Exhibit 99.3
Concord Medical Services Holdings Limited
(the “Company”)
P R O X Y
I/We* ..................................................... (name) of ............................................................. (address), the holder of ..................................... (number) Class A ordinary shares and (number) Class B ordinary shares in the Company, hereby appoint ................................. (name) of .............................................................. (address) and/or* failing him/her*, ........................................... (name) of .......................................................................... (address), or failing him/her/them*, the Chairman of the meeting as my/our proxy/proxies* to attend on my/our* behalf at the annual general meeting of the Company to be held on the 21 December 2020 at 10:00 a.m. (Beijing time) at 27/F, Tower A, Global Trade Center, 36 North 3rd Ring Road East, Dongcheng District, Beijing, P.R. China, and at any adjournment thereof.
*Please delete as appropriate.
Date: __________________________
Signed by or on behalf of the above named
____________________________________
Name:
NOTES
1. | To be effective, this form of proxy must be duly completed, signed and delivered to 27/F, Tower A, Global Trade Center, 36 North 3rd Ring Road East, Dongcheng District, Beijing, P.R. China for the attention of director Yang Jianyu or emailed to botao.shi@ccm.cn no later than the time for holding the Meeting or the adjourned meeting at which the proxy is to be used. |
2. | Any alterations made to this form of proxy should be initialled. |
3. | In the case of a corporation, this instruction should be given under its Common Seal or under the hand of an officer, attorney or other person duly authorised in writing to sign the same. |