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1、 第 PAGE 3 頁虛擬股份贈與承諾函Undertaking Letter of Granting Phantom StocksXXX先生/女士Dear Mr./Madam xxx根據(jù)xxxx醫(yī)療科技有限公司虛擬股份激勵計劃管理辦法(以下簡稱“管理辦法”)和xxxx醫(yī)療科技有限公司績效評估管理辦法(以下簡稱“評估辦法”)之規(guī)定,本公司承諾無償贈與您【 】股虛擬股份。According to the Shanghai United Imaging Healthcare Co. Ltd. Phantom stocks Incentive Plan Management Measures (her

2、einafter referred to as the Management Measures) and the Shanghai United Imaging Healthcare Co. Ltd Performance Evaluation Management Methods (Hereinafter referred to as the Evaluation Methods), the Company promised to grant you【】 phantom stocks for free.本公司陳述及聲明:Statement and Representation of the

3、company在本公司贈與您虛擬股份前,您已閱讀、知悉并理解管理辦法全部之內(nèi)容,了解虛擬股份并非公司法上的真正股權(quán)(股份),您僅享有參加公司利潤的分配權(quán),您不享有股權(quán)(股份)的所有權(quán),無投票權(quán)、股東權(quán)及其他權(quán)利,不具有股東資格/資質(zhì),并認可虛擬股份注銷的處理以及補償款支付方式。Before granting you the phantom stocks. you have read, known and understood all the contents of the Management Measures and understand the phantom stocks is not

4、the share or equity interest as defined in the Company Law of Peoples Republic of China. You are entitled to the profit distribution only. You are not entitled to the ownership of equity (shares) and you do not have voting right, shareholders rights and other rights. You are not a shareholder and ac

5、knowledge the cancellation process and the method of compensation.因本公司擬在中國證券交易所上市,鑒于您的外籍身份,您所持有的虛擬股權(quán)現(xiàn)在、未來都將不會在公司登記機關(guān)進行登記。Shanghai United Imaging Healthcare Co. Ltd. intends to be listed on stock exchange in China. In view of your foreign nationality, the phantom stocks held by you are not, and will

6、not be, registered with relevant competent authorities.本公司股東會、董事會及薪酬與績效評估委員會根據(jù)管理辦法所作出之行為對您具有約束力,您同意并自愿遵守管理辦法之規(guī)定。Any actions done by the companys shareholders meeting, the board of directors and the remuneration and performance evaluation committee pursuant to the Management Measures are binding on y

7、ou, and you agree and are willing to comply with relevant provisions of the Management Measures.您在本函下方簽署處簽署您本人姓名后,即代表您接受了本公司贈與的虛擬股份,同時也代表接受了本函上述所有內(nèi)容且無任何異議。Your signature below means that you accept the granted phantom stocks and accept all abovementioned contents of this Undertaking Letter without a

8、ny dissents.承諾人:xxxx醫(yī)療科技有限公司20 年 月 日Covenantor: Shanghai United Imaging Healthcare Co. Ltd.Date: 受贈人如已閱讀本函上述所有內(nèi)容且無任何異議的,請在如下簽署處簽名確認: 受贈人(簽名):身份證明資料文件及號碼:日期:If you have read all abovementioned contents of this Undertaking Letter without any dissents, please acknowledge by signing below:Grantee (signature):Nationality:Identification certificate and No.:Da

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