[HK]泛亚环保(00556):第一期特别股息－选择表格

时间：2026年02月13日 19:31:39 中财网

原标题:泛亚环保:第一期特别股息－选择表格
此乃要件 請即處理
IF YOU ARE IN ANY DOUBT AS TO ANY ASPECT OF THIS FORM OR AS TO THE ACTION TO BE TAKEN, YOU SHOULD CONSULT YOUR LICENSED SECURITIES DEALER OR
REGISTERED INSTITUTION IN SECURITIES, BANK MANAGER, SOLICITOR, PROFESSIONAL ACCOUNTANT OR OTHER PROFESSIONAL ADVISER.
閣下如對此表格任何方面或應採取之行動有任何疑問，應諮詢? 閣下之持牌證券交易商或註冊證券機構、銀行經理、律師、專業會計師或其他專業顧問。

此乃要件 請即處理
IF YOU ARE IN ANY DOUBT AS TO ANY ASPECT OF THIS FORM OR AS TO THE ACTION TO BE TAKEN, YOU SHOULD CONSULT YOUR LICENSED SECURITIES DEALER OR
REGISTERED INSTITUTION IN SECURITIES, BANK MANAGER, SOLICITOR, PROFESSIONAL ACCOUNTANT OR OTHER PROFESSIONAL ADVISER.
閣下如對此表格任何方面或應採取之行動有任何疑問，應諮詢? 閣下之持牌證券交易商或註冊證券機構、銀行經理、律師、專業會計師或其他專業顧問。

