Bangkok Dusit Medical Services Public : 8.2 Form C (For Custodian)

(Translation)

Form of Proxy, Form C.

(This form is used only if the shareholder is an offshore investor who appoints a local custodian

in Thailand to keep his/her shares in the custody.)

Annexed to Notice of Department of Business Development

Re: Form of Proxy (No. 5) B.E. 2550 (2007)

------------------------------------------

	Made at
	Date	Month	Year
(1) We
located at No.	,	Road, Tambol/Kwaeng
Amphur/Khet	, Province		, Postal Code

in our capacity as the custodian for…………………………………………………………………..,

being a shareholder of Bangkok Dusit Medical Services Public Company Limited, holding

shares in total which are entitled

to cast

.......

...

votes as follows:

Ordinary shares:

shares in total which are entitled to cast

votes; and

Preferred shares:

shares in total which are entitled to cast

votes,

(2) We wish to appoint

 1. Mr. Chavalit Sethameteekul

age

74

years

Residing at no.

3611

, Soi

Ladprao 101

,

-

Road, Kwaeng

Klong chan

,

Khet

Bangkapi

, Province

Bangkok , Postal Code

10240

or

 2. Mr. Weerawong Chittmittrapap

age

64

years

Residing at no.

108 , Soi

Pracha Nukun 3 Soi 2

,

-

Road, Kwaeng

Wong Sawang

,

Khet

Bang Sue

, Province

Bangkok

, Postal Code

10800

or

 3. Mr. Veerathai Santiprabhob, Ph.D.

age

52

years

Residing at no.

10/1 , Soi

Promsri

,

-

Road, Kwaeng

Klongton Nua,

Khet

Wattana

, Province

Bangkok

, Postal Code 10110

or

 4.

age

years

Residing at no.

, Soi

,

Road, Kwaeng

,

Khet

, Province

, Postal Code

As our proxy to attend and vote for us at the Annual General Meeting year 2022 to be held on 12 April 2022 at 13:30 hours at His Royal Highness Crown Prince Maha Vajiralongkorn Ballroom, 3rd floor, Royal Golden Jubilee Building, Soi Soonvijai (Soi Petchaburi 47), New Petchburi Road, Bangkok., or such other date, time and place as may be adjourned.

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1. We authorize our proxy to attend the meeting and cast the votes on our behalf in the following manner:
2. • The voting right in all the voting shares held by us is granted to the proxy.
   • The voting right in part of the voting shares held by us is granted to the proxy as follows:

	Ordinary shares:	shares in total, which are entitled to cast	votes; and
	Preferred shares:	shares in total, which are entitled to cast	votes,
Total:	votes

1. We authorize our proxy to cast the votes on our behalf at the above meeting in the following manners:
2. • Agenda no. 1 To acknowledge the Company's performance for 2021
   • Agenda no. 2 To consider approving the Company and its subsidiaries' audited consolidated financial statements for 2021
   • • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
     • (b) The proxy must cast the votes in accordance with the following instructions:

 Approve

 Disapprove

 Abstain

• Agenda no. 3 To consider approving the allocation of 2021 profit
• • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
  • (b) The proxy must cast the votes in accordance with the following instructions:

 Approve

 Disapprove

 Abstain

• Agenda no. 4 To consider electing directors in replacement of those who retire by rotation
• • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
  • (b) The proxy must cast the votes in accordance with the following instructions:
  • • Election of 5 nominated candidates as the Company's directors

 Approve

 Disapprove

 Abstain

• To grant our proxy to vote as our desire as follows:

4.1 Professor Emeritus Santasiri Sornmani, M.D.	Independent Director
	 Approve	 Disapprove		 Abstain
4.2	Mr. Att Thongtang	Director
	 Approve	 Disapprove		 Abstain
4.3	Mr. Chairat Panthuraamphorn, M.D.	Director
	 Approve	 Disapprove		 Abstain
4.4	Mr. Sripop Sarasas	Director
	 Approve	 Disapprove		 Abstain

