Trading Application Form - KT ZMICO

Trading Application Form

(Please complete the form and attach the required documents) KT ZMICO Branch Code Trading A/c No. ____________________________________________ Date _________________________________________

Individual Client Client Information

Name & Surname ( ) Mr. ( ) Mrs. ( ) Miss Thai ______________________________________________________________________________________________________

English ______________________________________________________________________________________________________

Nationality __________________________________ Country of Residence _____________________________ Date of Birth _________/_________/___________ Age _________ Yrs.

( ) ID. Card ( ) Passport ( ) Others ( specify) _____________________________________________________ No. _____________________________________________________

Present Address___________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________ Post Code. ________________________

Country _________________________________________________ Telephone No.__________________________________________________ Fax. ________________________________________

Mobile ______________________________________________________________ Email Address. ___________________________________________________________________________________

Highest Level of Education Lower than Bachelor Degree Bachelor Degree Higher than Bachelor Degree

Marital Status Single Married Divorced Widow

Spouse’s Name ____________________________________________________________________________________________________________________________________________________________

Occupation / Position _______________________________________________________________ Political Position ________________________________________________________________

Office Name ________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________ Telephone No. _________________________________________________

Nature of Business

( ) Business Owner ( ) Individual Employee ( ) Public Official Service ( ) State Enterprise Employee ( ) Bank/Financial Company Staff

( ) Agriculturalist / Fishery ( ) Housewife / Majordomo ( ) Student ( ) Unemployment ( ) Others____________________________

Name of Employer _______________________________________________________________________________________________________________________________________________________

Position ______________________________________________________ Department ______________________________________________ Tenure of work ___________________ Year (s)

Political Position (If any) __________________________________________________________________________________________________________________________________________________

Please specify type of business : ( ) Antiques Shop ( ) Gold, jewelry Store ( ) Gemstone Business ( ) Money Exchange Agency

( ) Money Transfer Service ( ) Casino and Gambling ( ) Weapons Factory ( ) Weapons Agent ( ) Real Estate Agent / Broker

( ) Informal Loan ( ) Non-Profit Organization ( ) Others (Please spec______________________________________________________________________

Office Address ____________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________ Post Code. ________________________

Country _________________________________________________ Telephone No.__________________________________________________ Fax. ________________________________________

Monthly Salary THB _______________________________ Other Income THB _____________________________ Source of Other Income _______________________________

Financial Information

House with land Value (THB) ________________________________ ( ) Mortgage ( ) Others ______________________________________

Land Value (THB) _______________________________ ( ) Mortgage ( ) Others ______________________________________

Car Value (THB) _______________________________ ( ) Pledge ( ) Others ______________________________________

Promissory Note Value (THB) _______________________________ ( ) Pledge ( ) Others ______________________________________

Other Assets ___________________ Value (THB) _______________________________ ( ) Mortgage/Pledge ( ) Others ______________________________________

Settlement for Trading Transaction

By ATS Bank Name ___________________________________________________________________ Branch _____________________________________________________________________ Bank Account No. ________________________________________________________________________ Type of A/c Savings Current

Please complete the enclosed “Letter of consent for Debit to Bank Account Form (ATS) “ [Bank account whereas name of account shall be the same

as opened with the Company.]

Settlement for Trading Transaction before ATS Approval

Cheque Pay-in Cash Balance Others (Please specify) _____________________________________________________________

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For Juristic Person

Client Information

Juristic Name : (Thai) __________________________________________________________________________________________________________________________________________

(English) __________________________________________________________________________________________________________________________________________

Type of Juristic Person : Company Limited Public Company Ordinary Partnerships Limited Partnerships Juristic Person under Specific Law ___________________________________________________________________________________________

Fund (Please specify) __________________________________________________________________________________________________________

Asset Management Company’s Name ________________________________________________________________________________________

Others (Please specify) ________________________________________________________________________________________________________

Business Type ___________________________________________________________________________ Country of Resident ________________________________________________________

Affidavit No. _____________________________________________________ Issued Due __________ / ____________ / ________________ Tax ID. No. ___________________________________

Registered Address : ___________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________ Post Code ________________________

Country_________________________________________ Telephone No. __________________________________________________ Fax. No. ___________________________________________

Present Business Address : ___________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________ Post Code ________________________

Country_________________________________________ Telephone No. __________________________________________________ Fax. No. ___________________________________________

E-mail Address : _________________________________________________________________________________________________________________________________________________________

Authorized Director (s) for Account Opening :-

1. ________________________________________________________________________________ 3. _______________________________________________________________________________

2. ________________________________________________________________________________ 4. _______________________________________________________________________________

List of shareholders who are holding shares higher than 30 % of Registered Capital.

1. __________________________________________________________________________________ % Holding ___________________ Nationality _____________________________________



In case of juristic persons with 30 % ownership or more, (please indicate or attach details of subsequent shareholding (of 50% or above).




Relationship related to the politics (if any) _________________________________________________________________________________

Main Income _________________________________________________________________________________________________________

Financial Information

Financial Highlight and Status as of ________________________________________

Total Income THB _________________________________________________ Current Liabilities THB _________________________________________________ Net Profit (Net Loss) THB __________________________________________________ Total Liabilities THB _________________________________________________ Current Assets THB _________________________________________________ Shareholder’s Equity THB _________________________________________________

Total Assets THB _________________________________________________ Registered Capital THB _________________________________________________ Settlement for Trading Transaction

By ATS Bank Name __________________________________________________________________ Branch _________________________________________________________________

Bank Account No. _______________________________________________________________________ Type of A/c Savings A/c Current A/c

Please complete the enclosed “Letter of consent for Debit to Bank Account Form (ATS) “ [Bank account whereas name of account shall be the same as

opened with the Company.]

Cheque Pay-in with Custodian (Custodian Name) ______________________________________________________________ Others (Please specify) ______________________________________________________________________________________________________________________________________________

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For Individual and Juristic Persons

1. Way of Document Dispatch (1 alternative only)

By Mail Personal Collection By Messenger

Remarks For personal collection, if the documents are not collected within 7 days, we will send them to your contact address.

2. Address for Document Dispatch

Office Address Present address House Registration Address Present Business Address

Others (Please specify) _________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________

3. Contact Person in case of Emergency

Name & surname _______________________________________________________________________________________________ Relationship ______________________________________ Office Name ______________________________________________________________________________________________ Position _________________________________________________

Telephone No. _______________________________________________________ Email Address _____________________________________________________________________________

4. Nature of Investment

Investment Knowledge

Excellent Good Fair Little None

Attended the training for investment by ___________________________________________________________________________________________________________________

Investment Purpose

Take Profit Dividend Interest Others (Please specify) ____________________

Investment Period

Long Term (> 1 yr.) Medium Term (6-12mths) Short Term (< 6 mths) Others (Please specify) ____________________

Acceptable Risk

Low Level Medium Level High Level

Investment Experience

New Investor

Ever invested in Thai Stock Market for _______________ yrs. Ever invested in Derivatives Market for _______________ Yrs.

Ever invested in other Markets ;-

1. Name of Market ___________________________________________________Country ____________________________________ For _______________ Yrs.

2. Name of Market ___________________________________________________Country ____________________________________ For _______________ Yrs.

Source of Fund (more than 1 alternative)

Owner Business Employment Investment Dividend / Interest Heritage

Saving Loan Others (Please specify) ___________________________________________________________

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For Securities Trading Account Only

Sending of the trading documents - such as Tax Invoice / Payment / Receipt / Confirmation and Contract Note Copy

To receive the mentioned documents by sending to the specified address above.

Do not want to receive the mentioned documents, I will check my trading transaction to the Company's website: www.ktzmico.com

Receiving of Benefits (such as Dividend / Interest and other rights evaluated in cash derived from the securities)

To receive via E-dividend system (Please complete and sign on the form)

Request the Company to deposit into my Cash Balance (Only for the securities held by the Company upon the type of account

which obtained benefit.)

5. Other Securities Broker Company which the Client is being maintained account with :

1. ______________________________________________________________ Type of A/c _____________________________________ Credit Line THB ______________________________



6. Self –Declaration According to the SEC

Power of attorney acting on your behalf (Sign in the form) No Yes (Please Specify)

Name - Surname _________________________________________________________________ Relationship ______________________________ Nationality __________________________

Name of the ultimate beneficiary or Co-beneficiary No Yes (Please Specify)


( ) Personal ID Card ( ) Passport No. ____________________________________________________________________________________________________

Name of Controlling Person No Yes (Please Specify)


( ) Personal ID Card ( ) Passport No. _____________________________________________________________________________________________________

To involve in Perpetration of Anti-Money Laundering act in the past 3 years

Never Have been involved in Money Laundering Activities ( specify) ____________________________________________ Year ______________

7. Others

Are you related to any KT ZMICO Securities Company Limited ’s employee ? No Yes (Please Specify)

Name - Surname _____________________________________________________________________________________________ Relationship __________________________________________

Recommendation for Account Opening

at company’s counter via marketing officer by website by the company’s client Others ________________________

Name - Surname _________________________________________________________________ Relationship ______________________________ Tel. ___________________________________

8. Type of Account & Credit Line Request

Cash A/c ( ) Cash Balance ( ) Credit Line Request THB ______________________________________ Via Internet System

Internet A/c ( ) Cash Balance ( ) Credit Line Request THB ______________________________________

Margin – Credit Balance Credit Line Request THB ______________________________________ Via Internet System

Derivatives Trading Credit Line Request THB ______________________________________

International Trading Credit Line Request THB ______________________________________ Unit Trust

Others (Specify) _____________________________________ Credit Line Request THB ______________________________________ I/we hereby agree that the above information are wholly completed and true. In case of any change among my/our information is needed, I/we will advise the Company in written immediately. Thereof, I/we understand, accept and shall abide the rules, regulations and conditions set out herein as well as the stipulations laid down at present or in future by the Securities and Exchange Commission (the “SEC”), the Stock Exchange of Thailand (the “SET” ), the Thailand Securities Depository (the “TSD”), the Government Bureau or the Company as well as the customary practices of the SET. Also I/we agree to the Company for any investigation and disclosure of my /our information to the related departments which regulated by the law together with the legal consultants and the Company’s auditors. All this I/we understand and acknowledge that I/we can do any business activities as specified in the opened account only when I/we have completely conducted to the conditions and agreements of the Company.

Signature ____________________________________________________________________________________________ Applicant

( ___________________________________________________________________________________________ )

I hereby confirmed and verified that the signature and documents concerned are authenticated.

Signature ___________________________________________________________________________________________ Marketing Officer / The Investment Contactor

( ______________________________________________________________________________________ )

The Company reserves the right not to return the application and all submitted materials.

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Specimen Signature Card

A/c Title __________________________________________________________________________________ A/c No. _________________________________ Account Owner’s Signature

Attorney-in-fact Signature (if any)

Authorized Signer who acts on behalf (Juristic Person) – with Company’s Seal

Remarks : _____________________________________________________________________________________________________________________________

Signature _____________________________________________________ Marketing Officer





Remarks : _____________________________________________________________________________________________________________________________


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Securities Brokerage Agreement

Execute at : KT ZMICO Securities Company Limited

Date_______________________________________________________

THIS AGREEMENT is made between “Customer” __________________________________________________________________________________________________________________ ,

hereinafter referred to as the “Customer”, of one part; and KT ZMICO Securities Company Limited, whose registered office is at 16th Floor, Liberty Square, 287 Silom Road, Bangrak, Bangkok 10500, hereinafter referred to as the “Company”, of the other part. The Customer has agreed to appoint the Company its securities broker/agent under the Securities and Exchange Act as well as its derivatives (futures) agent dealing by way of clearing from time to time, and has also agreed to comply with all applicable laws, regulations and notifications, subject to the terms and conditions set out in this Agreement.

1. DEFINITIONS

Unless specified otherwise herein, definitions in the Securities and Exchange Act and the Derivatives Act B.E. 2546 (2003) as well as amendments thereto from time to time, apply in this Agreement. “Securities” means securities of all kinds and any other financial instrument permitted to be traded by relevant Thai authorities, and shall include treasury bills, bonds, bills, shares, debentures, unit trusts which are instruments or evidence representing rights in the assets of a mutual fund, certificates representing rights to purchase shares, certificates representing rights to purchase debentures, certificates representing rights to purchase investment units, such other instrument as specified by the Securities and Exchange Commission (SEC), and other contracts and instruments, including benefits and interests in those Securities. “Derivatives” means derivatives contracts under the Derivatives Act B.E. 2546 (2003) and amendments thereto from time to time. “Goods” means Goods as defined in the Derivatives Act B.E. 2546 (2003) and amendments thereto from time to time. “Variables” means Variables as defined in the Derivatives Act B.E. 2546 (2003) and amendments thereto from time to time. “Stock Exchange” means the Stock Exchange of Thailand (SET), the Market for Alternative Investment (MAI), and other over-the-counter centres. “Derivatives Exchange” means Derivatives Exchange (Thailand) Public Company Limited or any other derivatives centre licensed by the SEC. “Advance” means the money paid by the Company for the purchase of or subscription for the Securities and paid as the fees or any other expenses incurred by the Company in connection with the purchase or sale of the Securities for and on behalf of the Customer, and shall include any expenses incurred as a result of the recovery of debt from the Customer. “Margin” means collateral or properties stipulated by the Company and requested from Customers as the guarantee for the performance of Derivatives and this Agreement. “Customer” means any person who has opened a trading account with the Company, and shall include an agent or a person designated by the Customer to execute, order or do anything (e.g., send or receive documents) under this Agreement for and on behalf of the Customer. “Trading Limit” means the maximum amount at any time with which the Customer may give an order for the purchase of the Securities, or the amount of all debts and obligations the Customer is allowed to owe the Company (not to exceed the trading limit determined by the Company), provided that the Company may change and/or determine the Trading Limit as it sees fit without prior notice to the Customer and that if the Trading Limit is determined on the basis of the Customer’s cash balance, the Trading Limit for that Customer shall be calculated on the basis of the real-time cash balance of the Customer during a business day, with the Customer’s cash balance being adjusted according to the requirements or practices of the Company, or in relation to a Derivatives contract, means the maximum amount at any time with which the Company is allowed by the Company for the purchase or sale of the Derivatives, as determined by the Company’s basis of calculation. The Company may, at its discretion, increase, maintain or reduce the Trading Limit and/or the Maximum Derivatives Position without prior consent of the Customer. “Trading” means the purchase or sale of the Securities on the Stock Exchange, and “purchase” shall mean the subscription for Securities as well. “Electronic System” means any system that applies electrons, electromagnetic waves or other similar methods, and shall include any photo or magnetic applications or any equipment relating to those applications. “Electronic Transaction” means any transaction made, wholly or partly, through the Electronic System. “Private Code” means personal code given by the Company for entering various activities through the electronic system of the Company under terms and conditions of this Agreement. “Market Value” means the value of the Derivatives position as calculated on the basis of the market price of each kind of the Derivatives at the Derivatives Exchange and/or as determined by the Company in accordance with the applicable laws and regulations, or the value of securities and/or asset in the account of the Customer as calculated on the basis of the market price of each kind of securities and/or asset as determined by the Securities Exchange and/or the Company. “Initial Margin” means the minimum margin to be provided or paid by the Customer for the purchase or sale of each kind of the Derivatives at the rate determined by the Company in accordance with the applicable laws and regulations. “Maintenance Margin” means the minimum margin to be maintained by the Customer for the purchase or sale of the Derivatives at the rate determined by the Company in accordance with the applicable laws and regulations. “Additional Margin” means a margin other than Initial Margin and Maintenance Margin to be provided by the Customer for the purchase or sale of the Derivatives at the rate determined by the Company in accordance with the applicable laws and regulations. “Network Company” means a Derivatives agent which has arrangements with the Company for the transfer of the Customer’s order upon occurrence of force majeure, emergency or failure in the Company’s computer system. “Maximum Derivatives Position” means the maximum position of each and/or all kinds of the Derivatives which the Customer is allowed at any time as determined by the Company in accordance with the applicable laws and regulations. “Closing Derivatives Trading Position” means to close all obligations or rights on Derivatives Trading by purchase or sale of new contracts in opposite result or by any other ways under the relevant regulations.

/ 2. GENERAL TERMS …………………

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2. GENERAL TERMS AND CONDITIONS

2.1 The Customer agrees to appoint and authorise the Company its agent and/or broker to purchase and/or sell the Securities and the derivatives in and outside the Stock Exchange and to have the power to do any and all things relating to the Trading for and on behalf of the Customer and/or to do any other necessary thing in relation to the Securities, this Agreement, or the Commodity or Variables as well as to have the power of substitution, with this Agreement operating as a letter of appointment or a power of attorney to that effect. The Customer also agrees not to terminate this Agreement or to revoke the powers given herein, in whole or in part, unless it has fully paid the debt arising out of this Agreement or any other amount owing by it to the Company. The Customer agrees to pay to the Company, from the execution date hereof, the brokerage fees at the rate specified by the Company, including any taxes, fees and expenses (collectively the Commission).

The authorisation in the foregoing paragraph includes the powers for the Company to keep, transfer, receive transfer, deliver, accept, deposit, withdraw and convert shares; to receive, examine and correct dividends, interest or any other benefit in the Securities; and to examine and amend the Derivatives and the Commodity or Variables for and on behalf of the Customer. In addition, such authorisation shall include the subscription for Securities or the exercise of rights available to the Customer in the Securities or in the Derivatives and the Commodity or Variables, if such act is, in the opinion of the Company, to the advantage of the Customer. The Company is also authorised to pay for the purchase price of the Securities, fees and other expenses incurred in connection with the Trading of the Securities, Derivatives, Commodity or Variables; to demand and receive the proceeds of the sale of the Securities, Derivatives, Commodity or Variables; to execute any documents or instruments in its capacity as the Customer’s attorney; and to have the power to appoint and/or remove substitutes for any or several acts within the scope of the authorisation. Any acts performed by the Company for or on behalf of the Customer under this Agreement shall be the responsibility of the Customer as if performed by itself, and the Customer shall not deny such responsibility nor shall it object to or contest such acts.

2.2 The Customer agrees to pay interest on any amount outstanding and payable under this Agreement to the Company at the maximum rate determined by the Company, which rate is subject to change as will be announced by the Company from time to time, from the day the Customer defaults in payment of such amount until complete payment is made by the Customer to the Company.

2.3 This Agreement is binding on the Customer for an infinite period. If any party wishes to terminate this Agreement, that party shall notify the other party in writing of its intention not less than 7 days in advance. The termination of this Agreement shall not prejudice or affect the rights and obligations of the parties which have accrued up to the termination. If the Agreement is deemed terminated, the Customer agrees that the Company may close-out the Customer’s Derivatives position as it deems appropriate, and the provisions of Clause shall apply mutatis mutandis.

2.4 The Customer acknowledges that it has read and familiarised itself with all applicable rules and regulations as well as the Company’s requirements and conditions for sale and purchase and that it shall strictly comply with those rules, regulations, requirements and conditions.

2.5 The Customer represents that any information provided by it to the Company is true and correct in all respects. If any such information is found to be false, which prejudices or affects any terms or conditions of this Agreement, all debts owed by the Customer shall become due and payable immediately and/or the Customer shall be deemed in breach of the Agreement.

2.6 The Company shall inform the Customer in writing of the purchases or sales, in the form and substance determined by the Company or by the applicable laws and regulations, on the business day following the day of such purchases or sales. In addition, the Company shall prepare and deliver to the Customer, with or without cost to the Customer, a report on the Customer’s assets and Derivatives position on a monthly basis, in accordance with the rules, conditions and procedures set out by the Company subject to the applicable laws and regulations.

2.7 Any statement, notice or demand given in writing by the Company to the Customer at the latter’s specified address or made in the form of an electronic mail or telephone message to the Customer shall be deemed to be duly delivered to and received by the Customer, whether the Customer acknowledges receipt itself or any person acknowledges receipt for it. In the case of change of the Customer’s address or telephone number, the Company shall be immediately notified of such change.

2.8 Any provision of this Agreement which is invalid or unenforceable does not affect the validity or enforceability of the remaining provisions of the Agreement.

2.9 The Customer agrees that the Company may apply for the membership in the Securities Depository Centre (SDC) under the law on securities and stock exchange or other applicable laws and may use any services of the SDC in relation to the Customer’s Securities. The Customer also agrees that the Company may comply with all rules, conditions, procedures and practices of the SDC, i.e., the disclosure of the name, address and other information of the Customer to the SDC.

2.10 Any indulgence granted by the Company to the Customer as to the performance of this Agreement or failure by the Company to exercise its right of termination at any time operates as a waiver only in that particular instance.

3. SALE AND PURCHASE 3.1 The Customer may give an order to purchase and/or to sell any Securities, to purchase and/or to sell Derivatives at any price, either verbally or

in writing, whether by telephone, facsimile transmission, Electronic System, or any other means, so that the Company will proceed with such purchase and/or sale of the Securities, Derivatives from time to time. Such an order shall be given by the Customer in the form and substance determined by the Company. When an order is received without doubt by the Company, such order constitutes a lawful order of the Customer, and the Customer shall be bound by the results of the order as if carried out by the Customer itself.