PART 1 第一部份 NAME(S) AND ADDRESS OF REGISTERED SHAREHOLDER(S) BOX A 登記股東姓名及地址 甲欄 REGISTERED HOLDING OF ORDINARY SHARES IN THE COMPANY ON THURSDAY, 5 BOX B FEBRUARY 2026 (THE “RECORD DATE”) 乙欄 於二零二六年二月五日（星期四） （「記錄日期」）於本公司登記持有的 普通股數目
	NAME(S) AND ADDRESS OF REGISTERED SHAREHOLDER(S) 登記股東姓名及地址
		BOX B 乙欄	REGISTERED HOLDING OF ORDINARY SHARES IN THE COMPANY ON THURSDAY, 5 FEBRUARY 2026 (THE “RECORD DATE”) 於二零二六年二月五日（星期四） （「記錄日期」）於本公司登記持有的 普通股數目
PART 2 第二部份 CASH DIVIDEND ONLY 只收取現金股息 IF YOU WISH TO RECEIVE ONLY CASH FOR THE FIRST TRANCHE SPECIAL DIVIDEND, YOU DO NOT NEED TO TAKE ANY ACTION. THEREFORE, PLEASE DO NOT RETURN THIS ELECTION FORM. 如　閣下擬僅以現金形式收取第一期特別股息，則毋須採取任何行動，故請勿交回此選擇表格。
PART 3 第三部份 NEW SHARES ONLY 只收取新股份 IF YOU WISH TO RECEIVE ONLY NEW SHARES FOR THE FIRST TRANCHE SPECIAL DIVIDEND, PLEASE JUST SIGN, DATE AND RETURN THIS ELECTION FORM. 如 閣下擬僅以新股份形式收取第一期特別股息，則簽署本選擇表格、註明日期並交回表格即可。
PART 4 第四部份 ELECTION FOR PART CASH DIVIDEND AND PART NEW SHARES FOR THE FIRST TRANCHE DIVIDEND 選擇部分以現金股息及部分以新股份形式收取第一期特 別股息 IF YOU WISH TO RECEIVE YOUR ENTITLEMENT TO THE FIRST TRANCHE SPECIAL DIVIDEND PARTLY IN CASH AND PARTLY IN NEW SHARES, PLEASE ENTER IN BOX C THE NUMBER OF SHARES WHICH YOU HELD ON THE RECORD DATE, THURSDAY, 5 FEBRUARY 2026 FOR WHICH YOU REQUIRE THE FIRST TRANCHE SPECIAL DIVIDEND TO BE PAID IN NEW SHARES. THEN SIGN, DATE AND RETURN THIS ELECTION FORM. 如　閣下擬部分以現金及部分以新股份形式收取第一期特別股息配額，請在丙欄填寫　閣下 於記錄日期（二零二六年二月五日（星期四））持有並要求以新股份形式獲派付第一期特別股息 的股份數目。請簽署本選擇表格、註明日期並交回表格。 IF YOU SIGN THIS FORM BUT DO NOT SPECIFY THE NUMBER OF ORDINARY SHARE DIVIDEND, OR IF YOU ELECT TO RECEIVE NEW SHARES IN RESPECT OF A GREATER NUM DATE, THEN IN EITHER CASE, YOU WILL BE DEEMED TO HAVE EXERCISED YOUR ELEC REGISTERED IN YOUR NAME ON THE RECORD DATE. 如　閣下簽署本表格惟並無註明擬以新股份代替現金股息形式收取的普通股數目，或　閣下選擇 為已行使選擇權，僅就於記錄日期以　閣下名義登記的所有普通股收取新股份。	BOX C 丙欄	NUMBER OF ORDINARY SHARES IN RESPECT OF WHICH YOU WISH TO RECEIVE THE FIRST TRANCHE SPECIAL DIVIDEND IN THE FORM OF NEW SHARES IN LIEU OF CASH DIVIDEND 擬以新股份代替現金股息形式收取 第一期特別股息的普通股數目		S
TO THE BOARD OF DIRECTORS OF PAN ASIA ENVIRONMENTAL PROTECTION GROUP LIMITED: 致泛亞環保集團有限公司董事會： I/WE, THE UNDERSIGNED AND ABOVE-NAMED SHAREHOLDER(S), GIVE NOTICE THAT I/WE ELECT TO RECEIVE NEW SHARES IN LIEU OF CASH DIVIDEND IN RESPECT OF FIRST TRANCHE SPECIAL DIVIDEND FOR THE WHOLE OR PART OF THE ORDINARY SHARES REGISTERED IN MY/OUR NAME(S) IN ACCORDANCE WITH THE INSTRUCTIONS GIVEN ABOVE IN PART 3 AND PART 4 OF THIS FORM SUBJECT TO THE TERMS AND CONDITIONS SET OUT IN THE CIRCULAR DATED 13 FEBRUARY 2026 AND THE MEMORANDUM AND ARTICLES OF ASSOCIATION OF THE COMPANY. I/WE ACKNOWLEDGE THAT THE NOTES FORM PART OF THIS FORM. 本人╱吾等（下款簽署人及上述股東）茲通知，本人╱吾等按照本表格上述第三及第四部分之指示並遵照日期為二零二六年二月十三日的通函所載的條款及條件以及本公司組織章程大綱及細 則，就以本人╱吾等名義登記的全部或部分普通股選擇以新股份代替現金股息收取第一期特別股息。本人╱吾等確認，附註構成本表格的一部分。 SIGNATURE(S) 簽署 (USUAL SIGNATURE(S) 慣用簽名式) (1) (2) (3) (4) DATE 日期: 2026 二零二六年 TEL. NO 電話號碼: EMAIL 電郵: NOTES: (I) IN THE CASE OF JOINT HOLDERS, ALL MUST SIGN. 附註： 如屬聯名持有人，所有持有人均須簽署。 (II) IN THE CASE OF A CORPORATION, THIS FORM SHOULD BE SIGNED ON ITS BEHALF BY A DULY AUTHORISED OFFICER WHOSE OFFICE SHOULD BE STATED. 股東如屬法團，則此表格須由其正式授權人簽署並須註明簽署人之職位。 (III) YOUR SIGNATURE(S) ABOVE MUST CORRESPOND WITH YOUR SPECIMEN SIGNATURE(S) FILED WITH TRICOR INVESTOR SERVICES LIMITED. 閣下以上之簽名須與 閣下提交予卓佳證券登記有限公司之簽字式樣相符。 THIS FORM IS FOR THE USE BY THE SHAREHOLDER(S) NAMED IN BOX A ONLY. THE RIGHT TO RECEIVE NEW SHARES INSTEAD OF THE WHOLE OR PART OF THE CASH DIVIDEND IS NON-TRANSFERABLE. IF YOU ARE NOT ELIGIBLE TO ELECT NEW SHARES INSTEAD OF CASH DIVIDEND, YOU SHOULD NOT COMPLETE THIS FORM AND, IF YOU DO SO, THIS FORM WILL BE VOIDED AND OF NO EFFECT. NO ACKNOWLEDGEMENT OF RECEIPT OF THIS FORM WILL BE ISSUED. 此表格只供名列於甲欄內之股東使用。收取新股份以代替全部或部份現金股息之權利不可轉讓。倘 閣下並無資格選擇收取新股份以代替現金股息，則不應填寫此表格，而倘 閣下填寫此表 格，則此表格將作廢及無效。本公司將不會對已交回之表格另發收據。 SHARE CERTIFICATES FOR THE FIRST TRANCHE SPECIAL DIVIDEND WILL BE SENT BY ORDINARY POST ON THURSDAY, 26 MARCH 2026 TO THE SHAREHOLDER(S) AND AT THE SHAREHOLDER’S(S’) RISK TO THE ABOVE ADDRESS. 第一期特別股息的股票將於二零二六年三月二十六日（星期四）按上述地址以普通郵遞郵寄予各有關股東，郵誤風險由股東自行承擔。 THIS FORM SHOULD BE RETURNED TO THE COMPANY’S HONG KONG BRANCH SHARE REGISTRAR AND TRANSFER OFFICE, TRICOR INVESTOR SERVICES LIMITED, AT 17/F, FAR EAST FINANCE CENTRE, 16 HARCOURT ROAD, HONG KONG SO AS TO BE RECEIVED NO LATER THAN 4:30 P.M. ON THURSDAY, 5 MARCH 2026. 本表格須交回本公司的香港股份過戶登記分處卓佳證券登記有限公司（地址為香港夏 道16號遠東金融中心17樓），使其不遲於二零二六年三月五日（星期四）下午四時三十分送達。 FAILURE TO COMPLETE, SIGN AND RETURN THIS FORM IN ACCORDANCE WITH THE INSTRUCTIONS ABOVE WILL RESULT IN YOUR FIRST TRANCHE SPECIAL DIVIDEND BEING MADE IN FULL IN THE FORM OF CASH DIVIDEND. THE COMPANY’S DECISION IN ANY DISPUTE RELATING TO THE SCRIP DIVIDEND SCHEME SHALL BE CONCLUSIVE AND BINDING. 如未能按照上述指示填妥、簽署及交回本表格，將導致 閣下的第一期特別股息全數以現金股息形式派發。對任何有關以股代息計劃的爭議，本公司的決定將具決定性及約束力。