Exhibit 99.3
Can-Fite BioPharma Ltd.
Instructions to The Bank of New York Mellon, as Depositary
(Must be received prior to 5:00 p.m. EST on November 18, 2015)
The
undersigned registered owner of American Depositary Shares hereby requests and instructs The Bank of New York Mellon, as Depositary,
to endeavor, in so far as practicable, to vote or cause to be voted the amount of Shares or other Deposited Securities represented
by such Shares of Can-Fite BioPharma Ltd. registered in the name of the undersigned on the books of the Depositary as of the close
of business on October 29, 2015 at the Special General Meeting of the Shareholders of Can-Fite BioPharma Ltd. To
be held on November 26, 2015 or any postponement or adjournment thereof in respect of the resolutions specified on the
reverse.
THE BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” THE PROPOSAL AT THE MEETING
NOTE:
| 1. | Please
direct the Depositary how it is to vote by placing an “X” in the appropriate box opposite each agenda item. It
is understood that, if this form is signed and returned but no instructions are indicated in the boxes, then a discretionary
proxy will be given to a person designated by the Company. |
| 2. | If no voting instructions are received by the Depositary from a Holder (either because no voting instructions are returned to the Depositary by a Holder or because the voting instructions are incomplete, illegible, or unclear), the depositary shall have no obligation to, and shall not, exercise any voting rights attaching to such Deposited Shares. |
(Continued and to be marked, dated and signed, on the other side)
| PROXY TABULATOR FOR | ||
| Can-Fite BioPharma Ltd. | ||
| P.O.Box 8016 | ||
| CARY.NC27512-9903 |