EX-99.3 4 tm2332491d1_ex99-3.htm EXHIBIT 99.3 tm2332491-1_6k_DIV_05-exh99x3 - none - 1.7031307s
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Exhibit 99.3​
S H L TELEMEDICINE LTD.
(the “Company”)
ANNUAL GENERAL MEETING OF THE SHAREHOLDERS
WRITTEN BALLOT
​ Company: ​ ​ ​ ​ ​
​
Name of Company:
​ ​ SHL Telemedicine Ltd. ​
​
Address:
​ ​ 90 Yigal Alon Street, Ashdar Building, Tel-Aviv, Israel ​
​
Company Registration No.:
​ ​ 511149874 ​
​
Meeting Date and Time:
​ ​ February 8, 2024 at 17:00 Israel Time ​
​
Type of Meeting:
​ ​ Annual General Meeting ​
​
Record Date:
​ ​ January 4, 2024 ​
​ Shareholder: ​ ​ ​ ​ ​ ​ ​
​
Name:
​ ​
 
​
 ​ ​ ​ ​
​
Israeli ID Number:
​ ​
 
​
 ​ ​ ​ ​
​ For a non-Israeli shareholder: ​ ​ ​ ​ ​ ​ ​
​
(a)
Passport Number:
​
 ​ ​
 
​
 ​ ​ ​ ​
​
(b)
Issued in (indicate country):
​
 ​ ​
 
​
 ​ ​ ​ ​
​
(c)
Valid until (add date):
​
 ​ ​
 
​
 ​ ​ ​ ​
​ For a shareholder who is an entity: ​ ​ ​ ​ ​ ​ ​
​
(a)
Entity Registration No.:
​
 ​ ​
 
​
 ​ ​ ​ ​
​
(b)
State of registration:
​
 ​ ​
 
​
 ​ ​
​
Number of Shares:
​ ​
 
​
 ​ ​
 
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