EX-99 7 exhibit_6.htm EXHIBIT 6 exhibit_6.htm


Exhibit 6
 
FORM OF NOMINEE HOLDER CERTIFICATION
 
POINTER TELOCATION LTD.
 
The undersigned, a bank, broker, trustee, depositary, or other nominee of non-transferable subscription rights (the “Subscription Rights”) to purchase ordinary shares, par value NIS 3.00 per share (the “Ordinary Shares”), of Pointer Telocation Ltd. (the “Company”) pursuant to the subscription rights offering described and provided for in the Company’s prospectus supplement dated June 19, 2012, hereby certifies to the Company and to American Stock Transfer & Trust Company, LLC, as Subscription Agent for such subscription rights offering, that (1) the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), the number of Subscription Rights specified below pursuant to the Basic Subscription Right (as defined in the “Instructions as to Use of Subscription Rights Certificates”) and, on behalf of beneficial owners of Subscription Rights who have subscribed for the purchase of additional Ordinary Shares pursuant to the Over-Subscription Right, the number of shares specified below pursuant to the Over-Subscription Right (as defined in the “Instructions as to Use of Subscription Rights Certificates”), listing separately below each such exercised Basic Subscription Right and the corresponding Over-Subscription Right (without identifying any such beneficial owner), and (2) to the extent a beneficial owner has elected to subscribe for shares pursuant to the Over-Subscription Right, each such beneficial owner’s Basic Subscription Right has been exercised in full:
 
 
Number of Shares Owned on the
Record Date
 
Number of Shares Subscribed for
Pursuant to Basic Subscription Right
 
Number of Shares Subscribed for
Pursuant to Over-Subscription Right
1.
         
2.
         
3.
         
4.
         
5.
         
6.
         
7.
         
8.
         
9.
         
 
Name of Nominee Holder
 
DTC Participant Number
       
By:
     
 
Name:
Title:
Phone Number:
Fax Number:
 
DTC Basic Subscription
Confirmation Numbers
 
         
Date: