TRINIDAD CEMENT LIMITED
APPENDIX 2: FORM OF ACCEPTANCE – FORM A
TTCD#
Trinidad Cement Limited
Rights Issue of 124,882,568
At an Issue Price of TT$2.90 Per share
To Shareholders on Record as at
9 March 2015
To be lodged on or before 4:00 pm
31 March 2015
TO: The Directors of Trinidad Cement Limited
Having paid to the company the sum of TT$ ______________being TT$2.90 per share on acceptance of
Ordinary Shares of No Par Value each in the Company. I/We hereby request that such share be allotted to
me/us and I/we agree to accept the said shares upon the terms and conditions of the Information
Memorandum dated 24 February 2015 and subject to the Articles of Continuance and Bye-Laws of
Trinidad Cement Limited. In the event that I/we are beneficial owners of Trinidad Cement Limited shares
at the TTCD I/We authorize you to deliver directly to the TTCD my allotment of shares and to credit the
number of shares mentioned in the Allotment Notification to my/your account at the TTCD.
DECLARATION BY INDIVIDUAL/COMPANIES
For the purpose of the Foreign Investment Act, 1990, I/we hereby declare that I/we am/are citizen (s) of
and resident in ___________________________ and that I/we are not accepting these shares as nominee
(s) of any foreign investor (s) as defined by the Foreign Investment Act, 1990.
Signature: Signature:
Date: Date:
Cheques are to be made payable to “TCL’S RIGHTS ISSUE”
FOR OFFICIAL USE ONLY
FOLIO
UNITS HELD
ENTITLEMENT
AGENCY
NO.OF SHARES ACCEPTED
