ENCORIUM GROUP INC - FORM S-1/A - EX-99.5 - BENEFICIAL OWNER ELECTION FORM. - August 20, 2010

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S-1/A - AMENDMENT NO. 1 - ENCORIUM GROUP INCc89101s1a1.htm
EX-4.3 - FORM OF SUBSCRIPTION RIGHTS CERTIFICATE - ENCORIUM GROUP INCex4_3.htm
EX-5.1 - OPINION OF COZEN O?CONNOR - ENCORIUM GROUP INCex5_1.htm
EX-99.6 - FORM OF LETTER TO STOCKHOLDERS. - ENCORIUM GROUP INCex99_6.htm
EX-99.1 - FORM OF INSTRUCTIONS AS TO USE OF ENCORIUM GROUP, INC. SUBSCRIPTION RIGHTS CERTIFICATES. - ENCORIUM GROUP INCex99_1.htm
EX-23.1 - CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM - ASHER & COMPANY , LTD. - ENCORIUM GROUP INCex23_1.htm
EX-23.2 - CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM - DELOITTE & TOUCHE LLP - ENCORIUM GROUP INCex23_2.htm
EX-99.4 - FORM OF NOMINEE HOLDER CERTIFICATION. - ENCORIUM GROUP INCex99_4.htm
EX-99.3 - FORM OF LETTER TO SECURITY DEALERS, COMMERCIAL BANKS, TRUST COMPANIES AND OTHER NOMINEES. - ENCORIUM GROUP INCex99_3.htm
EX-99.2 - FORM OF LETTER TO CLIENTS. - ENCORIUM GROUP INCex99_2.htm
EX-21.1 - LIST OF SUBSIDIARIES - ENCORIUM GROUP INCex21_1.htm
 Exhibit 99.5
 
BENEFICIAL OWNER ELECTION FORM
 
3,401,151 SHARES OF COMMON STOCK
ISSUABLE UPON EXERCISE OF SUBSCRIPTION RIGHTS
 
BENEFICIAL OWNER ELECTION FORM
 
I (We) acknowledge receipt of your letter and the enclosed materials relating to the offering of shares of Encorium Group, Inc. common stock, par value $0.001 per share (the “Common Stock”), issuable upon the exercise of subscription rights (“Subscription Rights”).
 
In this form, I (we) instruct you whether to exercise Subscription Rights to purchase shares of Common Stock distributed with respect to the Common Stock held by you for my (our) account, pursuant to the terms and subject to the conditions set forth in the Prospectus dated August 24, 2010 (the “Prospectus”).
 
BOX 1.
  
°
  
Please do not exercise Subscription Rights for shares of Common Stock.
     
BOX 2.
  
°
  
Please exercise Subscription Rights for me (us) and purchase shares of the Common Stock as set forth below:
 
Number of shares owned as of 5:00 p.m., Eastern Time, on August 11, 2010:                        .
 
 
  
NUMBER
OF SHARES
  
  
  
SUBSCRIPTION
PRICE
  
  
  
PAYMENT
Basic Subscription Rights
  
  
  
X
  
$_____________
  
=
  
    $                        (line 1)
           
Over-Subscription Privilege*
  
  
  
X
  
$_____________
  
=
  
    $                        (line 2)
 
  
  
  
  
  
Total payment required
(sum of line 1 and 2)
  
 =
  
    $                        
* You may exercise your Over-Subscription Privilege only if you exercise all of your Basic Subscription Rights. If an insufficient number of shares are available to fully satisfy all Over-Subscription Privilege requests, then the Company will allocate the available shares as described in the Prospectus.
 
BOX 3.
  
Payment in the following
amount is enclosed: $
    
 
  
(This amount must equal the amount set forth under “Total payment required” above)
 
         
Signature
  
  
  
Date
     
     
Please type or print name(s)
  
  
  
  
 
 

 

 

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