The Customer may execute various Electronic Transactions using the private code, i.e., submission of an order, change or cancellation of order, payment of the purchase price, fees, value added tax and other expenses, deposit or withdrawal of the Customer’s cash balance, deposit of the Securities in the trading account, withdrawal or transfer of the Securities from the trading account, or any other transaction. The Company reserves the right to confirm the Customer’s order through the Electronic System or by such other means as it sees fit. The Customer agrees to be bound by those transactions and to pay the fees for the execution of such transactions through the Electronic System at such rate and by such means as determined by the Company and notified to the Customer. The Customer acknowledges that the Company may provide only some or all of its services or may not provide any of its services at all through the Electronic System and that it is the responsibility of the Customer to acknowledge or confirm its order, which includes the name, quantity and price of the Securities, with the Company by way of a written confirmation on the trading date or the succeeding business day or before the relevant due date, failing which the Customer agrees that the purchase or sale of the Securities is the conclusive evidence of the Customer’s intention.

/ 3.2 It is agreed …………………

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3.2 It is agreed and acknowledged that the Securities and/or Derivatives shall be purchased and/or sold according to the name, type, category, quantity and price specified in the order and regardless of the person from or to whom the Securities and/or Derivatives are purchased or sold or the person who holds the Securities and/or Derivatives so purchased or sold or the specific features of the Securities and/or Derivatives. It is agreed and acknowledged that the Company may receive or deliver from or to the buyer, the seller or the Customer the alternative Securities and/or Derivatives of the same name, type, category and quantity. The Customer also agrees that in carrying out the Customer’s order, the Company may sell to or purchase from its own portfolio.

The parties agree that the Company is under no obligation to accept an order of the Customer if, in the opinion of the Company, such order is against the law or contrary to the rules and regulations of the Company and/or the relevant Stock Exchange, and that the Company may not carry out an order to purchase which exceeds the remaining Trading Limit at any time of the Customer, in which case the Customer will have no claim against the Company.

3.3 If an order to purchase or to sell is found by the Customer to be incorrect or have an error, the Customer shall immediately contest such order which has been confirmed within the trading date; otherwise, it shall be deemed that the Customer accepts such order as correct and valid.

3.4 Unless specified otherwise therein by the Customer, an order to purchase or to sell shall be binding on the Customer at the time the order is given or purported to be given. If the Company is unable to carry out any order of the Customer, in whole or in part, such order or such part of the order that is not carried out shall be deemed cancelled after the lapse of the period of time as specified in the order or as determined by the applicable laws and regulations. If, on the other hand, the Company is able to carry out an order of the Customer, in whole or in part, the Customer agrees to be bound by the purchase or sale under such order. The Company is not liable for any loss or damage incurred by the Customer as a result of the Company’s inability to carry out the Customer’s order, in whole or in part.

3.5 If the Customer wishes to cancel or modify an order to purchase or to sell, in whole or in part, the Customer shall notify the Company before such order is fulfilled. Any cancellation or modification shall be valid only when the Customer is confirmed by the Company of such cancellation or modification and shall not affect any acts performed by the Company prior to the cancellation or modification.

3.6 If the Derivatives position in the Customer’s account exceeds the Maximum Derivatives Position determined by the Company and/or by the applicable laws and regulations, the Customer agrees and acknowledges that if it does not declare its intention to close-out its Derivatives position in person within the time specified by the Company, the Company or the Derivatives Exchange may proceed with the Closing Derivatives Trading Position until the Customer’s Maximum Derivatives Position is maintained according to the criteria determined by the Company and/or by the applicable laws and regulations.

3.7 The Customer acknowledges that any purchase or sale made in pursuance of its intention is the result of its own decision and that the Company is not bound by any information or advice given by any of its employees regarding the Trading and is not to be held responsible in any way, except in the case of a wilful act, negligence or default by the Company or a breach of any provisions of the applicable laws or regulations.

3.8 If the Customer does not trade through the trading account opened with the Company and does not have a Derivatives position, or if the Customer’s assets remain in the trading account for 6 months or more or for a period of time determined by the Company, the Company may temporarily suspend any Trading by the Customer and/or charge the Customer for maintaining the account, whereupon the Customer agrees to pay such maintenance fee at the rate determined by the Company without further notice to or consent of the Customer. The Customer shall have no defence in such matter against the Company, and the Company reserves the right to terminate this Agreement and close the Customer’s account.

3.9 The transfer or the receipt of transfer of the Customer’s position shall be in accordance with the rules and criteria determined by the Company subject to the applicable laws and regulations.

3.10 For the purpose of determining the Trading Limit and the Customer’s Maximum Derivatives Position under this Agreement, the Company may consolidate the accounts of the Customer and its beneficiary and/or any person related to the Customer’s trading which have been opened with the Company.

4. PAYMENT AND DELIVERY OF SECURITIES 4.1 If the Customer authorises the Company to purchase the Securities, the Customer agrees to pay the purchase price of the Securities

purchased either at one time or in series, including the Commission and related expenses, not later than the day fixed by the relevant Stock Exchange or the Company. The payment shall be calculated based on the purchase order in the form and substance determined by the Company.

If the payment is made by cheque, the Customer shall be deemed to have made such payment on the day the cheque is honoured.

If the Customer fails to make payment, the Customer shall be liable to pay interest at the rate specified in sub-clause 2.2, and the Customer agrees that the Company may proceed with the compulsory sale of the Customer’s Securities, which are then in possession of the Company, and of the Customer’s rights to subscribe for Securities (if any), without prior notice to the Customer, regardless of whether or not the Securities and/or the rights to subscribe for Securities which are the subject of such compulsory sale are the Securities and/or the rights the payment for which is defaulted or which are deposited by the Customer or kept in the Company’s possession for whatever purpose, or regardless of when such compulsory sale will take place. The Customer agrees to pay for all damages, interest, penalties, commission, taxes and expenses incurred in connection with the Trading, the default and the compulsory sale of the Securities, and also agrees to be bound by the results of the compulsory sale as if it were carried out on order of the Customer.

If, prior to the purchase of the Securities, the Customer agrees to deposit its cash balance with the Company for the purpose of determining the Trading Limit, the Customer authorises the Company to withdraw such cash balance and apply the same towards payment of any and all debts owing and payable by the Customer to the Company without any condition or any objection on the part of the Customer. If the Customer orders the Company to purchase any Securities in excess of the agreed Trading Limit, it shall be deemed that the Customer has requested for the additional trading limit, and the Customer shall accept such Trading and shall pay for the purchase price of such Securities.

4.2 Subject to sub-clause 4.1, the Company shall deliver the Securities to the Customer within the business day following the day the purchase price of the Securities is paid or on any other day fixed by the relevant Stock Exchange or the Company. If the Company transfers the Securities through the account provided by the Securities Depository Centre (SDC) for the purpose of depositing, withdrawing or transferring Securities for the Customer, or if the Company keeps the Securities in its custody on order of the Customer, it shall be deemed that the Company has already delivered the Securities to the Customer.

/ 4.3 Subject to the …………………

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4.3 Subject to the second and third paragraphs of this sub-clause 4.3, if the Customer orders the Company to sell the Securities, the Securities shall be delivered to the Company by 12.00 hours of the business day following the selling date or on any other day fixed by the relevant Stock Exchange or the Company. The Company shall, at its absolute discretion, pay the proceeds of the sale of the Securities to the Customer only when the Customer has fully paid the purchase price of the Securities, the Advance or any other amount payable to the Company.

If the Customer transfers the Securities through the account provided by the SDC for the purpose of depositing, withdrawing or transferring Securities for the Company, or if the Customer orders the Company to deliver the Securities from its portfolio maintained with the Company, it shall be deemed that the Customer has already delivered the Securities to the Company in accordance with the foregoing paragraph.

If the Customer maintains its portfolio of Securities with the Company (this includes the Customer’s Securities the Company has deposited with the SDC), the Customer agrees that the Company may deliver the Securities from such portfolio.

If the Customer fails to deliver the Securities within the time specified in the first paragraph, the Company may purchase the Securities from any person or anywhere and deliver the same instead, either at once or at such time as the Company deems appropriate, and the Customer agrees to be liable to pay the Advance, Commission, taxes, penalties and all damages incurred by the Company as a result of such failure.

If the Customer orders the Company to sell the Securities but has yet to pay the purchase price of such Securities, the Advance, Commission or other amounts to the Company, the Customer is obliged to make such payment in full before the Company, at its absolute discretion, pays the proceeds of the sale of the Securities to the Customer.

4.4 The Company shall pay the proceeds of the sale of the Securities to the Customer on the business day fixed by the relevant Stock Exchange or the Company. If the Customer sells the Securities on the same day of their purchase, the Company shall pay the proceeds of the sale to the Customer on the business day following the day the purchase price of the Securities is paid to the Company or as determined by the relevant Stock Exchange or the Company.

If the Customer sells the Securities it has purchased but has yet to pay the purchase price thereof, the Customer shall pay the purchase price, the Commission and related tax before the Company pays the proceeds of the sale. The purchase price of the Securities shall not be offset against the proceeds of the sale, except in the case of the compulsory sale, the closing of the Customer’s account, or the set-off provided for in sub-clause 4.6.

4.5 The proceeds of the sale of the Securities shall be paid by crossed cheque payable to the Customer’s account or by crediting to the Customer’s deposit account or by any other means determined by the relevant Stock Exchange or the Company.

4.6 Subject to sub-clause 4.3, if the Customer has an obligation to pay the purchase price of the Securities to the Company and the Company has an obligation to pay the proceeds of the sale of the Securities to the Customer on the same day, the Company may, without prior consent of or notice to the Customer, offset the purchase price against the proceeds of the sale, provided that the Company or the Customer, as the case may be, must be responsible for the shortfall. The Company is at liberty to suspend or cancel such set-off at any time without prior notice to the Customer.

The Company is at liberty to choose the Securities of certain name, type, quantity or value, whether in whole or in part, to be applied towards the set-off pursuant to this sub-clause, without prior notice to and any objection by the Customer.

The Company has the right not to apply the set-off under this sub-clause if it appears that the Customer has no Securities left with the Company or has not delivered the Securities to the Company.

4.7 In case of the Customer’s death, incompetence or quasi-incompetence, or if a lawsuit is instituted against the Customer, or if any other circumstance deemed by the Company as critical for the protection of its interest arises, the Customer agrees that the Company may immediately sell, in whole or in part, the Securities or any other assets or rights of the Customer in possession of the Company or purchase the Securities, in whole or in part, to indemnify the Company for the Securities which the Customer has ordered the Company to sell but has yet to deliver to the Company, without prejudice to the rights of the Company to close the Customer’s account.

4.8 In the case of the purchase or sale of the Securities, assets or any other rights of the Customer as a result of failure by the Customer to comply with any clause of this Agreement, the Company may do whatever it thinks appropriate through the Stock Exchange or by an auction sale or by trading with any person or entity, without prior notice or advertisement or anything of similar nature to the Customer, and the Customer agrees that the Company may apply the proceeds of the sale of such Securities, assets or other rights towards the payment of all kinds of debts and expenses owing and payable by the Customer to the Company, actual or contingent, whether or not due to the Company. The Company may, at its discretion, offset all debts owed by the Customer, and the Customer agrees to repay all debts owing to the Company.

