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Ibnsina Pharma (ISPH) : A Clean Bill of Health
Ibnsina Pharma (ISPH) : A Clean Bill of Health
Ibnsina Pharma (ISPH) : A Clean Bill of Health
Stock Chart & Data • Supportive industry dynamics: The pharmaceuticals industry in
Volume (mn), Right ISPH EGX30 Index Egypt has been growing rapidly over the past couple of years. It
140% 16.0 grew by a five-year CAGR (2012-2017) of 18.4% to EGP51bn, with a
120% 14.0 double-digit growth every year from 2013 to 2017. We expect that
100% 12.0
total pharma sales in Egypt will continue on this high growth
80% 10.0
trajectory to hit EGP112.5bn by 2022, backed by a major catalyst,
60% 8.0
namely Egypt’s new Universal Health Insurance Law. As a result, we
40% 6.0
20% 4.0
see ISPH benefiting from the robust growth in the industry.
0% 2.0 • Expected market share growth to boost top line; favorable cash
-20% 0.0
discounts and economies of scale to improve margins: We expect
ISPH will be able to grow its market share from a current 20% to 25%
by 2022, translating into EGP28.23bn of gross sales in 2022, implying
Last Price (EGP) 10.59
52 Week Range (EGP) 5.80-12.80
a five-year CAGR of 24%. We expect ISPH’s gross profit margin to
6M-ADVT (EGPmn) 6.62 stabilize at 8.7% by 2020 versus 8.6% in 9M 2018, thanks to favorable
Market Cap (EGPmn) 7,646 cash discounts. Moreover, we expect its economies of scale will
No. of Shares O/S (mn) / Free float 722.0 /37.31%
*Last price as of 22 November 2018
help lift EBITDA margin to stabilize at 4.7% by 2020 versus 4.3% in 9M
2018.
• 12M PT of EGP13.20/share, initiate with an Overweight / Moderate
Risk (ETR +25%): We have set three different scenarios to gauge the
sensitivity of ISPH’s valuation to changes in some of its KPIs (e.g.
market share and GPM) as well as the effect of ISPH’s ongoing legal
case. Our valuation range came in between EGP6.81-21.56/share. We
initiate our coverage on ISPH with a DCF-based 12-month price
target (PT) of EGP13.20/share (an expected total return of 25%) and
an Overweight / Moderate Risk rating.
Financial Summary
EGPmn FY2016a FY2017a FY2018e FY2019e FY2020e FY2021e
Revenue 7,206 9,586 12,401 15,555 19,133 23,160
EBITDA 229 407 521 681 868 1,069
Net Income 102 170 296 442 598 756
Revenue Growth (%) 35% 33% 29% 25% 23% 21%
EBITDA Growth (%) 52% 78% 28% 31% 27% 23%
Net Income Growth (%) 77% 67% 74% 50% 35% 26%
EBITDA Margin (%) 3.2% 4.2% 4.2% 4.4% 4.5% 4.6%
Net Margin (%) 1.4% 1.8% 2.4% 2.8% 3.1% 3.3%
Net Debt (Cash) 68 (107) (453) (601) (866) (1,113)
EPS (EGP) 0.15 0.25 0.41 0.61 0.83 1.05
Analyst BVPS (EGP) 0.46 0.62 1.15 1.41 1.76 2.20
DPS (EGP) 0.10 - 0.20 0.31 0.41 0.52
Mohamed Sobol
PER (x) 38.3x 32.8x 25.9x 17.3x 12.8x 10.1x
Equity Analyst
EV/EBITDA (x) 17.3x 13.4x 13.8x 10.3x 7.8x 6.1x
msobol@shuaasecurities.com
+202 2673 5993 Dividend Yield (%) 1.7% 0.0% 1.9% 2.9% 3.9% 4.9%
Source: Company reports and SHUAA Securities Egypt estimates.
