1)
Need not be completed by holders tendering by book-entry transfer.
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(2)
Unless a lower number of ADSs to be tendered is otherwise indicated, it will be assumed that all ADSs described above are being tendered.
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| Name of Tendering | | |||
| Institution: | | | | |
| DTC Account | | |||
| Number: | | | | |
| Transaction Code | | |||
| Number: | | | |
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SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 4, 5 and 6) |
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SPECIAL DELIVERY INSTRUCTIONS
(See Instruction 6) |
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| | To be completed ONLY if the check for the purchase price is to be issued in the name of someone other than the undersigned. | | | | To be completed ONLY if the check for the purchase price is to be mailed or sent to someone other than the undersigned or to the undersigned at an address other than that designated above. | | | ||||||
| | Name: | | |
(Please Print)
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| | | Name: | | |
(Please Print)
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(Include Zip Code)
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(Include Zip Code)
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(RECIPIENT MUST COMPLETE IRS
FORM W-9 INCLUDED HEREIN OR AN APPLICABLE IRS FORM W-8) |
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IMPORTANT
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STOCKHOLDERS MUST SIGN HERE
AND COMPLETE IRS FORM W-9 INCLUDED HEREIN OR AN APPLICABLE IRS FORM W-8 |
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PLEASE SIGN HERE
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By signing below, the undersigned expressly agrees to the terms and conditions set forth above.
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Signature(s) of Stockholder(s)
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| | Dated: | | |
| | (Must be signed by registered holder(s) exactly as name(s) appear(s) on this Letter of Transmittal or on a security position listing or by person(s) authorized to become registered holder(s). If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, please provide the following information and see Instruction 4) | | |
| | Name(s): | | |
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(Please Type or Print)
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| | Capacity (Full Title): | | |
| | Address: | | |
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(Include Zip Code)
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| | Daytime Area Code and Telephone Number: | | |
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GUARANTEE OF SIGNATURE(S) (If required — see Instructions 1 and 4)
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APPLY MEDALLION GUARANTEE STAMP BELOW
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