5. OUT-CLOSING DERIVATIVES TRADING POSITION 5.1 Upon occurrence of any of the following events, all debts owed by the Customer in relation to the Trading of Derivatives shall become due and

payable immediately:

(1) the Customer dies or becomes incompetent or quasi-incompetent, insolvent or bankrupt, or a receiver is appointed in respect of the Customer’s assets, or an order is given for the acceptance of a petition for the rehabilitation of the Customer’s business;

(2) the Company has reason to believe that the Customer will be unable to provide the Additional Margin or to pay for the purchase price of the Derivatives, i.e., concealment or disposal of its assets, in whole or in part, or arrangements or compromise with creditors;

(3) the court or any government agency gives a judgment or an order for payment by the Customer of its debt or for seizure or attachment of the Customer’s assets, in whole or in part;

(4) the Customer fails to make any payment under this Agreement when due according to its full or minimum amount;

(5) the Customer fails to perform or observe any of its obligations (other than in (4) above) under this Agreement or any clause or provision under or relating to this Agreement, and, in respect of any such failure which, in the opinion of the Company, is capable of remedy, does not remedy such failure within thirty (30) days from the date of failure;

(6) any representation, warranty or statement made or given (or deemed to be made or given) by the Customer in or pursuant to the Agreement or any other document entered into or delivered by the Customer in relation to this Agreement is or proves to be incorrect, untrue or incomplete in any material respect;

(7) any licences or permits required for the conduct of the Customer’s business are cancelled, revoked or suspended, or expire without being renewed, which materially and adversely affects the ability of the Customer to perform and observe its obligations under this Agreement;

/ (8) any other …………………

8 / 17

(8) any other indebtedness of the Customer becomes due and payable prior to its stated maturity and is not paid on the due date, or any guarantee given by the Customer in respect of the liabilities of any other person is not honoured and is demanded against the Customer, or the Customer defaults or breaches any provision or agreement in respect of such other indebtedness, except in the case of trade payable or any agreement relating to such trade payable;

(9) a receiver, executing officer or similar officer is appointed to manage the business or all or major part of the assets of the Customer, or an order is given for the execution of all or major part of the assets of the Customer or of all or major part of the assets of the Customer placed as guarantee for any person;

(10) an action, proceeding or petition is instituted for bankruptcy of the Customer and the Customer is unable to stay such action, proceeding or petition to the satisfaction of the Company within forty-five (45) days from the date of such action, proceeding or petition;

(11) the Customer generally calls a meeting with creditors, enters into arrangements with creditors, or makes assignment for the benefit of creditors; or

(12) any event or series of events, whether or not related to each other, occurs which might materially and adversely affect directly or indirectly the ability of the Customer to perform any of its obligations under this Agreement.

5.2 In addition to repaying the debt under the Derivatives and this Agreement, the Closing Derivatives Trading Position and the deductions shall include the payment of any penalties, fees and expenses incurred in connection with the Trading of Derivatives under this Agreement. If, after the Closing Derivatives Trading Position, it appears that the Customer has yet to pay such penalties, fees and expenses, the Customer is liable to pay the same until complete payment is made to the Company. Any money or assets left after the Closing Derivatives Trading Position and the deductions shall be returned to the Customer with no interest.

5.3 If the Customer defaults in payment or breaches any immaterial clause or provision, the Company may grant indulgence by allowing the Customer to remedy such default or breach within a specified time or subject to any condition, provided that such indulgence will be effective only in the specific instance and for the specific purpose for which it was granted. If the Customer fails to remedy such default or breach within the specified time or in compliance with the condition set out for such indulgence, it shall be deemed that the Customer is in default, whereupon the Company is entitled to terminate this Agreement and immediately demand payment of all debts from the Customer. No indulgence granted under this sub-clause constitutes a waiver of the Company’s right to claim against the Customer as a result of such default.

5.4 If the Customer conceals or deviates any facts given in this Agreement, in whole or in part, as specified in clause 2 or fails to perform or observe any material provision of this Agreement, or if the Company deems it advisable for the prevention of any trading of Derivatives which is unusual, inappropriate or likely to violate the law, or if the Company is obliged to follow the instructions of the Clearing House or the Derivatives Exchange or the SEC, the Customer agrees that the Company may, without prior consent of the Customer, proceed as follows:

(1) close-out the Derivatives position, offset against or deduct from the Customer’s assets, or enforce payment of debt, in whole or in part, from the Customer’s account opened with the Company, whether such debt becomes due or not;

(2) reduce or limit the Trading Limit or the Maximum Derivatives Position of the Customer;

(3) cancel all purchase or sale orders of the Customer which the Company has yet to carry out; or

(4) close all accounts of the Customer in order to settle the Customer’s obligations.

5.5 If the Company exercises its right under this Agreement or the applicable laws and regulations to close-out the Derivatives position and/or to force the sale of the Securities or the reference underlying assets and such exercise of right results in any loss or damage to the Customer, the Customer agrees not to hold the Company responsible for such loss or damage or for the repurchase or resale of such Derivatives or any other Derivatives and/or such Securities or any other securities or such reference underlying assets for the Customer.

5.6 If the Company is unable or fails to carry out the Closing Derivatives Trading Position in accordance with this Agreement or the applicable laws and regulations, the Customer agrees that such Avoidance of Derivatives Position may be carried out by the SEC Office, the Derivatives Exchange, the Clearing House or any person designated by the Company. As regards the Avoidance of the Customer’s Derivatives Position referred to in this Clause 5, “customer” means the Customer and the beneficiary under the trading of the Customer’s Derivatives and/or any person relating thereto.

6. MARGIN 6.1 In the Trading of Securities or Derivatives, the Customer shall provide or cause to be provided its property as Margin for each Trading with the

value or at the rate not lower than that specified by the Company. The type and the duration of the Margin to be provided by the Customer shall be in accordance with the rules and criteria determined by the Company subject to the applicable laws and regulations. The Customer agrees and acknowledges that the Company may, at its discretion and in accordance with the applicable laws and regulations, allow the Customer to purchase or sell the Derivatives without first placing the Margin with the Company.

6.2 The Company shall calculate the value of the Customer’s Derivatives and adjust the value of the Margin with reference to the actual Market Value in accordance with the applicable laws and regulations at least at the end of each business day or as determined by the Company.

6.3 The Customer agrees to provide the Maintenance Margin in accordance with the applicable laws and regulations and as determined by the Company. If the value or rate of the Customer’s Margin at the end of any business day is lower than the Maintenance Margin, the Customer shall provide the Additional Margin so that the value or rate of the Maintenance Margin will not be lower than the Initial Margin. The provision of the Additional Margin shall be completed within the period of time specified by the Company or by the applicable laws and regulations.

6.4 The Company may require that the Customer provide the Additional Margin for each type of the Derivatives at such rate or with such value and within such period of time as determined by the Company or by the applicable laws and regulations.

6.5 The Customer may withdraw the Margin, in accordance with the rules and procedures set out by the Company, if the value or rate of such Margin is higher than the Maintenance Margin.

6.6 Without prejudice to any other right available to the Company under the applicable laws and regulations or under this Agreement, if no Margin is provided by the Customer within the specified time, the Company may:

(1) refuse to carry out any order of the Customer, with the exception of an order for Avoidance of Derivatives Position;

(2) immediately close-out the Customer’s Derivatives position, in whole or in part;

(3) offset or retain the Margin or any other benefit the Customer has with the Company; or

(4) demand from the Customer a penalty on the defaulted amount for its failure to provide the Margin or the Commission payable by the Customer pursuant to sub-clause 2.1.

/ 7. LIABILITY AND …………………

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7. LIABILITY AND REMEDY 7.1 The Customer shall be liable for any losses, damages and expenses incurred by the Company from or in relation to this Agreement or as a

result of an act or omission by the Customer or its agent as well as for any losses, damages and expenses incurred by the Company in connection with any litigation or proceeding instituted by any third party for liability of the Company, which liability is not attributable to any wilful act or omission or negligence on the part of the Company or any of its employees.

7.2 In case of force majeure, emergency or failure in the Company’s computer system, the Customer agrees that the Company may process the Customer’s order through a Network Company so that the order to purchase or to sell can be matched further on the Derivatives Exchange.

7.3 The Customer agrees that the Company shall not be held responsible for any loss and/or damage incurred by the Customer if such loss and/or damage is caused or results from fire, storm, strike, riot, demonstration, war, usurped power, errors in data transmission, interruption in communication network or delay caused by the communication network of any third party or of the Company, failure of electrical equipment, electrical failure or force majeure, which affects the operation of the Company, provided, however, that such loss and/or damage is not attributable to any wilful act or gross negligence on the part of the Company or any of its employees.

8. ASSETS OF CUSTOMER 8.1 The Customer authorises the Company to take care of its Securities and other assets, including all rights in such Securities

and assets. The Customer acknowledges that the said authorisation shall not be construed as the Company having custody of the Customer’s money. If the Company ever faces financial problems, the Customer’s money being taken care of by the Company shall not be protected by the Deposit Protection Agency Act. B.C. 2551.

8.2 The Customer agrees and acknowledges that its assets which are received by the Company shall be kept separately from the Company’s assets in an Omnibus Account, where there will be no segregation of assets.

8.3 The Customer authorises the Company to deduct and/or withdraw money from the Account for :

(1) the Trading of the Customer’s Derivatives; or

(2) the provision of Margin or the adjustment of the Margin position; or

(3) the payment of fees or any other amount payable in relation to the Trading of the Customer’s Derivatives; or

(4) the payment of debt and penalty in the event of default by the Customer under this Agreement; and

(5) any other circumstances as prescribed in the relevant regulations.

8.4 All assets of the Customer received or to be received by the Company for the Trading of Securities and/or Derivatives shall be segregated by the Company in accordance with the requirements of the SEC or the SEC Office, as follows:

(1) Cash shall be kept in a separate account with the Company or deposited with a commercial bank or kept by such other means as determined by the SEC Office and the Company;

(2) Securities shall be deposited with the SDC or such other place as determined by the SEC Office and the Company, or kept at the Company’s office in such a manner that they can be specifically identified as belonging to the Customer;

(3) Other assets shall be kept in such a manner that they can be specifically identified as belonging to the Customer.

8.5 The Company is authorised to invest the Customer’s assets in deposits or promissory notes or other kinds of investment, provided that the Company pays the return or benefits thereof to the Customer at the rate not exceeding the return or benefits actually gained by the Company and at such time as will be notified by the Company from time to time.

The Customer agrees that the Company may deposit or invest the Customer’s assets with or in a financial institution or the other company which is a parent company or an affiliate or associated company of the Company.

8.6 The Customer agrees to pay commission fees for the keeping of the Securities and the assets by the Company at such rate and time as will be notified by the Company from time to time.

8.7 The Customer may withdraw its assets by notifying the Company in writing of its intention at least one business day in advance. Withdrawal of the Securities shall be notified in advance in accordance with the SDC’s regulations for withdrawal of securities. The Customer may not withdraw in excess of the Securities and the assets actually remaining after deduction of the Customer’s indebtedness or according to the Company’s notification under related regulations.

