Exhibit 99.3
VOTING INSTRUCTION FORM
AURINIA PHARMACEUTICALS
INC.
MEETING TYPE:
MEETING DATE:
RECORD DATE:
PROXY DEPOSIT DATE:
ACCOUNT NO:
CONTROL NO.:-)
IF YOU WISH TO ATTEND THE MEETING OR DESIGNATE ANOTHER PERSON 10 ATITND, VOTE AND AG ON YOUR IIEIIALE AT THE MEETING, OR ANY
ADIOURNMENT OR POSTPONEMENT THIEREOF OTHER IHAN THE PERSON(S) SPECIFIED ABOVE, PRINTYOUR NMAE OR THE NAME OETHE OTHER PERSON
ATJENDING THE MEETING IN THE SPACE PROVIDED HEREIN. UNLESS YOU INSTRUCT OTHERWISE, THE PERSON WTIOSE NAME IS WR]TIEN IN THIS SPACE
WILL IIAVE FULL AUTHORITY TO AmMO, VOTE MID OTHERWISE ACT IN RESPECT OF ALL MATTERS THAT MAY COME BEEORE THE MEETING OR ANY
ADJOURNMENT OR POSTPONEMENT THEREOF, EVEN IE THESE MATTERS ARE NOT SET OUT IN THE EORM OR THE CIRCUFAR.
02-STEPHEN W. ZARURY
03-BENJAMIN ROVINSKI
04.CFIARLES A. ROWLAND JR.
05-DAVID RW. JAYNE
06-GREGORY N. AYERS
GD
GD
GD
DC
CD
ITEM(S): (FILL IN ONLY ONE BOX J” PER ITEM IN BLACK OR BLUE INK)
2 *, REAPPOINTMENT OF PRICEWATERKOUSECOOPERS LLPAS AUDITORS OF THE ---->>>
COMPANY FOR THE ENSUING YEAR AND AUTHORIZING THE DIRECTORS TO
FIX THEIR REMUNERATION.
‘NOTE’ THIS FORM CONFERS DISCRETIONARY AUTHORITY TO VOTE ON SUCH
OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEETING OR ANY ADJOURNMENT THEREOF.
‘NOTE’ THIS VOTING INSTRUCTION FORM SHOULD RE READ IN
CONJUNCTION WITH THE
ACCOMPANYING INFORMATION CIRCULAR.
;1] SIGNATURE(S) *INVALID IF NOT ;0]
M M D
D Y Y
ANNUAL MEETING
TUESDAY, MAY 26, 2015 AT 9:00 AM. PDT
FOR HOLDERS AS OF APRIL21 2015
MAY 22, 2015 CUID:
CUSIP: 05156V102
P65924- E 1 OF 1
APPOINTEE(S): STEPHEN W. ZARUBY, RICHARD M. GLICKMAN
;1] APPOINT A PROXY (OPTIONAL);0]
ELECTION OF DIRECTORS:
Ol-RICHAHO N. GLICEMAN
;1] COM’LETE WIUR VOTING DIRECTIONS;0]
PLEASE PRINTAPPOINTEE NAME ABOVE
VOTING RECOMMENDA TION: FOR ALL THE NOMINEES PROPOSWAS DIRECTORS (FILL IN ONLY ONE BOX’ j’ PER NOMINEE IN BLACK OR BLUE INK)
FDR HROIIHOLO ______________________ FOR IIITIIHOLD
1J Q 07-HYUEK JOON LEE Q IJ
;1] VOTING_RECOMMENDATIONS;0]
FOR WITHHOLD
11
2 <<c--- FOR
0010200
0
;1] THIS DOCUMENT MUST BE SIGNED AND DATED;0]
* ISSUER CONFIRMATION COPY IN
ONLY *
II
BroadBridge
ANNUAL MEETING
MISSISSAU&A,0NL5R405 AURINIA PHARMACEUTICALS INC.
WHEN:
— TUESDAY, MAY 26, 2015 AT 9:00 AM. PDT
WHERE:
1200 WATERFRONT CENTRE
200 BURRARD STREET
VANCOUVER, BRITISH COLUMBIA
AURINIA PHARMACEUTICALS INC.
