Application for ISIN NO. and CFI CODE : Ordinary ?· Application for ISIN NO. and CFI CODE : Ordinary…

Download Application for ISIN NO. and CFI CODE : Ordinary ?· Application for ISIN NO. and CFI CODE : Ordinary…

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Application for ISIN NO. and CFI CODE : Ordinary Shares or Preferred Shares .............................. Number ................................ Date To Chief Executive Officer () Thailand Securities Depository Company Limited .................................................................................................................................... We (Company name), ........................................................................... ................................................................. by Position .................................................................... ................................................................... and Position (ISIN NO.) (CFI CODE) wish to apply for the International Securities Identification Number (ISIN NO.) and Classification of Financial Instruments (CFI CODE) for the securities. Details of the securities are as follows : ()...................................................................................................................................... (Company name in Thai) ().................................................................................................................................. (Company name in English) .................................................. (Securities symbol) (Type of securities) (Ordinary shares) (Preferred shares) (Amount of issues).................................................................. (Shares) - 2 - (Par value)........................................................... .. (Baht) (Paid-up capital)................................................ .. (Million Baht) (Registrar) ......................................................................................................... (Exchange to be listed on)............................................................... (Voting right) : (Voting:each share has one vote) (Non-voting) : (Restricted voting: less than one vote per share) : (Enhanced voting: more than one vote per share) (Others): (Please specify) ......................................... // (Ownership/transfer/sales restrictions) for Only Ordinary Shares (Restrictions) (Unrestricted) (Others): (Please specify) ......................................... (Payment status) for Only Ordinary Shares (Nil paid) (Partly paid) (Fully paid) (Others): (Please specify) ......................................... (Redemption) for Only Preferred Shares (Redeemable) (Extendible) (Redeemable, Extendible) (Exchangeable) (Redeemable, Exchangeable, Extendible) (Redeemable, Exchangeable) (Perpetual) (Others): (Please specify) ....................... - 3 - (Income) for Only Preferred Shares (Fixed rate income) (Cumulative, Fixed rate income) (Participating income) (Cumulative, Participating income) (Variable rate income) (Normal rate income) (Auction rate income) (Others): (Please specify) ......................... (Form) (Bearer) (Registered) (Bearer, Registered) (Others): (Please specify) ........................................ (Prospectus) We hereby enclose a copy of Prospectus along with this application. On behalf of the company, we, herewith certify that all information mentioned above in this application is true. ........................................................ (.......................................................) Authorised signature ........................................................ (.......................................................) Authorised signature () (Company Seal)

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