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4.5 Mr. Pradit Theekakul	Director
 Approve	 Disapprove	 Abstain

• Agenda no. 5 To consider approving the directors' remuneration
• • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
  • (b) The proxy must cast the votes in accordance with the following instructions:

 Approve

 Disapprove

 Abstain

• Agenda no. 6 To consider appointing the auditor for 2022 and fixing the audit fee
• • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
  • (b) The proxy must cast the votes in accordance with the following instructions:

 Approve

 Disapprove

 Abstain

• Agenda no. 7 To consider other matters (if any)
• • (a) The proxy is entitled to cast the votes on our behalf at its own discretion.
  • (b) The proxy must cast the votes in accordance with the following instructions:

 Approve

 Disapprove

 Abstain

1. If the votes which the proxy casts on any agenda conflict with our specified instruction in this proxy form, those votes are invalid and will be regarded as having not been cast by us in our capacity as the shareholder.
2. If our instruction on voting is not expressly or clearly indicated on any agenda, the meeting considers or resolves on any matter other than those stated above, or there is any change or addition to the relevant facts, then the proxy will be entitled to cast the votes on our behalf at his/her own discretion.

Any acts or performance caused by the Proxy at the above meeting, except voting in

contravention of our instruction, shall be deemed as my/our acts and performance in all respects.

Signed		Grantor
(	)
Signed		Proxy
(	)

Remarks

1. This Form C. is used only if the shareholder whose name is in the shareholders' register is an offshore investor who appoints a local custodian in Thailand to keep his/her shares in the custody.
2. The necessary evidence to be enclosed with this proxy form is:
3. 1. the power-of-attorney granted by the shareholder to the custodian by which the custodian is appointed to sign the proxy form on the shareholder's behalf; and
   2. a certification that the authorised signatory of the proxy form is licensed to operate the custodian business.

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3. A shareholder may grant a proxy to only one person. The number of shares held by a shareholder may not be divided into several portions and granted to more than one proxy in order to divide the votes.

1. As regards the agenda to appoint directors, the meeting may consider appointing the entire board or any director(s).
2. In case there is other business to be discussed in addition to those specified above, the grantor may make additional authorisation in the Attachment to Proxy Form C.

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Attachment to Proxy Form

A proxy is granted by a shareholder of Bangkok Dusit Medical Services Public Company Limited.

for the Annual General Meeting 2022 to be held on 12 April 2022 at 13:30 hours at His Royal Highness Crown Prince Maha Vajiralongkorn Ballroom, 3rd floor, Royal Golden Jubilee Building,

Soi Soonvijai( Soi Petchaburi 47), New Petchaburi Road, Bangkok., or such other date, time and place as may be adjourned.

	------------------------------------------
Agenda no.		re:

• (a) The proxy is entitled to cast the votes on my/our behalf at its own discretion.
• (b) The proxy must cast the votes in accordance with the following instructions:
• • Approve  Disapprove  Abstain

Agenda no.

re:

• (a) The proxy is entitled to cast the votes on my/our behalf at its own discretion.
• (b) The proxy must cast the votes in accordance with the following instructions:
• • Approve  Disapprove  Abstain

Agenda no.

re:

• (a) The proxy is entitled to cast the votes on my/our behalf at its own discretion.
• (b) The proxy must cast the votes in accordance with the following instructions:

	 Approve		Disapprove		Abstain
Agenda no.		re:

• (a) The proxy is entitled to cast the votes on my/our behalf at its own discretion.
• (b) The proxy must cast the votes in accordance with the following instructions:
• • Approve  Disapprove  Abstain

Agenda no.

re:

• (a) The proxy is entitled to cast the votes on my/our behalf at its own discretion.
• (b) The proxy must cast the votes in accordance with the following instructions:

 Approve  Disapprove  Abstain

I/We certify that the information contained in this Attachment to Proxy Form is complete and true.

Signed		Grantor
(	)
	Date:

Signed		Proxy
(	)
	Date:

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