View
213
Download
1
Category
Preview:
Citation preview
Subscrip
Name an
( ) ID C
National
Address
Telephon
WhatsAp
Hereby
No. of
Made pa
Acc. Nam
BCEL
If the shaallotted strading aof the se
If I/we hdeposit i
Depo
(Note: B
I/We herin the ca
** Pleassubscrip
>>> Fo
SubscripEvidenceshares oPaymentIf the shaallotted sno._____
ption Date: _____
nd Surname (Eng
ard ( ) Alien Ca
lity____________
BCEL-KT Secur
ne No. 021 26548
pp: XXXXXXXX
subscribe for an
Share subscrib
ayable to Bank: B
me:LCS(BCEL FO
L Address: No. 1
ares are allotted tshares and arrangaccount name___curities trading a
have not been allointo my/our accou
sit to my/our acco
Bank charges or an
reby undertake toase that my/our su
se be aware thation.**
or officer uses on
-------------------
Subscription
ption Date: _____e of subscription
of BCEL from PutDate: _______/_ares are allotted tshares and arrang______________
Subscriptio
Public o (
__/ _______/ 201
lish) __________
ard ( ) Passpor
______________
rities Co. LTD, B
80 -487 M
XXXXX W
nd request allotm
bed Offerin
Banque Pour Le C
OR SHARE SUBS
, PangkhamStre
to me/us , I/we hege further to BCE_______________account)
otted the Share orunt as the followi
ount at Bank ___
ny other expense
o subscribe the abubscription is to b
at there is risk
nly >>>
---------------------
n Receipt for Pu
__/_______/2017fund payment fro
ublic Offering wit_______/2017 hasto me/us, I/we herge further to___________.
on Form for N
offering (PO) of(Minimum subsc
17
______________
rt ( ) Company
Su____ Date of Birt
Ban Phonethan Ne
Mobile Phone XXX
We Chat: XXXXX
ment of new ordi
ng Price (Kip)
5,300
Commerce Exterie
SCRIPTION)Acc.
eet, VTE, LAO P
ereby agree to theEL-KT Securities ______________
r have been allotteing information.
_______________
e will be deducted
bove ordinary shabe refused becaus
involved in stoc
Checker
---------------------
ublic Offering
7Subscription Noom (name of substh_____________s been submitted reby agree to the ______________
New Ordinary S
f 2,857,100 newcription requirem
_______________
y Registration Cer
ubscriber pleash_________/___
eua, Kamphengm
XXXXXXXXXX
XXXXXXXX inary sharesof B
Amoun
eur Lao Public Co
No: 010190001
PDR. SWIFT Co
e underwriter to isCompany Limite
_______________
ed lower than the
______________
d from the refund
res as allocated toe of incompletion
k investment and
r: ____________ ________ / __
---------------------
(PO) of New O
._____________scriber)_____________________shand duly receiveunderwriter to is
_______________
Shares of Banq
ordinary sharesment is one (01)
___Securities Ac
rtificate No. __
se clearly fill in______/_______
meuang Road, Say
X E-Mail:
BCEL as follows:
nt (Kip)
ompany Bank (B
1353261001 Curr
ode : COEBLAL
ssue a share certied to deposit the s______no.______
e subscribed amou
__ Branch ______
amount to the su
o me/us and shalln of document as
d make sure yo
_____________________ / _______
---------------------
Ordinary Shar
______________________________shares at the offered. ssue a shareholdin______________
A
que Pour Le C
with par value olot, with each lo
Subscription No.
c. No. _________
______________
n the spaces be Occupation __
ysettha District, V
XXXXXXXXX
:
BCEL) as the follo
rency: LAK Am
LA
ficate in the namsaid Shares with L______________
unt, I/we agree to
______________
ubscriber).
l not cancel this o required by the C
Sig
u have thorough
_ __
---------------------
res of BCEL (S
___________________________
ring price of 5,300
ng certificate in th________Securiti
Authorized Office
Commerce Exte
of 5,000 Kip at tot equal to one h
. BCEL-KT………
______________
_______________
low ______________
Vientiane Cap, La
XXXX
Amo
owing accounts:
mount:_________
e of “Settlement aLao Securities De____(Name of the
o have the paymen
__________ Acc.
offering subscriptCompany or any
nature ______
(_______
hly studied all in
Input: ___ ___
---------------------
Subscriber plea
_______________0 kip, Amount: __
he name of “Lao ies Company Lim
er:___________
(___________
erieur Lao Pub
the offering prichundred (100) un
……………..
______________
_______________
______________
ao PDR, LSX bui
mount in words
___________ ___
and Depository Depository Center e subscriber must
nt or excess paym
No___________
tion including accother reasons.
_______________
______________
information befor
______________________ / ______
---------------------
ase also fill out
_____ for the subs_______________
Securities Deposmited, my/our sec
______________
_______________
blic Company
ce of 5,300 Kipnits of share)
___________
___________
_______________
ilding, 7th floor.
____________ L
Department” for tfor my/our secur
t be the same as th
ment returned to m
_______________
ceptance of fund
______________
_______________
re deciding on t
____________ __ / ________
---------------------
t this portion)
scription of new o______________
sitory Center” forurities trading ac
________
________)
(BCEL)
per share
______
LAK
the rities he name
me/us by
_______
return
___
___)
the share
----
ordinary ____Kip,
r the count
Recommended