The Story
ISPH’s market share structure vs. its ISPH was established in 2001 as a pharmaceutical distribution
competitors company, fulfilling the needs of retailers (i.e. pharmacies) through
manufacturers of medicines (i.e. drugmakers). The company has a
complete control over its distribution value chain process. ISPH takes
ISPH,
9.9% order from retailers, execute them through 350+ suppliers before
being processed in ISPH’s 57 operational sites. Orders are later
Others,
prepared to be distributed to 42,000 clients nationwide using the
43.8% UCP,
2011 32.7% company’s fleet of 654 vehicles. Furthermore, ISPH has no
concentration risk either from the manufacturers or the retailers
sides. ISPH’s top five suppliers represent less than 25% of its sales,
POS,
while its largest customer represents only 1.5% of the company’s
13.6%
sales. Also, each stock keeping unit (SKU) represents less than 0.5% of
ISPH’s sales.
• ISPH’s life cycle and its position in the market: ISPH has gone
through four different stages.
1. The Launch (2001-2005): ISPH was not profitable in this stage. It
was making c.EGP665mn in revenues by end of this period while
incurring some losses.
ISPH,
20.2%
Others, 2. The Turnaround (2006-2008): ISPH was able to turn into
31.3%
profitability.
9M 2018 3. The Expansion (2009-2012): ISPH was able to expand its business,
UCP, growing its operational sites from 7 in 2008 to 27 by 2012 and
32.9%
POS, 15.6% double its client base from 16,000 to 30,000.
4. The Growth (2013-Present): ISPH is currently within this stage; it
Source: Company reports
was able to grow its market share from 10% in 2011 to 20.2% by
9M 2018, beating the other two large distributors in the market,
namely UCP (from 32.7% to 32.9%) and Pharmaoverseas (from
13.6% to 15.6%).
• Benefiting from the industry’s strong fundamentals: From an
industry perspective, ISPH is benefiting from the defensive nature
of the pharmaceutical industry, the robust growth within the
Egyptian pharma market, and the high barriers to entry of the
industry. Moreover, the industry is highly regulated; the Ministry of
Health & Population (MoHP) controls the prices of medicines and
sets the mark-up and profits margins for drugmakers, distributors,
and retailers. This, in turn, mitigates any risks related to the
bargaining power of suppliers or clients.
2,000
1,000
0
2014 2015 2016 2017
Revenue (EGPmn)
Wholesale segment’s historical revenues 2. Wholesale: Wholesale is the second largest contributor to ISPH’s
revenues, 15.2% in 9M 2018 and four-year average of 13%. Through
1,600
CAGR of 40% 1,424 this segment, ISPH distributes medicines to other small
1,400
distributors in the market, which also allows ISPH to distribute
1,200
1,000
medicines to areas that are hard to reach. The segment’s gross
889
800
profit margin is c.8.2%.
655
600 520
400
200
0
2014 2015 2016 2017
Revenue (EGPmn)
Tenders segment’s historical revenues 3. Tenders: Under this segment, ISPH distributes medicines to
CAGR of 23% public hospitals via MoHP tenders. The segment contributed
1,000
900
868
913 9.8% to revenues in 9M 2018 with a four-year average of 11%. The
800 segment’s gross profit margin stood at 7.7% in 2017.
700 653
600
492
500
400
300
200
100
0
2014 2015 2016 2017
Revenue (EGPmn)
Source: Company reports
50
0
2014 2015 2016 2017
Revenue (EGPmn)
Hospitals segment’s historical revenues 5. Hospitals: Through its hospitals segment, ISPH distributes
medicines to private hospitals in Egypt. The segment
300
CAGR of 32% 265
contributed to 2.4% of revenues in 9M 2018 with a four-year
250 average of 3%. The segment’s gross profit margin is c.8.2%.
217
200
164
150
116
100
50
0
2014 2015 2016 2017
Revenue (EGPmn)
Source: Company reports
3PL services segment’s historical 6. Third Party Logistics (3PL) services: In 2013, ISPH introduced a
revenues new revenue stream aiming to further enhance its margins. 3PL
30
services includes warehousing services for suppliers,
CAGR of 49%
25
25 transportation services for FMCG brands names (e.g. Unilever
20 and P&G) as well as other services (e.g. overprinting and re-
20
packaging of pharmaceutical products). The segment
15
12
contributes a small portion to ISPH’s top line with a four-year
10 8
average of just 0.2%.
