GLG LIFE TECH CORPORATION
In accordance with applicable securities laws, shareholders of the Corporation may request to receive the
Corporation’s interim and annual financial statements and related management’s discussion and analysis
(“MD&A”). If you wish to receive such documents, please complete this form by checking the appropriate
boxes below and return the form to the Corporation by fax or email at:
GLG Life Tech Corporation
Suite 519, World Trade Centre, 999 Canada Place
Vancouver, British Columbia, V6C 3E1
Fax: (604) 526-8832
By signing below, I confirm that I am a shareholder of the Corporation and that I consent to the collection and
use of personal information for the purposes outlined above and to the disclosure to the Corporation and to its
agents, including its registrar and transfer agent, for the purposes of administering the delivery of the documents
TO: Shareholders of the Corporation
Please send me the Quarterly Interim Financial Statements and related MD&A for 2010.
Please send me the Audited Annual Financial Statements and related MD&A for the fiscal year
ended December 31, 2010.
If you have indicated that you wish to receive the interim or annual documents listed above and would like
the documents to be delivered electronically to you, please complete Appendix A attached hereto.
PLEASE PRINT NAME OF SHAREHOLDER
SIGNATURE OF SHAREHOLDER
Consent to Electronic Delivery of Documents
I have read and understand this “Consent to Electronic Delivery of Documents” and hereby consent to the
electronic delivery of the Corporation’s interim and annual financial statements and related MD&A that the
Corporation elects to deliver to me electronically, all in accordance with my instructions below: