Notification of transactions by persons discharging managerial responsibilities and persons closely associated Mediclinic International PLC (Incorporated in England and Wales) Company Number: 08338604 LSE Share Code: MDC JSE Share Code: MEI NSX Share Code: MEP ISIN: GB00B8HX8Z88 (the "Company") 29 November 2016 NOTIFICATION OF TRANSACTIONS BY PERSONS DISCHARGING MANAGERIAL RESPONSIBILITIES AND PERSONS CLOSELY ASSOCIATED WITH THEM 1. Details of PDMR / person closely associated with them (“PCA”) a) Name Alan Grieve 2. Reason for the notification a) Position / status Director b) Initial notification / Initial Notification amendment 3. Details of the issuer, emission allowance market participant, auction platform, auctioneer or auction monitor a) Name Mediclinic International plc b) LEI N/A 4. Details of the transaction(s): section to be repeated for (i) each type of instrument; (ii) each type of transaction; (iii) each date; and (iv) each place where transactions have been conducted a) Description of the Ordinary Shares financial instrument Identification Code GB00B8HX8Z88 b) Nature of the Acquisition transaction c) Price(s) and volume(s) Price(s) Volume(s) GBP 7.335 3079 GBP 7.345 1152 GBP 7.35 3269 d) Aggregated information Aggregated volume 7500 Price GBP 7.343 e) Date of the 28 November 2016 transaction f) Place of the London Stock Exchange transaction Registered address: 1st Floor, 40 Dukes Place, London, EC3A 7NH, United Kingdom Website: www.mediclinic.com JSE sponsor: Rand Merchant Bank (A division of FirstRand Bank Limited) NSX sponsor: Simonis Storm Securities (Pty) Ltd For further information please contact: Mediclinic International plc James Arnold, Head of Investor Relations ir@mediclinic.com Capita Company Secretarial Services Limited Victoria Dalby +44 (0)207 954 9600 Date: 29/11/2016 10:00:00 Produced by the JSE SENS Department. The SENS service is an information dissemination service administered by the JSE Limited ('JSE'). The JSE does not, whether expressly, tacitly or implicitly, represent, warrant or in any way guarantee the truth, accuracy or completeness of the information published on SENS. The JSE, their officers, employees and agents accept no liability for (or in respect of) any direct, indirect, incidental or consequential loss or damage of any kind or nature, howsoever arising, from the use of SENS or the use of, or reliance on, information disseminated through SENS.