5
0
2014 2015 2016 2017
Revenue (EGPmn)
Exports segment’s historical revenues 7. Exports: This is the newest segment to ISPH. ISPH exports
medicines to African and Asian markets, but exports sales are
2.00 2 subject to MoHP approval after satisfying local market demand.
1.80
1.60
The segment numbers just started to appear recently, clocking
1.40 in EGP2mn in revenues in 2017. However, the company believes
1.20
1.00
there is ample room for growth in the future. The segment’s
0.80 gross profit margin stood at 8.2% in 2017.
0.60
0.40
0.20
0.00
2014 2015 2016 2017
Revenue (EGPmn)
Source: Company reports
EGPmn, unless otherwise stated FY2015a FY2016a FY2017a FY2018e FY2019e FY2020e FY2021e FY2022e
Volume Sold (mn units) 2,354 2,424 2,046 2,136 2,227 2,318 2,409 2,500
y/y growth 3% -16% 4% 4% 4% 4% 4%
Total Pharma Sales 35,308 43,624 51,138 61,956 73,501 85,773 98,773 112,500
y/y growth 24% 17% 21% 19% 17% 15% 14%
ISPH's market share 15.40% 16.90% 19.20% 20.36% 21.52% 22.68% 23.84% 25.00%
Total Pharma Dist. Revenues 5,425 7,352 9,791 12,614 15,817 19,453 23,548 28,125
y/y growth 36% 33% 29% 25% 23% 21% 19%
Total Gross Revenues 5,437 7,372 9,816 12,654 15,873 19,524 23,633 28,225
y/y growth 36% 33% 29% 25% 23% 21% 19%
Sales discounts 111 166 232 253 317 390 473 565
% of total gross rev. 2.0% 2.3% 2.4% 2.0% 2.0% 2.0% 2.0% 2.0%
Net Sales 5,326 7,206 9,586 12,401 15,555 19,133 23,160 27,661
y/y growth 35% 33% 29% 25% 23% 21% 19%
Retail Pharmacy 3,808 5,214 6,902 8,893 11,167 13,754 16,672 19,941
y/y growth 37% 32% 29% 26% 23% 21% 20%
Personal Care 146 164 285 378 475 584 706 844
y/y growth 13% 73% 33% 25% 23% 21% 19%
Exports - - 2 11 14 18 21 25
y/y growth - - 502% 25% 23% 21% 19%
Source: Company reports 3. The increase in prices of pharma products witnessed in the past
two years in addition to higher-priced replacements by
drugmakers.
Total volume sold in the market
4. More people prefer self-medication as they find it cheaper
3,000 20%
compared to other sources of treatment.
15%
2,500
2,424 10%
5. The growing health awareness among Egyptians.
2,354
2,000 2,210
2,046 5%
1,500
1,900
0% • Industry outlook: We expect that the aforementioned reasons will
-5%
1,000 likely exist, adding two other key growth drivers to the industry.
-10%
500
-15%
First, Egypt’s new Universal Health Insurance Law, which was
0 -20% approved in December 2017 by the Parliament’s Health Committee
2013 2014 2015 2016 2017
in Egypt. The new law stipulates that all Egypt’s population will
Volume sold (mn) Growth y/y %
have access to health insurance services. Currently, there are 42mn
citizens with no health insurance policies either by the public or the
Source: Company reports
private sectors. The law is already being applied over three phases
with the last phase ending by 2032. Second, the potential increases
in pharma product prices which were discussed by the government
Medicine’s average price per unit back in August 2017 but not implemented yet.
