Form of Proxy

CRISM THERAPEUTICS CORPORATION

BD Client Code:

Client Name:

Number of Shares Held in a BD Nominee Company:

No.	Proposition		For	Against	Abstain
1	AUTHORISE ISSUE OF EQUITY PURSUANT TO THE CONDITIONAL PLACING SHARES, RETAIL OFFER SHARES, WARRANTS, AND ADDITIONAL FUNDRAISING AUTHORITY
2	AUTHORISE ISSUE OF EQUITY WITHOUT PRE-EMPTIVE RIGHTS PURSUANT TO THE CONDITIONAL PLACING SHARES, RETAIL OFFER SHARES, WARRANTS, AND ADDITIONAL FUNDRAISING AUTHORITY