展品99.3
安全級別 持有人帳號 將於2022年6月28日舉行的年度股東大會 此表格由管理層徵求並代表管理層進行。 代理人須知 1.每位持有人有權指定其他不必是持有人的個人或公司出席會議或其任何延會或延期並代表其行事。如閣下希望委任一名人士或公司,而非印刷於本表格內的管理層提名人,請在所提供的空白處填上您所選擇的委託持有人的姓名或名稱(見反面)。 2.如證券登記的持有人超過一人(例如,共同所有人、受託人、遺囑執行人等),則所有登記人士均應在本委託書上籤署。如果您代表公司或其他個人投票,您可能需要提供證明您有權簽署本委託書的文件。 3.本委託書的簽名方式應與委託書上顯示的名稱完全相同。 4.如果未在本委託書背面提供的空白處插入日期,則該日期將被視為帶有管理層郵寄給持有人的日期。 5.本委託書所代表的證券將按照持有人的指示進行投票,如果未就任何事項作出此類指示,而委託書指定了背面所列的 管理層提名人,則該委託書將按照管理層的建議進行表決。 6.本委託書所代表的證券將根據持有人的指示在任何可能要求的投票中投贊成票、棄權票或反對票,視情況而定。如你已就任何須採取行動的事宜作出選擇, 證券將據此進行表決。 7.本委託書授予對會議通知和管理信息通告中確定的事項的修改或變更的自由裁量權,或其他可能提交會議或其任何休會或延期的事項,除非法律禁止。 8.本委託書應與管理層提供的隨附文件一起閲讀。 提交的委託書必須在東部時間6月24日下午4:30之前收到。2022年. 一週7天、每天24小時使用電話或互聯網投票! 使用電話投票 ·通過按鍵音撥打下面列出的號碼 電話。 1-866-732-投票(8683)免費電話 使用互聯網投票 ·訪問以下網站: www.investorvote.com ·智能手機? 立即掃描二維碼進行投票。 以電子方式接收文檔 Br}·您可以通過訪問 www.investorcentre.com註冊接收未來證券持有人的電子通信。 如果您通過電話或互聯網投票,請勿郵寄此委託書。 郵寄投票可能是以公司名義持有的證券或代表其他個人投票的證券的唯一方法。 除了本委託書背面指定的管理層提名人外,郵寄投票或互聯網投票是持有人指定的唯一方法。您可以選擇上面概述的兩種投票方法之一來投票此代理,而不是郵寄此代理。 若要虛擬出席 會議 ·您可以通過訪問本文檔背面提供的URL來虛擬出席會議。 若要通過電話或Internet投票,您需要提供下面列出的控制編號。 控制編號 - 摺疊 - |
------- Fold ------- Fold Appointment of Proxyholder I/We being holder(s) of securities of Cardiol Therapeutics Inc. (the “Corporation”) hereby appoint: David Elsley, or failing this person, Chris Waddick (the "Management Nominees") OR Print the name of the person you are appointing if this person is someone other than the Management Nominees listed herein. Note: If completing the appointment box above YOU MUST go to http://www.computershare.com/cardiol and provide Computershare with the name and email address of the person you are appointing. Computershare will use this information ONLY to provide the appointee with a user name to gain entry to the online meeting. as my/our proxyholder with full power of substitution and to attend, act and to vote for and on behalf of the holder in accordance with the following direction (or if no directions have been given, as the proxyholder sees fit) and on all other matters that may properly come before the Annual General Meeting of shareholders of the Corporation to be held online at https:// web.lumiagm.com/452344863 on June 28, 2022 at 4:30 pm, Eastern Time, and at any adjournment or postponement thereof. VOTING RECOMMENDATIONS ARE INDICATED BY HIGHLIGHTED TEXT OVER THE BOXES. 1. Election of Directors 01. David Elsley For Withhold 02. Jennifer Chao For Withhold 03. Michael Willner For Withhold 04. Colin Stott 05. Peter Pekos 06. Dr. Guillermo Torre-Amione 07. Chris Waddick 08. Teri Loxam 2. Appointment of Auditors To appoint BDO Canada LLP, Chartered Professional Accountants, as auditors of the Corporation and to authorize remuneration to be fixed by the Board. For Withhold Signature of Proxyholder I/We authorize you to act in accordance with my/our instructions set out above. I/We hereby revoke any proxy previously given with respect to the Meeting. If no voting instructions are indicated above, and the proxy appoints the Management Nominees, this Proxy will be voted as recommended by Management. Signature(s) Date Interim Financial Statements - Mark this box if you would like to receive Interim Financial Statements and accompanying Management’s Discussion and Analysis by mail. Annual Financial Statements - Mark this box if you would like to receive the Annual Financial Statements and accompanying Management’s Discussion and Analysis by mail. Information Circular - Mark this box if you would like to receive the Information Circular by mail for the next securityholders' meeting. If you are not mailing back your proxy, you may register online to receive the above financial report(s) by mail at www.computershare.com/mailinglist. 3 4 1 7 6 4 A R 1 D T P Q |