progress
Looking at the sector from a macro perspective, total healthcare
EGP
30 45%
expenditures (THE) per capita in Egypt (USD156 in 2015) is relatively
25
40% low compared to MENA countries. Furthermore, THE as a
35%
25 percentage of GDP in Egypt stood at 4.2%, which is below MENA
20 30%
18 25%
average (5.1% in 2015). However, Egypt’s total health expenditure
15
14
15 20% grew at four-year CAGR of 12%, a growth rate higher than what
13
10 15%
MENA countries have achieved in the same period. There is room
10%
5
5% for more growth down the road given the favorable catalysts in the
0 0% industry. Consequently, we forecast that total pharma sales in
2013 2014 2015 2016 2017
Source: Company reports & media sources Health expenditure (% of GDP) for MENA markets Avg. MENA markets
Source: World Bank (2015)
Licensing and
Inspection and Import and
Registration Pharmacists’
Control Export
Services
Pricing
Committee
Source: Pharmaceutical Prices in the 21st Century; Heba Wanis; Pharmaceutical Pricing in Egypt (November 2015).
Source: Pharmaceutical Prices in the 21st Century; Heba Wanis; Pharmaceutical Pricing in Egypt (November 2015).
The Numbers
ISPH posted EGP9.82bn in gross sales in 2017 (+33% y/y) with a three-
year CAGR of 32%, thanks to its retail pharmacy segment (+32% y/y,
three-year CAGR of 32%) — the major contributor to gross sales by a
four-year average of 70%. This was backed by ISPH expanding its
business with pharmacies as well as the increase in medicine prices.
ISPH’s sales growth has surpassed Egypt’s pharmaceutical sales
growth over the last few years which grew only 20% y/y in 2017.
Moreover, ISPH continued to maintain its second position in the
distribution segment with a 20.2% market share in 9M 2018. ISPH has
been adding market share at an average rate of 1.3% per annum for
Forecasted gross sales the last seven years, thanks to the growth strategy the company is
currently undertaking.
CAGR of 24%
30,000 Revenues
28,225
25,000
23,633
• To forecast ISPH’s gross sales, we first forecast total
20,000
19,524
pharmaceutical sales in Egypt, which we expect will grow at a five-
15,000
15,873 year CAGR of 17% to EGP112.5bn by 2022 on the back of five-year
10,000 12,654 CAGRs of 12% in average unit price and 4% in total volume sold in the
5,000
market. We applied a target market share of 25% for ISPH to achieve
by 2022, driven by expansion in ISPH’s business with pharmacies as
-
2018e 2019e 2020e 2021e 2022e well as the possibility of acquiring small distributors in the market,
Gross Sales (EGPmn) especially in its low-presence areas in Egypt. We reached
Source: SHUAA Securities Egypt estimates EGP28.23bn in gross sales by 2022, implying a five-year CAGR of 24%.
The retail segment continues to be the major contributor to gross
Forecasted gross profit & GPM sales by 70% over our forecast period.
Gross Profit Margin
3,000 9.0%
• As we mentioned earlier, the industry is highly regulated by the
2,500 8.8% government, leaving an 8% gross profit margin for the distributors,
2,000 which was 7% in early 2016. ISPH’s gross profit margin in the last two
8.6%
1,500 years has been fluctuating between 7.7% and 8.4%. Such fluctuations
8.4% mainly occur as a result of (1) sales discounts given by ISPH to its
1,000
clients, (2) cash discounts received by ISPH from its suppliers, and
500 8.2%
(3) bonus and rebates received by ISPH from its suppliers. We
0 8.0% forecast that ISPH’s gross profit margin will improve to stabilize at
2018e 2019e 2020e 2021e 2022e
8.7% by 2020 on favorable cash discounts from suppliers as well as
Gross Profit (EGPmn) GPM
focusing more on unregulated margins products and services.
Source: SHUAA Securities Egypt estimates
SG&A and EBITDA Margin
Forecasted EBITDA & Margin • Selling, general, and administrative (SG&A) expenses as a
percentage of gross sales have been in the range of 4.2-4.6% in the
1,500 4.8%
past five years, with employees’ salaries being the major
1,300 4.7% component with c.55% of SG&A. We expect SG&A/gross sales to
4.6%
1,100
4.5%
stabilize at 4% by 2022 on better economies of scale. Given the
900 4.4% business’s high labor intensity, more sales will filter through into
700 4.3% operating margins. As a result, we expect a higher EBITDA margin
4.2%
500 of 4.7% by 2022, up from a current 4.3%.
4.1%
300 4.0%
100 3.9%
2018e 2019e 2020e 2021e 2022e
EBITDA (EGPmn) EBITDA Margin
Source: SHUAA Securities Egypt estimates
The Valuation
To value ISPH, we used a five-year DCF valuation model, including two
stages (a high-growth period through 2022 followed by a stable-
growth terminal period). We discounted ISPH’s free cash flow to the
firm (FCFF) using a moving weighted average cost of capital (WACC)
of 16.2%, derived from an average COE of 16.4% (weight of 96%) and an
average after-tax cost of debt of 11.0% (weight of 4%). We used a
terminal growth rate of 6%.
Our base-case valuation after taking into How can the legal case affect our base-case scenario for ISPH?
account the potential legal case charges
• Earlier this year, the Economic Court in Egypt issued a preliminary
DCF Enterprise Value 7,945
verdict against ISPH and three other pharma distributors, charging
Net (Debt)/ Cash 107
them with a total sum of EGP5.6bn. The charge against the four
Minority Interest -
players was for monopolistic acts in 2015 that were claimed to have
Long Term Investments -
Charges (1,400)
negatively affected retailers in the market. This incident harmed
ISPH’s stock which plummeted from a high of EGP12.47 on 18
DCF Equity Value 6,652 February 2018 to a low of EGP8.96 on 19 March 2018 (–28%). Later
Number of Shares Outstanding 722 on, the four defendants appealed to the Cairo Court of Appeals
DCF Value (EGP) 9.21 which did not issue a final ruling, having postponed the case five
1-year Price Target (EGP) 10.90
times, with the case set to take place on 19 December 2018. That
Source: SHUAA Securities Egypt estimates
said, ISPH’s management is confident of winning the case.
However, we assume under this scenario that ISPH will lose the
case. Absent specifics as to what each of the four players are
charged, we assumed that the charges will be split equally amongst
the four players, implying an EGP1.4bn in charges against ISPH,
which we shaved off ISPH’s valuation.
PT sensitivity to Terminal WACC & TGR PT sensitivity to Terminal Market Share & Terminal
GPM
Terminal Growth Rate Terminal GPM
Terminal WACC
- 5.0% 5.5% 6.0% 6.5% 7.0% 13.20 6.7% 7.7% 8.7% 9.7% 10.7%
Terminal Market
11.2% 15.16 16.08 17.19 18.52 20.17 20.0% 6.81 8.78 10.74 12.71 14.68
Share
12.2% 13.43 14.09 14.86 15.75 16.82 22.5% 7.55 9.76 11.97 14.18 16.39
13.2% 12.15 12.64 13.20 13.84 14.58 25.0% 8.29 10.74 13.20 15.66 18.11
14.2% 11.11 11.49 11.91 12.38 12.91 27.5% 9.03 11.73 14.43 17.13 19.83
15.2% 10.29 10.59 10.91 11.27 11.67 30.0% 9.76 12.71 15.66 18.61 21.56
Source: SHUAA Securities Egypt estimates Source: SHUAA Securities Egypt estimates
10.59 13.20
EGP 0.00 2.00 4.00 6.00 8.00 10.00 12.00 14.00 16.00 18.00 20.00 22.00 24.00
Sigma Healthcare Ltd Australia 395 16.4x 22.3x 8.9x 12.0x 10.5x 14.7x 7.2x 8.2x -24%
Selcuk Ecza Deposu Ticaret ve Turkey 338 7.8x 7.4x 4.4x 3.8x 5.5x 5.1x 4.3x 3.5x 12%
Jointown Pharmaceutical Group China 3,975 38.4x 21.8x 20.5x 16.9x 24.8x 18.2x 13.5x 11.2x 26%
AmerisourceBergen Corp USA 18,578 12.7x 14.7x 13.5x 12.8x 10.8x 12.8x 9.0x 8.8x 7%
Cardinal Health Inc USA 15,755 20.6x 20.8x 10.7x 10.6x 9.3x 10.0x 7.5x 8.3x -2%
McKesson Corp USA 23,672 15.5x 13.6x 9.5x 9.0x 9.4x 4.8x 7.7x 7.8x -1%
Henry Schein Inc USA 12,796 23.9x 20.0x 20.5x 18.8x 14.9x 12.6x 14.0x 13.3x 8%
Patterson Cos Inc USA 2,356 19.9x 21.5x 14.7x 17.3x 12.1x 14.3x 9.7x 11.4x -15%
Neuca SA Poland 284 15.4x 12.9x 11.9x 11.1x 10.7x 8.5x 8.1x 7.6x 9%
Pharmaniaga Bhd Malaysia 191 30.1x 22.2x 12.3x 11.4x 13.0x 11.0x 9.1x 8.5x 9%
Global Peers' Average 20.1x 17.7x 12.7x 12.4x 12.1x 11.2x 9.0x 8.9x 3%
Global Peers' Median 18.2x 20.4x 12.1x 11.7x 10.7x 11.8x 8.6x 8.4x 7%
Ibnsina Pharma SAE Egypt 427 38.3x 32.8x 25.9x 17.3x 17.3x 13.4x 13.8x 10.3x 50%
Premium (discount ) from median 111% 61% 113% 48% 61% 13% 61% 23% 565%
The Background
Shareholder Structure ISPH, which started in 2001, has become one of the leading
pharmaceutical distributors in Egypt and the second largest in terms
of market share. The company enjoys a nationwide distribution
Abdel
network of 55 operational sites, including distribution hubs and
Gawad & central warehouses, backed by a fleet of 654 vehicles serving over
Family, 35,000 retail pharmacies, hospitals, and wholesalers across Egypt.
16.5%
Free Float,
37.3% • History: ISPH was initially established in 2001 under the name
Mahgoub
Group,
Ibnsina Laborex by a group of Egyptian investors in partnership
16.2% with the French retailer Pinault Printemp Redoute (“PPR”) through
its subsidiary Eurapharma which is a leading distributor of
EBRD,
pharmaceutical products in Africa and French overseas territories.
Others 10.1%
Faisal
, 7.3%
Islamic
• The turnaround: Over the years, particularly during 2006-2008,
Bank, 12.6% ISPH’s management acquired PPR’s stake through a management
buy-out then changed the company name to Ibnsina Pharma and
Source: Company reports started to focus on optimizing cost to turn the company into
profitability.
• Robust growth: ISPH was very successful in growing its market
share from 10% in 2011 to 19.2% in 2017, thanks mainly to the robust
expansion plan that the company has implemented during 2009-
2012. To grow even more and enhance its margins, ISPH introduced
new revenue streams in 2013 (e.g. warehousing and transportation
services to pharma manufacturers and key FMCG brands).
• Gaining international attention: In 2015, the European Bank for
Reconstruction & Development (EBRD), a prominent and reputable
bank, acquired a 21% stake in ISPH for EGP383mn, valuing the
company at EGP1.82bn at the time. This was the first time that
EBRD has directly pumped investments in an Egyptian company, a
move that reflects EBRD’s confidence in ISPH and its outlook.
The Leadership
The management team behind ISPH’s success consists of the
following key members:
Analyst Certification
I (we), Mohamed Sobol, Equity Analyst, employed with SHUAA Securities Egypt, and author(s) to this document, hereby certify that all the views
expressed in this research report accurately reflect my (our) views about the subject issuer(s) or security(ies). I (we) also certify that no part of
my (our) compensation was, is or will be directly or indirectly related to the specific recommendation(s) or view(s) expressed in this report. Also,
I (we) certify that neither myself (ourselves) nor any of my (our) close relatives hold or trade into the subject securities.
Capital 13.00 9
appreciation/(depreciation) 12.00
20.0%
8
15.0% 10.00 5
9.00 4
8.00
3
10.0% (ISPH) 2
7.00 1
5.0%
Not Covered We do not currently cover this stock or we are restricted from
(NC) coverage for regulatory reasons.
Disclaimer
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Issuer of Report
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Website: www.shuaasecurities.com
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