*201, 17904 - 105 AVENUE
EDMONTON, AR T5S 2H5
CANADA
WE NEED TO RECEIVE YOUR VOTING INSTRUCTIONS AT LEAST ONE BUSINESS DAY BEFORE THE PROXY
DEPOSIT DATE.
CONTROL NO.:-) PROXY DEPOSIT DATE: MAY 22, 2015
Dear Client:
A meeting is being held for securityholders of the above noted issuer.
1. You
are receiving this Voting Instruction Form and the enclosed meeting materials at the direction of the issuer as a beneficial owner of securities, You are a beneficial owner because we, as your intermediary, hold the securities in an account for you
but not registered in your name.
2. Votes are being solicited by or on behalf of the management of the corporation.
3. Even if you have declined to receive materials, a reporting issuer is entitled to deliver these materials to you and it is our responsibility to forward them. These materials
are being sent at no cost to you, in the language you requested, provided that the materials are made available in your requested language.
4. Unless you attend
the meeting and vote in person, your securities can only be voted by us as registered holder or proxy holder of the registered holder in accordance with your instructions. We cannot vote for you if we do not receive your voting instructions. Please
complete and return (or provide by one of the alternative available methods) the information requested In this form to provide your voting instructions to us promptly. We will issue a pro’ on your behalf according to the voting instructions you
provide, unless you elect to attend the meeting and vote in person.
S. When you give us your voting instructions, you acknowledge that:
• You are the beneficial owner;
• You are authorized to provide these voting
instructions; and
• You have read the material and the voting instructions on this form. 6, You may not present this voting instruction form at the meeting in
order to vote.
1. To attend the meeting and vote your shares in person:
• Write your name or the name of your designate to act on your behalf on the “Appointee” line on the other side of this form, sign and date the
form, and return it by mail, or
• Go to ProxyVote.com (if available) and insert the name in the “Appointee” section on the electronic ballot.
You, or your designate, as the named “Appointee”, must attend the meeting for your vote to be counted. When you or your designate arrive at the meeting,
please register with the scrutineer or proxy tabulator. Unless you instruct otherwise, the person whose name is written in the space provided will have full authority to attend and otherwise act at and present matters to, the meeting and any
adjournment or postponement thereof, and vote on all matters that are brought before the meeting or any adjournment or postponement thereof, even if these matters are not set out in this form or the information I proxy circular, Consult a legal
advisor if you wish to modify the authority of that person in any way. If you require assistance, please contact the person who services your account.
8. If these
voting instructions are given on behalf of a body corporate, set out the full legal name of the body corporate, the name and position of the person giving voting instructions on behalf of the body corporate and the address for service of the body
corporate.
9. If the items listed in the informationlproxy circular are different from the items listed on the other side of this form, the inforniationlproxy
circular will be considered correct,
10. In the absence of any specific instructions as to voting being provided by you on this form, the item(s) will be voted as
recommended on the reverse of this form or as stated in the informationlproxy circular, except in the case of your appointment of an Appointee.
11. To ensure that
your instructions are received in sufficient time to be processed, please ensure that the Voting Instruction Form is returned for processing or voted online at least one business day before the proxy deposit date noted above. Voting instructions
received on the proxy deposit date or later may not be able to be included in the final tabulatiun.
If you have any questions or require help, please contact the
person who services your account.
Disclosure of Information — Electing to Receive Financial Statements or Requesting Meeting Materials
By electing to receive the financial statements or requesting meeting materials, your name and address may be provided to the issuer (or its agent) for mailing purposes.
ONLINE: VOTE AT PROXYVOTEXOM USING YOUR COMPUTER
OR MOBILE DATA DEVICE.YOUR
CONTROL NUMBER IS
LOCATED BELOW.
;1] ) REVIEW YOUR VOTING OPTIONS;0]
SCAN TO VIEW
MATERIALAND
VOTE NOW
BY TELEPHONE: YOU MAY ENTERYOUR VOTING INSTRUCTIONS BY TELEPHONE AT: ENGLISFI:
1-800-414-1493 OR FRENCH: 1-800-414-1501
BY MAIL: THIS VOTING INSTRUCTION FORM MAY BE RETURNED BY MAIL IN THE ENVELOPE PROVIDED.
REMINDER: PLEASE REVIEW THE INFORMATION I PROXY CIRCULAR BEFORE VOTING.
PLEASE SEE OVER
VOTING INSTRUCTION FORM
AURINIA PHARMACEUTICALS
INC.
MEETING TYPE: ANNUAL MEETING
MEETING DATE: TUESDAY, MAY 26, 2015 AT
09:00 A.M. PDT
RECORD DATE: FOR HOLDERS AS OF APRIL 21, 2015 05156V102
PROXY
DEPOSIT DATE: MAY 22, 2015 ISSUER COPY
A/C
ONLINE: VOTE AT PROXYVOTE.COM BY
TELEPHONE: YOU MAY ENTER YOUR VOTING INSTRUCTIONS BY TELEPHONE AT:
USING YOUR COMPUTER OR MOBILE 1 800 454 8683
DATA DEVICE.
mm BY MA,L: THIS V0TfNG INSTRUCTION FORM MAY BE RETURNED BY MAIL IN THE
SCAN TO VIEW ENVELOPE PROVIDED.
MATERIAL AND REMINDER: PLEASE REVIEW THE
INFORMATION PROXY CIRCULAR
V0TE N0W BEFORE VOTING. SEE VOTING INSTRUCTION NO. 2 ON REVERSE
***WE NEED TO RECEIVE YOUR VOTING INSTRUCTIONS AT LEAST ONE BUSINESS DAY BEFORE THE PROXY DEPOSIT DATE.***
ELECTION OF DIRECTORS: VOTING RECOMMENDATION: FOR ALL THE NOMINEES PROPOSED AS DIRECTORS (FILL IN ONLY ONE BOX “ ® “ PER NOMINEE IN BLACK OR BLUE INK)
FOR WITHHOLD FOR WITHHOLD
R1CHARD M. GLICKMAN ? ? 07-HYUEK JOON LEE ? ?
STEPHEN W. ZARUBY ? ?
BENJAMIN ROVINSKi ? ?
CHARLES A. ROWLAND JR. ? ?
DAVID R.W. JAYNE ? ?
6REGORY M. AYERS ? ?
ITEM(S): (FILL IN ONLY ONE BOX “ ®“ PER ITEM IN BLACK OR
BLUE INK)
- REAPPOINTMENT OF PRICEWATERHOU5ECOOPER5 LLP AS AUDITORS OF THE FOR WITHHOLD 2 FOR COMPANY FOR THE ENSUING YEAR AND AUTHORIZING THE DIRECTORS TO 0010200
FIX THEIR REMUNERATION.
‘NOTE* THIS FORM CONFERS DISCRETIONARY AUTHORITY TO VOTE ON SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEETING OR ANY
ADJOURNMENT THEREOF.
‘NOTE* THIS VOTING INSTRUCTION FORM SHOULD BE READ IN CONJUNCTION WITH THE ACCOMPANYING INFORMATION CIRCULAR.
FILL IN THE BOX “ ® “ TO THE RIGHT IF YOU PLAN TO ATTEND THE MEETING AND VOTE THESE SHARES IN PERSON.
STEP 3 THIS DOCUMENT MUST BE SIGNED AND DATED
| * | ISSUER CONFIRMATION COPY—INFO ONLY * |
M M D D Y Y
Broadridge
ANNUAL MEETING
| • |
|
*t I. |
SJo
AURINIA PHARMACEUTICALS INC.
WHEN:
TUESDAY, MAY 26, 2015 AT 9:00 A.M. PDT WHERE:
1200 WATERFRONT CENTRE 200 BURRARD STREET
VANCOUVER, BRITISH COLUMBIA
AURINIA PHARMACEUTICALS INC. #201, 17904—105 AVENUE EDMONTON/ AB TBS 2H5 CANADA
REVIEW YOUR VOTING OPTIONS
ONLINE: VOTE AT PROXYVOTE.COM USING YOUR COMPUTER OR MOBILE DATA
DEVICE. YOUR CONTROL NUMBER IS LOCATED BELOW.
BY TELEPHONE: YOU MAY ENTERYOUR VOTING INSTRUCTIONS BY TELEPHONE AT: ENGLISH: 1-800-474-7493 OR FRENCH:
1-800-474-7501 BY MAIL: THIS VOTING INSTRUCTION FORM MAY BE RETURNED BY MAIL IN THE ENVELOPE PROVIDED.
SCAN TO VIEW MATERIAL AND VOTE NOW
REMINDER: PLEASE REVIEW THE INFORMATION I PROXY CIRCULAR BEFORE VOTING.
WE NEED TO RECEIVE
YOUR VOTING INSTRUCTIONS AT LEAST ONE BUSINESS DAY BEFORE THE PROXY DEPOSIT DATE. CONTROL NO.: -» PROXY DEPOSIT DATE: MAY 22, 2015
Dear Client:
A meeting is being held for securityholders of the above noted issuer.
You are receiving this
Voting Instruction Form and the enclosed meeting materials at the direction of the issuer as a beneficial owner of securities. You are a beneficial owner because we, as your intermediary, hold the securities in an account for you but not registered
in your name.
Votes are being solicited by or on behalf of the management of the corporation.
Even if you have declined to receive materials, a reporting issuer is entitled to deliver these materials to you and it is our responsibility to forward them. These materials are
being sent at no cost to you, in the language you requested, provided that the materials are made available in your requested language.
Unless you attend the
meeting and vote in person, your securities can only be voted by us as registered holder or proxy holder of the registered holder in accordance with your instructions. We cannot vote for you if we do not receive your voting instructions. Please
complete and return (or provide by one of the alternative available methods) the information requested in this form to provide your voting instructions to us promptly. We will issue a proxy on your behalf according to the voting instructions you
provide, unless you elect to attend the meeting and vote in person.
When you give us your voting instructions, you acknowledge that:
You are the beneficial owner;
You are authorized to provide these voting instructions; and
You have read the material and the voting instructions on this form.
You may
not present this voting instruction form at the meeting tn order to vote.
To attend the meeting and vote your shares in person:
Write your name or the name of your designate to act on your behalf on the “Appointee” line on the other side of this form, sign and date the form, and return it by mail,
or
Go to ProxyVote.com (if available) and insert the name in the “Appointee” section on the electronic ballot.
You, or your designate, as the named “Appointee”, must attend the meeting for your vote to be counted. When you or your designate arrive at the meeting, please register
with the scrutineer or proxy tabulator. Unless you instruct otherwise, the person whose name is written in the space provided will have full authority to attend and otheiwise act at, and present matters to, the meeting and any adjournment or
postponement thereof, and vote on all matters that are brought before the meeting or any adjournment or postponement thereof, even if these matters are not set out in this form or the information I proxy circular. Consult a legal advisor if you wish
to modify the authority of that person in any way. If you require assistance, please contact the person who services your account.
If these voting instructions are
given on behalf of a body corporate, set out the full legal name of the body corporate, the name and position of the person giving voting instructions on behalf of the body corporate and the address for service of the body corporate.
If the items listed in the information/proxy circular are different from the items listed on the other side of this form, the information/proxy circular will be considered correct.
In the absence of any specific instructions as to voting being provided by you on this form, the item(s) will be voted as recommended on the reverse of this form
or as stated in the information/proxy circular, except in the case of your appointment of an Appointee.
To ensure that your instructions are received in sufficient
time to be processed, please ensure that the Voting Instruction Form is returned for processing or voted online at least one business dav before the proxy deposit date noted above. Voting instructions received on the proxy deposit date or later may
not be able to be included in the final tabulation.
If you have any questions or require help, please contact the person who services your account.
Disclosure of Information—Electing to Receive Financial Statements or Requesting Meeting Materials
By electing to receive the financial statements or requesting meeting materials, your name and address may be provided to the issuer (or its agent) for mailing purposes.
PLEASE SEE OVER
5S70 CHEDWORTH WA Y MISSISSAUGA, ON L5R4G5