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FORM OF APPLICATION FOR SHARES

The Board of Directors


MULLTI VISION ENTERTAINMENT & FILM SDN. BHD.
24C, Lebuh Buckingham,
10200 Georgetown, Pulau Pinang

Number of Shares of RM1.00 Type of Shares Amount


each applied for

50,000 Ordinary RM50,000.00

Gentlemen,

In accordance with and subject to your Company’s Memorandum and Articles of


Association I/We hereby apply for and agree to purchase and accept the number of shares
indicated above or any smaller number of such shares you may in your absolute discretion decide
to allot to me/us. Payment in full for the number of shares hereby applied for is attached.

I/We do hereby irrevocably authorized you to place my/our name(s) on the Company’s
Registers of Members as the holder(s) of the shares allotted to me/us pursuant to this application
and to send by post at my/our risk a share certificate in respect thereof.

* I am / We are resident(s) of Malaysia.


* I am / We are resident(s) of (country).
* I am / We are a nominee(s) of a person resident in (country).

DATE: 8TH OCTOBER, 2012 SIGNATURE: _________________________

* Mr./Miss/Madam
Full Name of Applicant : ROSMIZA BINTI MOHD YUSUF (f)
Identity Card No./ Passport No. : 750414-02-5682
Description : COMPANY DIRECTOR
Date of Birth : 14-04-1975
Address : NO 16, PEKAN MALAU,
09020 KULIM, KEDAH.

* Delete whichever is not applicable

IMPORTANT - To comply with the Exchange Control Ordinance, 1953, the applicant(s) must
make the appropriate Declaration contained herein. No application will be considered unless this
condition is fulfilled.

FOR OFFICE USE


APPLICATION NO. CERTIFICATE NO. CERTIFICATE CHECKED
DATE ALLOTTED NO. OF SHARES

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