EX-99.3 10 d946110dex993.htm FORM OF MAIL-IN VOTING CARD Form of Mail-in Voting Card

EXHIBIT 99.3

[Translation]

 

Form of Mail-in Voting Card                
   

Shareholder number:                          

 

Number of voting rights:                          

 

        Request to shareholders
To: Sawai Pharmaceutical Co., Ltd. (the “Company”)                

 

I hereby exercise my voting rights as indicated in the columns to the right (by circling “Approval” or “Disapproval”) regarding each proposal for the extraordinary general meeting of shareholders to be held on December 21, 2020 (including any continuation or adjournment of the meeting).

December             , 2020  

Date               

 

             

1.  If you cannot attend the general meeting of shareholders, please indicate your approval or disapproval on this voting form and return it to the Company by 5:20 p.m. on December 18, 2020.

2.  In indicating your approval or disapproval, please clearly put a circle in the relevant box using a black ballpoint pen.

3.  If you exercise your voting rights through the Internet, please do so by scanning the QR code below using a smartphone or accessing the website printed on the reverse side by 5:20 p.m. on December 18, 2020. In this case, you do not need to return this voting form to the Company.

  Proposals    Indication of approval/disapproval          
  Proposal 1    Approval   Disapproval      
  Proposal 2   Approval   Disapproval      
           
           
           

If you do not indicate your approval or disapproval of a proposal, you will be considered to have approved that proposal.

 

    Sawai Pharmaceutical Co., Ltd. 

  00000000     [QR code]        
             
[QR code]              
 

If you exercise your voting rights multiple times, your votes will be treated as described in the notice of convocation.

When you attend the general meeting of shareholders, please submit this voting form to the reception desk at the meeting venue without cutting off the slip on the right.

       

QR code for logging into the website for voting with a smartphone

 

  [QR code]
       

 

Sawai Pharmaceutical Co., Ltd.


Shareholder number:                                                

         POSTCARD

Number of voting rights:                                         

 

        

 

Recipient payment mail

                   168-8766

 

           

(Number of shares constituting a unit:        100 shares)

         Suginami-minami Post Office Approved   
         8513   
Number of shares you hold:          Sending effective period:   

_____________ shares 

 

        

Until December 18, 2020

  

 

Request to shareholders

           
When sending this voting form by mail, please cut off this slip and post this voting form so as to be delivered by 5:20 p.m. on December 18, 2020.          (Recipient)   
 

LOGO    When sending from Japan, there is no need to affix a stamp to this postcard.

        

c/o 8-4 Izumi 2-chome, Suginami-ku, Tokyo

Sumitomo Mitsui Trust Bank, Limited, Stock Transfer Agency Department

 

LOGO    Please do not use this postcard on or after December 19, 2020.

        

To: Sawai Pharmaceutical Co., Ltd.

 

 

Website for voting

         * Please do not deface the section below as it will be read by a machine.
https://www.web54.net                                                                               [QR code]
 

 

Voting code

 

                         

           
 

 

Password