8.8 The Company shall not do anything which might create, modify, transfer, assign, reserve or suspend the Customer’s rights in the Securities and the assets without an order to that effect or consent of the Customer, unless such act is required by law.

9. RISKS INVOLVED The Customer has read and familiarised itself with the Risk Exposure in the investment of Securities and/or Derivatives, as attached hereto, which forms an integral part of this Agreement.

10. CONFIDENTIALITY The Customer is at liberty to change its Private Code. The Customer shall keep its PRIVATE CODE confidential and shall not disclose any person. The Company shall assume no responsibility for an unauthorised and illegal use of the Private Code.

11. ARBITRATION The Customer may complain in case of any unsatisfied services of Securities Business and/or Derivatives Trading to the Arbitration Project of the Office of the Securities and Exchange Commission (the SEC), thus should be under the regulations and procedures of the SEC.

12. The following attachments are assumed to be the part of this Agreement :- (1) Attachment to the Derivatives Agent Appointment Agreement. (Attachment No.1) (2) Risk Disclosure Statement for Futures and Options Trading in Derivatives Exchange. (Attachment No. 2) (3) Notification of Regulations, Conditions and Procedures on Investment Unit Trading. (Attachment No. 3) (4) Memorandum of Understanding Attached to the Securities Brokerage Agreement on Offshore Securities Trading.

(Attachment No. 4) THE CUSTOMER acknowledged and agreed that the Customer can perform on all kinds of business activities and presence of required evidence and will completely comply with the rules, conditions and procedures as specified by the Company and accept that having been explained for all details in whole Attachments by the marketing officer with its risks thoroughly.

/ (Attachment No. 1) …………………

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(Attachment No. 1)

Attachment to the Derivatives Agent Appointment Agreement

1. Definition: In this agreement, the following terms will have the meanings as defined below:

“Force Close Margin Requirement” means the level of margin prescribed by the Company pursuant to relevant laws and regulations that, if the client’s Equity Balance is reduced below such a level, a call will be made by the Company for the client to immediately place additional margin to ensure that the level of his/her/its Equity Balance will be re-adjusted to that of the Maintenance Margin.

“Equity Balance” means value of the client’s cash-equivalent assets placed with the Company which is equivalent to cash plus Mark-to-Market adjustments of the value of futures contracts at the end of a business day (i.e. Equity Balance = Cash Balance + Mark-to- Market from futures).

“Excess Equity” means value of the Equity Balance, less the level of Initial Margin required on a client’s derivatives position(s) (i.e. Excess Equity = Equity Balance – Initial Margin Requirement).

2. Procedure governing Margin Call and Force Close for derivatives instruments is classified for SET 50 Index Futures and SET 50 Index Options. At the end of Day T after the value of the client’s margin has been adjusted by the Company on the Mark-to-Market basis, if it is found that the Equity Balance placed by the client is lower than the Maintenance Margin, a margin call will be made by the Company for an additional margin to be placed by the client by 15.30 hrs of Day T+1. The client has the following options to comply in this respect:

2.1 Place the entire sum of the margin call in cash.

2.2 Close the position(s) of the existing derivatives contract(s), or newly create the derivatives position(s) for the effect that the increase of Equity Balance combined with the decrease of Initial Margin requirement, based on the status on Day T, will not be less than the amount of Margin Call. However, the creation of derivatives position(s) must be for the purpose of risk reduction for the client. After the derivatives position(s) is (are) closed, or after the position(s) is (are) newly created to reduce risks, the value of the client’s Equity Balance must not be less than that of the Initial margin required on the remaining derivatives position(s) or the newly created derivatives position(s).

2.3 Close or create the position(s) (as per Clause 2.2), and place a portion of the amount of margin call. This shall produce the effect that the increase of Equity Balance combined with the decrease of Initial Margin requirement, based on the status on Day T, will not be less than the amount of Margin Call. After the derivatives position(s) is (are) closed, or after the position(s) is (are) newly created to reduce risks, and a portion of the amount of margin call has been placed, the value of the client’s Equity Balance must not be less than that of the Initial margin required on the remaining derivatives position(s) or the newly created derivatives position (s).

Margin Call shall be administered by the Company in accordance with the following procedure:

Case 1: Equity Balance becomes lower than Maintenance Margin but still higher than Force Close Margin Requirement during the course of a day.

During the course of business days :

The Company may make a call for additional margin to be placed by a client for a sum which would increase his/her/its Equity Balance to the level above the Maintenance Margin.

At the end of a Business Day (T) :

After a Mark-to-Market adjustment has been made by the Company for the day and the client’s Equity Balance is lower than that of the Maintenance Margin, the client will be called on to place additional margin by 15.30 hrs of Day T+1. In this respect, additional margin placed must level up the Equity Balance to a point higher or equivalent to that of the Initial Margin.

On the next Business Day (T+1) :

The Company reserves the right to issue a Zero Equity Balance Stop Order during the Derivatives Exchange’s morning trading session on Day T+1 for the case that after the derivatives positions of the client has already been adjusted at the end of Day T and the client’s Equity Balance is found to be lower than that of the Maintenance Margin required. This Zero Equity Balance Stop Order will be cancelled only when additional margin is completely placed by the client or the positions closed or created by any of the above-referenced means by 15.30 hrs of Day T+1.

Remarks : Placement of the Zero Equity Balance Stop Order refers to an order placed for managing risks for the client. This order will be placed to close the derivatives position(s) with the result of leaving an adequate amount of the Client’s Equity Balance to cover payment of pertinent fees and expenses incurred by this closure. If the client fails to place additional margin or to close the position(s) or to create the position(s) by any of the above methods thereby causing the value of his/her/its Equity Balance to be higher or equivalent to the level of the Initial Margin required for the remaining outstanding position(s) or the newly-created position(s) by 15.30 hrs of Day T+1, then the Company will not allow the client to open an additional position and he/she/it will be allowed to close the position(s) only.

If, during business hours on Day T+1, after the client’s margin had been adjusted and it is found that such margin may increase in excess of, or equivalent to, the Maintenance Margin or Initial Margin, the Call Margin process will, nevertheless, continue and the client will still be liable to place additional margin or close or create the position(s) by any of the above means until completion before he/she/it will be authorized by the Company to open an additional position(s).

On a Business Day after the Next Business Day (Day T+2) : Where the client is unable to complete the above procedure by 15.30 hrs of Day T+1 during the Derivatives Exchange’s morning trading session on Day T+2, action will be taken by the Company. The Company will close the position(s) of the client’s holding of derivatives contract(s) at least to the point of ensuring with an effect that the Initial Margin requirement for the client shall be reduced or Equity Balance shall be increased in a combined amount equivalent to the margin call amount, based on the status of Day T. Once the position(s) of the client’s portfolio is closed, the value of his/her/its Equity Balance must not be less than that of the Initial Margin required on the remaining position(s). Moreover, the Company reserves the right in the case of the client’s failure to take any action once such margin call has been issued, to possibly close all of the client’s derivatives position(s) to the extent that the client’s derivatives position(s) held in his/her/its portfolio equal to zero.

/ Case 2 : …………………

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Case 2 : Equity Balance is lower than Maintenance Margin as well as less than the Force Close Margin Requirement during the course of the day.

A. During the course of the day, if the value of Equity Balance is less than the Force Close Margin Requirement, the Company will make an immediate call on the client to place additional margin by 15.30 hrs of that day to ensure that the Equity Balance will be leveled back to that of the Maintenance Margin. After action has been duly taken by the client either to place additional margin or to close the position(s) or create the position(s) by any of the above means, and then after the adjustment of the daily positions at the end of the day, if his/her/its margin is still lower than the Maintenance Margin, action will be taken as per Case 1 [On Day T, T+1, and/or Day T+2]. Moreover, the Company reserves the right to issue a Zero Equity Balance Stop Order on the client immediately when the Equity Balance falls below the Force Close Margin Requirement. Such Zero Equity Balance Stop Order, however, will be revoked once action has been taken completely by the client to either place additional margin or to close the position(s) or create the position(s) by any of the above means.

B. After being notified by the Company (as in Case 2, A), the client must proceed to place an additional margin or close the position(s) or create the position(s) by any of the above means by 15.30 hrs of that day, otherwise Force Close action will be taken immediately by the Company. And, if less than 1 hour notice is given to the client before the Exchange is closed, the Company reserves the right to make such Force Close immediately for the client without having to receive his/her/its prior approval and/or without having to observe the Equity Balance decreases to zero. Before the end of trading day, the Company shall take action to close the client’s derivatives position(s). In effect, the amount of derivatives contract(s) to be closed will render the client’s Equity Balance level to be not less than the maintenance margin level required for the client’s remaining position(s).

C. If the Company finds, after due consideration, that there are fluctuations in the Derivatives Exchange or Referenced Markets or any substantial intraday changes which would have the result of reducing the value of the Equity Balance which will be adjusted in accordance with market prices at any given time to fall below the level of the Force Close Margin Requirement, the Company reserves the right to carry out an immediate Intraday Force Close on a client’s position(s) in which respect he/she/it will have to accept that it is the Company’s right to force close such derivatives position(s) albeit the client will not be deprived of the right to order any closure of the derivatives position(s) by him/her/itself in any way. Thus, if any damage should be incurred as the result of the Company’s above action or omission, the client agrees to accept the incident and will not raise any demand for the Company to take responsibilities for them, nor to raise this matter as a legal defense against the Company.

Case 3: Equity Balance is less than the Intraday Force Close Margin Requirement but then rebounds to a higher level, albeit still less than the Maintenance Margin.

A. Where the margin falls below the Intraday Force Close Margin Requirement at that time, action will be taken by the Company as in Case 2, A, or Case 2, B, whatever the case may be. However, if at the end of the day after the daily position has been adjusted and the client’s margin still remains below the level of the Maintenance Margin, action will be taken by the Company as in Case 1 [Day T, T+1, and/or Day T+2 ].

B. If, while the Call Margin is in process and it materializes that the client’s margin has rebounded to a higher level than the Intraday Force Close Margin Requirement albeit below that of the Maintenance Margin, action will be taken by the Company to place an additional margin call to ensure that it reverts back to the Maintenance Margin level. However, at the end of the day after adjustment of the daily status, if the client’s margin still remains under the level of the Maintenance Margin, action shall be taken as in Case 1 [Day T, T+1, and/or Day T+2 ].

3. In closing any client’s position(s), the Company reserves the right to consider making a closure on any type, series and at any amount of a client’s derivatives contract. If any loss or damages are incurred to a client as the result of the Company’s action, the client agrees not to raise any claims under any circumstances against the Company; not to demand the Company to take any responsibilities; and not to raise such issues as a legal defense against the Company.

4. As for the Zero Equity Balance Stop Order set in case of high market fluctuations, there shall be events that the derivatives trading volume might be low and/or there might not be any bid or offer available at every price level. Therefore, the contracts might be closed at prices significantly different from the prices intended for which the client will still be held responsible for any loss incurred.

5. If a client’s derivatives position(s) or his/her/its portfolio is closed by the Company and the proceeds thereof are not adequate to repay any debts which may be incurred, and/or if loss has already been incurred leaving the client with additional liability payable to the Company, the client agrees to pay the shortfall of this sum to the Company in full and agrees to the Company making a call for payment or to have such debts offset with any of the client’s assets held in the Company’s possession.

6. If the client fails to repay debts as mentioned in 5) by 15.30 hrs of the due date, the Company reserves the right to take Lock Code action on the client’s all trading accounts and to prohibit the client to purchases any additional securities in the client’s all trading accounts. The Sell Only orders will be allowed to be made by the client.

7. In order for the Excess Equity to be withdrawn by the Client, notice must be given to the Company by noon of Day T and payment will be made by the Company on Day T+1 for the portion equivalent to the Excess Equity less the amount of unrealized profits of the futures position(s) as at end of Day T.

8. Payment of interests will be computed out of the sum of Equity Balance as at the end of the business day. However, profits/loss as the result of Mark-to-Market adjustments for options trading contracts will not be included in this computation for interest payables.

9. The client acknowledges and gives his/her/its consent hereby that the Company may take the following action without prior notice if it should transpire that any trading transaction made by a client typically breaches or is non-compliant with the Derivatives Exchange’s regulations, circulars or orders or is likely to cause damages to the trading systems, the Company’s or the Derivatives Exchange’s operations or trading conditions in the overall:

9.1 Give notice to a client not to enter any trading order of this nature into the trading system.

9.2 Cancel transactions with such characteristics.

9.3 Suspend trading services to a client.

Remarks:

1. The Company reserves the right to make any change on these various rules without prior notice.

2. In the case of Call Margin, notice may be given by the Company via telephone, facsimile, SMS, E-Mail or by any

other digital media.


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(Attachment No. 2)

Risk Disclosure Statement for Futures and Options Trading

in Derivatives Exchange

1. FUTURES

1.1 Nature of Futures

Futures is a contract in which parties are bound to perform their obligations thereunder. Unless a party is able to offset its position before the settlement date, the seller of futures is obliged to make and the buyer is obliged to take delivery of the underlying asset of the contract (physical delivery), or a party may make cash settlement where the cash difference between the exercise price and the market value or price of the underlying asset or variable at a time or a period of time in the future as set out in the contract is paid to the other party.

1.2 Risk of Loss in Trading Futures

In futures trading, buyers (a party with long position) and sellers (a party with short position) are required to make an initial margin deposit with their futures agent to secure their performance under futures contracts. Since the amount of initial margin is small compared to the contract’s value, a relatively small movement of the market can lead to either large losses or gains within a short period of time. The Client may sustain losses significantly beyond the amount of initial margin deposit it has made or may be called upon by its agent to liquidate its position at a loss should it be unable to provide additional margin funds within a specified period.

2. OPTIONS

2.1 Nature of Options

Options is a contract in which the seller gives the buyer the right to buy or sell the underlying asset at a fixed price within a specified period of time and conditions, or the right to receive payment from the seller under the conditions specified in the contract. The buyer is required to pay a premium to the seller in exchange for such right to buy or sell.

Options which grants the buyer the right to buy an underlying asset or variable at a fixed price is a call options while options which grants the buyer the right to sell an underlying asset or variable at a fixed price is a put options. Such right must be exercised according to the terms and conditions specified in an options contract.

When the buyer exercises his options, the seller may make physical delivery of the underlying asset or make cash settlement where the cash difference between the exercise price and the market value or price of the underlying asset or variable at a time or a period of time in the future as set out in the contract is paid to the buyer.

2.2 Risk of Loss from Options Trading

A buyer of options may choose to offset his position or exercise the options or can simply allow the options to lapse. If the Client chooses to exercise the options, he /she will receive a cash settlement where the cash difference between the exercise price and the market value or price of the underlying asset or variable at a time or a period of time in the future as set out in the contract is paid to the buyer. Otherwise the Client may choose to make or take delivery of the underlying asset (physical delivery) where it will receive payment of or pay for the underlying asset delivered or taken at the exercise price specified under the contract. If options expire worthless, the buyer’s loss equals the amount of premium.

A seller (writer) of options receives premium from a buyer and is bound to perform his obligation should the buyer exercise the options. The seller is required to make margin deposit. Upon the buyer’s exercise of options, the seller who does not offset his position is required to either make the cash settlement where the cash difference between the exercise price and the market value or price of the underlying asset or variable at a time or a period of time in the future as set out in the contract is paid to the buyer, or make or take delivery of the underlying asset (physical delivery) where he will receive payment of or pay for the underlying asset delivered or taken at the exercise price specified under the contract. If options expire worthless, the seller’s gain equals the amount of premium.

Due to the fact that the maximum loss of a buyer of options is limited to the premium, he/she is to pay the premium but is not required to make margin deposit. On the other hand, the seller’s losses can be unlimited therefore he is required to make margin deposit with a derivatives agent to secure his/her performance under the options similar to the case of futures trading. With an unfavourable movement in the market against his/her position, a seller of options may sustain a loss well in excess of the amount of margin deposit made within a relatively short period of time.

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3. Additional Risks and Other Information Concerning Futures and Options Trading

3.1 Understanding Terms and Conditions of Derivatives Contract

Since derivatives trading carries a high degree of risk, therefore, prior to making investment decisions, the Client should carefully study and understand each category of contract specifications, including, but not limited to, type of underlying assets and variables, contract size/unit/multiplier, last trading day, settlement day, delivery or settlement method, and the delivery or reference price used to determine settlement price and margin requirements. The Client should consider if the investment is suitable for his/ her investment purpose and financial status or not.

With respect to trading options, the Client should also understand other relevant terms and conditions, including type of options, e.g. put options or call options, exercise conditions, type of underlying assets and variables, etc. The Client should consider if the investment is suitable for his/her investment purpose and the risk exposure is acceptable or not. The Client should also consider a potential of return on acquiring a position, amount of premium and transaction fees and possible losses.

3.2 Fees on Derivatives Trading

Prior to trading, the Client should obtain from his/her derivatives agent clear explanation of all fees and other charges for which it will be liable relating to trading, settlement or exercise of options, e.g. commission, exercise fee, etc. These charges add to the Client’s investment costs and will affect loss and gain as well as the Client’s investment decision. Commission may vary depending on type and volume of transactions. The Thailand Futures Exchange Plc and the Office of the Securities and Exchange Commission prescribe no regulation on commission rates.

3.3 Risk of Liquidating Position and Liabilities for Resulting Loss

When the Client establishes certain positions on derivatives, i.e. long futures, short futures and short options, he/she is obliged to perform its obligations under the contract. The Client’s derivatives contract with such position will be marked to market by its derivative agent at least at the end of business day to reflect a daily gain or loss from the Client’s position. Should the loss sustained by the Client’s position in the market cause the balance in its margin account to drop below the maintenance margin, the Client will be called by his/her derivatives agent to deposit an additional fund to maintain its initial margin within a specified period of time. If the Client does not provide the required margin within the time required by his/her derivatives agent, the Client’s position may be liquidated, and the Client will be liable for any resulting loss from such liquidation.

The derivatives agent may also include a forced closeout as an additional term in a Contract Appointing Derivatives Brokerage or its trading regulation, that is when the Client’s balance in its margin account drops to the forced closeout point, the derivatives agent will call the Client to deposit additional margin during trading hours. If the Client does not provide the required margin within the time set out in the agreement or the regulation, the derivative agent is entitled to close out the Client’s position, and the Client will be liable for any resulting loss from such closeout.

Clients who maintain a position in derivatives, whether for their own account or through third party, in excess of the amount determined by the Derivatives Exchange and are unable to offset such excessive position as informed by their derivatives agents will be exposed to the similar foregoing risk.

3.4 Risk Associated with Failure to Offset Position

Should the client be unable to offset its derivatives position before the settlement date due to unfavourable market conditions, e.g. illiquidity, trading halt in the market, and etc , the Client may sustain a loss due to its outstanding position in derivatives contracts at settlement date.

3.5 Risk Associated with Failure to Execute Stop Loss Order

A derivatives agent may not be able to execute some types of orders, such as ‘stop-loss’ or ‘stop-limit’ orders, placed by the Client to limit his/her losses, since market conditions at the time the order is placed may make it impossible to match such orders.

3.6 Risk from Position Restriction or Prohibition

The Derivatives Exchange, the Clearing House or the Office of Securities and Exchange Commission may order derivatives agents to restrict or prohibit a client from acquiring further position, to close its trading accounts or to liquidate his/her position if the client’s derivatives transactions have or may have affected the integrity of derivatives trading in the Derivatives Exchange, or have or may have caused the price of derivatives traded in the Derivatives Exchange to be inconsistent with the normal market condition, or are inappropriate or may violate the law governing derivatives; or if the client fails, upon request of the Derivatives Exchange, the Clearing House or the Office of Securities and Exchange Commission, to inform or provide information, or gives false or misleading explanation or information to its derivative agent, the Derivatives Exchange, the Clearing House or the Office of Securities and Exchange Commission.

The Office of Securities and Exchange Commission may also order the Derivatives Exchange or the Clearing House to suspend trading or restrict or liquidate position of clients where it is necessary to maintain the stability of the financial and economic system of the country, or to maintain the stability of the trading and settlement system of the derivatives market.


Page 14 / 17

(Attachment No. 3)

Acknowledgment of the Rules, Conditions and Procedures for Trading of

Investment Units On Over- the-Counter Centre

1. I/we agree to be bound by and to comply with the rules, conditions and procedures for the purchase and/or redemption of investment units on the OTC, as follows.

1.1 I/we agree and acknowledge that I/we shall give an order for the purchase and/or redemption of investment units per such form and in such manner as determined by the Company and that I/we am/are familiar with the trading procedures and the investors’ rights. I/we also acknowledge receipt of an investor manual from the Company.

1.2 If I/we give an order to purchase the investment units and pay by cheque, the Company shall make payment for those investment units on my/our behalf before knowing the results of the collection under the cheque. If I/we give an order to redeem the investment units, the Company shall receive the proceeds thereof on my/our behalf and deliver the same to me/us in due course.

1.3 If the Company cannot collect the money under the cheque for the investment units so purchased, the Company shall be entitled to resell those investment units immediately or at any time the Company deems appropriate and to apply the proceeds thereof towards payment for the investment units purchased by me/us on my/our behalf as well as payment of a penalty at the rate determined by the Company. If the proceeds of the redemption are insufficient for such payment, I/we shall be responsible for immediately paying the shortfall and the penalty to the Company. In that case, any document or evidence, including the certificate of rights in investment units given to me/us in consequence of my/our purchase of such investment units, shall be deemed revoked forthwith.

1.4 If the Company and/or any person designated by the Company performs in accordance with the provisions of this Acknowledgment, it shall be deemed that the Company and/or such person has been authorised by me/us to do so, which includes purchasing and/or reselling investment units, receiving the proceeds of the resale, executing documents and/or doing any other thing on my/our behalf.

1.5 If the purchase price or redemption price of the investment units as announced by the management company is not accurate and compensation therefor is allowed under the notification of the Office of the Securities and Exchange Commission (SEC) regarding the rules and procedures to be observed by the management company in case of inaccurate sale price or redemption price of an open fund, I/we agree to be compensated by the Company in respect of the investment units purchased and/or resold by the Company on my/our order, in accordance with the rules and conditions of such notification and/or the rules and conditions deemed appropriate by the Company. I/we also agree to pay additional sum (if any) to the Company as a result of such compensation immediately upon notice by the Company.

1.6 The Company has acquainted me/us with the fact that:

(1) The Company shall hold the investment units on my/our behalf, with the exception of the investment units of certain mutual funds as specified by the Company (e.g., RMF), and I/we shall, through the Company, open a trading account by executing an application for mutual fund services and/or a request to open an omnibus account and/or any other application form as well as any supporting documents as required by the management company and/or the Company;

(2) In acting as broker for the purchase and/or redemption of investment units hereunder, the Company shall receive fees and/or remuneration in return; and

(3) My/our order to purchase and/or resell the investment units which has been carried out by the Company shall be irrevocable without consent of the Company.

1.7 I/we agree to be bound by and to comply with all terms and conditions set out in the prospectus for the offering of the investment units in which I/we have invested hereunder.

2. I/we am/are well aware that in acting as a broker who facilitates the sale and the redemption of investment units hereunder, the Company and/or its officer responsible there for has such responsibilities and obligations as set out in the notifications of the SEC Office and/or the SEC notifications and/or the rules, regulations and orders of any other competent authorities or the applicable laws. I/we agree to do my/our best to cooperate with the Company and/or its officer and shall strictly comply with the rules, conditions and procedures for the brokerage as set out by the Company. I/we also agree to provide my/our personal information and the information for transaction reporting required under the anti-money laundering law and to prepare or execute any document and/or evidence required by such person. I/we confirm that I/we shall not do or omit to do or permit any person to do or omit to do anything that will result in the Company and/or any of its directors, officers and employees being penalised, punished or liable or suffering damage under any notifications of the SEC Office and/or any SEC notifications and/or any rules, regulations and orders of any other competent authorities or the applicable laws. I/we agree to fully indemnify the Company and/or its director, officer and employee for and against such damage immediately upon notice by the Company.

3. If I/we want to cancel this Acknowledgment, I/we shall give at least 7 business days’ prior notice to the Company.

4. If any provision of this Acknowledgment is against the law or unenforceable under any law or does not coincide with the facts or circumstances or is held invalid by operation of law, I/we agree that the other provisions that are enforceable shall continue to apply.

5. I/we agree that this Acknowledgment is an integral part of the Brokerage Agreement and that all terms and conditions set out in the Brokerage Agreement shall apply mutatis mutandis.

6. I/we agree and acknowledge that the Company may at any time cancel and/or refuse to perform in accordance with this Acknowledgment without prior notice to me.

7. I/we agree and acknowledge that the Company may alter the rules, conditions and procedures for acting as a broker for the purchase and/or redemption of investment units on the OTC and/or the rules, conditions and procedures for acting as a broker who facilitates the sale and the redemption of investment units and may charge the fees and/or service fees and/or any other expenses incurred in connection therewith as the Company deems appropriate, in accordance with the terms and conditions set out by the SEC or relevant authorities. The Company shall notify me/us of any material change in those rules, conditions and procedures, and I/we agree to be bound by and to strictly comply with such change or alteration.


Page 15 / 17

(Attachment No. 4)

Memorandum of Understanding Attached to the Securities Brokerage Agreement

On Offshore Securities Trading

1. RISK DISCLOSURE

There are risks involved in investments in offshore securities. Investors may lose all or some of their money. Therefore, investors should carefully examine and study all the information given in this Risk Disclosure document, where certain risks that might significantly affect the investments are presented. However, as this document presents only some, not all, risks involved in offshore securities investments, there may be other factors or risks which are unforeseen or at present considered insignificant but which become essential in the future.

This Risk Disclosure document is not business, legal, tax or accounting advice. Investors should consult their consultants about the various aspects of the investments in offshore securities and should not make any investment decision unless they thoroughly understand the risks inherent therein, and they should make an investment decision on the premise that investments in such offshore securities are suitable for them.

1.1 General Risk

Investments in offshore securities are at risk of losing all or some of the investments due to a number of unforeseen factors, including government activities, economic and political situations both inside and outside the country, force majeure and events beyond control such as war, riot, civil disturbance or terrorism, all of which might cause the volatility of securities market and prices.

1.2 Market Risk

Offshore securities in which the investors are going to invest may be securities traded or listed in a country whose political, economic, legal and regulatory concepts and practices differ significantly from those of Thailand. Besides, the stock exchange on which such securities are traded or listed may at its discretion suspend the trading from time to time. Such exposure to change or volatility may adversely affect the trading volumes and the prices of the securities.

Apart from such internal factors, the trading volumes and the prices of the securities may be affected by external factors such as war or the world or the region’s economic and/or financial crisis.

1.3 Settlement Risk

Offshore securities investments involve orders, delivery and settlement in foreign stock exchanges whose rules and laws differ from country to country. Investors may not be as protected in certain transactions as are the investors of that country; or the settlement and delivery systems of those stock exchanges may be of lower standard or, in some cases, less reliable than those of the Stock Exchange of Thailand; or the fees for the settlement and delivery of securities may be higher than those charged in Thailand or expected by the investors. In addition, as the Stock Exchange of Thailand and the foreign stock exchanges are not linked systematically, the settlement and delivery of securities may take more time than anticipated. All the above factors may result in exposures to other risks such as corruption; failure in delivery; confusion about settlement, delivery and repayment procedures; and other factors that might cause loss, loss of opportunity, delay, extra costs and legal expenses.

1.4 Legal Risk

As offshore securities investments are the investments in securities of the companies whose offices, assets, personnel and interests are in foreign countries where rules or laws are different from country to country. Therefore, investments may be restricted or controlled to different degree according to those rules or laws. Such restrictions or controls may include the requirements that approvals or authorisation from government agencies or any other person be obtained before the investments are made, the restrictions on foreign investors when investing in certain kinds of business, the request for approvals of government agencies to bring the return on investment or the funds or the proceeds of the sale of offshore securities out of the country, or the taxation in relation to the investments made by foreign investors. Besides, those rules and laws may be unclear and dependent on the interpretation of the relevant authorities in those countries, which interpretation may or may not be in favour of the investors, not to mention the fact that those rules or laws may be re-enacted from time to time, resulting in the uncertainty of their scope and subject matter. All those factors can adversely affect the investments.

In addition to those restrictions and controls, in some countries the rights of the investors, as holders of securities, are given very little protection, including the right to file suit and to seek execution of judgments. The justice system of each country is also different in terms of its effectiveness. Investors may have problems with the judicial process of certain countries, and there is no guarantee that a judgment rendered in favour of the investors in one country can be enforced the same way in the country where the investors have made investments.

1.5 Liquidity Risk

Even if the investors make investments in listed securities, in some countries the stock exchange on which those securities are listed is a second position market with lack of liquidity. The liquidity of securities may also depend on other factors such as the nature of securities or the internal or external factors of the country where such stock exchange is situated. Lack of liquidity may result in the investors being prevented from buying or selling those securities or being unable to buy or sell the securities at such price or in such quantity as required.

1.6 Exchange Risk

As the investments in offshore securities require payment in foreign currencies, the return on the investments may be significantly affected by the risk of exchange rates. Investors may face such risk if there is a change in value of the relevant foreign currency against the value of Thai baht. Such change may occur either irregularly or permanently. Besides, the investors may suffer from the devaluation of any foreign currency in which they have made investments.

1.7 Reliability Risk

Reliability risk is the risk that the counterparty, which includes the issuer of the offshore securities in which the investors have invested (either in stock exchanges or over-the-counter markets), may not be reliable. Investors may face the risk of losing all or some of their investments if the counterparty or the issuer of such offshore securities becomes bankrupt or insolvent to the extent of being unable to meet its payment or other obligations, including the obligation to make the repayment of the funds or to release the securities in which the investors have invested.

/ 1.8 Investment Risk …………………

Page 16 / 17

1.8 Investment Risk

Investors make their own investment decisions. The Company does not act as consultant or trustee for the investors. Before making an investment decision, the investors have confirmed that they have thoroughly studied and reviewed all the information regarding the business and financial standing and the results of operation of the issuer of the securities in which they are going to invest, as well as other investment factors such as the political and economic situations and the rules and regulations of the relevant countries. Thus, the investors have to assume the investment risk on their own. The Company is under no obligation to protect the interests of the investors, nor is it held responsible for and against any liability, claim, damage, loss, cost and expenses incurred from the investments made by the investors.

2. RESTRICTIONS ON INVESTMENT The Customer agrees and acknowledges that in making investments in offshore securities, the Customer shall comply with the following:

2.1 The Customer shall not be allowed to transfer the money or the securities kept in the trading account opened by the Customer with the Company for the purpose of offshore securities investments (the Customer’s Account) to any other trading account the Customer has opened overseas.

2.2 The Customer shall not be allowed to transfer the offshore securities purchased through the Company and/or kept in the Customer’s Account to any other trading account of the Customer, except for the transfer of the offshore securities in the Customer’s Account to the [Private Fund] account opened by the Customer and managed by the Company or any other securities company in Thailand.

2.3 The investments made by the Customer shall be approved from time to time by the Exchange Control Officer under the laws on exchange control and/or other relevant authorities (if any), provided that the Customer must have first obtained the Company’s approval for the trading limit, the allocation of which has been acknowledged by the Office of the Securities and Exchange Commission.

2.4 The Customer confirms that the funds used in this offshore securities investment are the Customer’s own money and not the borrowed funds.

3. GENERAL CONDITIONS 3.1 The Customer agrees to pay the exchange and remittance fees by allowing the Company to deduct the same from the security deposit

provided by the Customer, and the Company may use the exchange and remittance services of any commercial bank.

3.2 If the Customer enters into any hedging transactions on his/her own, the Customer shall immediately notify the Company of each of such transactions.

3.3 The Customer agrees and authorizes the Company to arrange for the fund limit approval or any activities related to the Customer from the Office of the Securities and Exchange Commission (the SEC), the Bank of Thailand (the BOT) or any other departments concerned, all this is under the Company’s consideration.

3.4 Withdrawals from trading accounts shall be in accordance with the rules, conditions and procedures set out by the Company and subject to the relevant rules and regulations, including the rules and regulations of the country where the Customer has made investments.

3.5 The Company may have the Customer’s offshore securities kept in the custody of its agent.

The Customer has read and understood the entire contents of these Attachments and executed this Agreement in the presence of the witnesses.

Signed ________________________________________________________________________________________________________ Customer

( _______________________________________________________________________________________________________ )

Signed ____________________________________________________________________________________________________________ Witness / Marketing Officer

( _______________________________________________________________________________________________________ )

Signed ____________________________________________________________________________________________________________ Company

For and on behalf of KT ZMICO Securities Company Limited

Signed ____________________________________________________________________________________________________________ Witness

( _______________________________________________________________________________________________________ )

Page 17 / 17

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บนทกขอตกลงแกไขเพมเตมบนทกแนบสญญาแตงตงตวแทนเพอซอขายสญญาซอขายลวงหนา

Amendment to the Attachment to the Derivatives Agent Appointment Agreement

บญชซอขายตราสารอนพนธเลขท Derivatives Trading A/c No. ___________________________

วนท Date _____________________________________

ตามทบนทกแนบสญญาแตงตงตวแทนเพอซอขายสญญาซอขายลวงหนา มขอความวา บรษทขอสงวนสทธทาการตงคาสง Zero Equity

Balance Stop เพอวตถประสงคในการบรหารความเสยงซงจะเปนการตงคาสงเพอดาเนนการปดฐานะสญญาแลวทาใหระดบหลกประกนเทยบเทา

เงนสดของลกคามมลคาเหลอพอสาหรบคาธรรมเนยม และคาใชจายในการปดฐานะ เนองจากในปจจบนน บรษทไดใหบรการการเปนตวแทน

สญญาซอขายลวงหนาทมสนคาอางองเพมขนหลายชนด ตลาดมชวงเวลาซอขายเพมมากขนและมความผนผวนมากขน รวมถงปจจบนนมลกคา

ทไววางใจใชบรการผานบรษทเพมขนมาก และคณะกรรมการกากบตลาดทนไดมประกาศ แกไข เพมเตมเกยวกบการเรยกและการวางหลกประกน

ในการซอขายสญญาซอขายลวงหนาฯ ใหสอดคลองกบสภาวะการซอขายในปจจบน

According to the Attachment to the Derivatives Agent Appointment Agreement specified that “ The Company reserves the right to

issue a Zero Equity Balance Stop” in order to close the derivatives position(s) for the reason of managing risk and keep an

adequate amount of the Customer’s Equity Balance to cover payment of pertinent fees and expenses incurred by this closure.

Nowadays, we have provided a wide range of services as a Derivatives Product Agent, coincidently the derivatives market has

expanded its additional trading sessions and has more fluctuation together with the Customers has also trustfully used our

services increasingly. Thus the Capital Market Supervisory Board (CMSB) has notified to amend, request for additional margin on

derivatives trading in order to adjust along with the current situation

ดวยเหตผลดงกลาวขางตนมผลทาใหการตงคาสง Zero Equity Balance Stop ทกาหนดในบนทกแนบทายสญญาแตงตงตวแทนเพอซอขาย

สญญาซอขายลวงหนานนไมสามารถดาเนนการใหบรรลวตถประสงคได

To the above reason, it will effect to the issuance of Zero Equity Balance Stop as specified in the Attachment to the Derivatives

Agent Appointment Agreement that such order is unable to execute anymore.

ดงนน ลกคาจงรบทราบและตกลงใหบรษทยกเลกการตงคาสง Zero Equity Balance Stop ตามทระบไวในบนทกแนบสญญาแตงตงตวแทน

เพอซอขายสญญาซอขายลวงหนา

Thus the Customer acknowledges and agrees to the Company to cancel such “Zero Equity Balance Stop” order as specified by the

Derivatives Agent Appointment Agreement.

ลงชอ Sign ___________________________________________________________

ลกคา Customer

( ________________________________________________________ )

ลงชอ Sign ___________________________________________________________

พยาน / เจาหนาทการตลาด Witness / Marketing Officer

( ________________________________________________________ )

ลงชอ Sign ___________________________________________________________

บรษท The Company

(บรษทหลกทรพย เคท ซมโก จากด / KT ZMICO Securities Company Limited)

ลงชอ Sign ___________________________________________________________

พยาน Witness

( ________________________________________________________ )

Subject: The modification of the procedures for margin calls and force close for derivatives trading.

According to the announcement of the Futures Industry Club No. FIC 2/2015 on the subject of the procedures for margin calls and force close for derivatives trading, the Company would like to adjust such procedures to comply with the announcement. The details are as follows: The procedures for margin calls and force close for derivatives trading. When a regular trading session of Day T is closed, the Company will adjust the value of Customer’s collateral in accordance with the Mark-to-Market basis.

If the Equity Balance(EB) becomes lower than the Maintenance Margin Rate(MM) [ EB < MM ]

The Company will make a call for the additional margin to be placed by the Customer within Day T+1, by 1 hour before Thailand Futures Exchange closes the regular trading session. The Customer can choose one of the following options to comply in this respect: (1) Place the entire sum of the margin call in cash. (2) Close the position(s) of the existing derivatives trading, or newly create a derivatives position(s) for the effect that the increase of the Equity Balance combined with the decrease of the Initial Margin Rate, based on the status on Day T, will not be less than the amount of the margin call. (3) Close or create the derivatives position(s) only in part, and place a portion of the cash amount of the margin call. The combination of the Equity Balance and the decrease of the Initial Margin rate, based on the status on Day T, will not be less than the amount of the margin call. If the Customer fails to perform the abovementioned within the set time, the Company will not allow the Customer to create an additional derivatives position(s). Provided that the Customer performs the abovementioned within the set time, the Company will authorize the Customer to create an additional derivatives position(s). Margin call procedures Case 1: Equity Balance(EB) becomes lower than the Maintenance Margin Rate(MM) but is still higher than the Force close Margin Rate(FM) during the course of a day [ EB< MM > FM ]

During the course of business days:

The Company will make a call for the additional margin to be placed by the Customer in order to increase their Equity Balance to the level above the Maintenance Margin Rate.

At the end of a Business Day (T):

After a Mark-to-Market adjustment has been made by the Company for the day and the Customer’s Equity Balance is lower than that of the Maintenance Margin Rate, the Customer will be called on to place an additional margin. In this respect, the additional margin placed must level up the Equity Balance to a point equivalent to that of the Initial Margin Rate within Day T+1, by 1 hour before Thailand Futures Exchange closes the regular trading session.

On the next Business Day (T+1):

If the Customer fails to place an additional margin or to close or create the derivatives position(s), thereby causing the value of their Equity Balance to be higher than the level of the Initial Margin Rate and not less than the value of the margin so called in the margin call letter 1 hour before Thailand Futures Exchange closes the regular trading session, then the Company will not allow the Customer to open an additional derivatives position(s). If, during business hours on Day T+1, after the Customer’s margin has been adjusted and it is found that such margin may exceed, or be equivalent to, the Maintenance Margin Rate or the Initial Margin Rate, the margin call process will, nevertheless, continue and the Customer will still be liable to place an additional margin or close or create a position(s) by any of the above means until completion before they will be authorized by the Company to open an additional position(s).

On a Business Day after the Next Business Day: (Day T+2)

When the Customer is unable to complete the above procedures by the specified time, the Company will close the position(s) of the Customer’s holding of derivatives trading during the Thailand Futures Exchange’s morning trading session at least to the point of ensuring that the Initial Margin Rate for the Customer shall be reduced or the Equity Balance shall be increased in a combined amount equivalent to the margin call amount, based on the status of Day T. Once the position(s) of the Customer’s portfolio is closed, the value of their Equity Balance must not be less than that of the Initial Margin Rate of the remaining position(s). Moreover, the Company reserves the right to possibly close all of the Customer’s derivatives position(s) to the extent that the Customer’s derivatives

position(s) held in their portfolio are equal to zero.

Case 2: Equity Balance(EB) is lower than Maintenance Margin Rate(MM) as well as less than the Force close Margin Rate(FM) during the course of the day [ EB< MM < FM ].

There are two trading sessions in this case:

Session 1 Thailand Futures Exchange closes the morning trading session

The Customer must place an additional margin to ensure that the Equity Balance will be leveled back to that of the Maintenance Margin Rate by 1 hour before Thailand Futures Exchange closes the regular trading session. *If the Customer fails to place an additional margin within the set time, the Company has the right to close the position(s) in order to decrease the Maintenance Margin Rate to a point equivalent to that of the Equity Balance before Thailand Futures Exchange closes the regular trading session.

Session 2 Thailand Futures Exchange closes the regular trading session

The Customer must place an additional margin to ensure that the Equity Balance will be leveled back to that of the Maintenance Margin Rate by 1 hour before Thailand Futures Exchange closes the morning trading session on Day T + 1. *If the Customer fails to place an additional margin within the set time, the Company has the right to close the position(s) in order to decrease the Maintenance Margin Rate to a point equivalent to that of the Equity Balance before Thailand Futures Exchange closes the morning trading session on Day T + 1.

In the event that the Customer is liable to place an additional margin so called in the margin call letter, then the Customer will still be responsible to place an additional margin so called in such letter as specified in procedure case 1 in all respects.

Moreover, if the Company finds, after due consideration, that there are fluctuations in the Market or any substantial intraday changes causing the value of the Equity Balance, which will be adjusted in accordance with market prices at any given time, to fall below zero,the Company then reserves the right to carry out an immediate Intraday Force close on a Customer’s position(s) until the Equity Balance is leveled back to that of the Maintenance Margin Rate without prior notice to the Customer. The Customer shall agree that the right to force close derivatives position(s) belongs to the Company, but does not limit the right of the Customer to order any closure of their own derivatives position(s). Thus, if any damage should be incurred as a result of the Company’s above action or omission, the Customer agrees to accept such an incident and will not demand that the Company take responsibility for them, nor to raise this matter as a legal defense against the Company. The adoption of the procedures for margin calls and force close for derivatives trading. (1) The modification of the procedures for margin calls and force close is the minimum standard announced by the boards of directors of the Futures Industry Club. The Intraday Force Close is accordance to the conditions of Derivatives Agent Appointment Agreement. NOTE 1 - Moreover, this is to prevent any damage that may occur from the fluctuations in the Market. (2) The Company will adhere to such announcement as described in clause(1), which will be effective for all Customers from October 1, 2015 onwards. (3) This letter is a part of the Derivatives Agent Appointment Agreement. In case that any part of such Agreement, addendums as well as attachments or documents, which are a part of the Agreement, contravene or violate the content of this letter, such conflicting part shall be deemed canceled and unenforceable (only the conflicting part), and the content of this letter shall be applied instead. Furthermore, the Customer can refer to the website www.ktzmico.com and www.asco.or.th for more information or ask their personal marketing consultant. Your kind attention is highly appreciated. Yours sincerely,

KT ZMICO SECURITIES COMPANY LIMITED

The Customer herby confirms having acknowledged, understood and accepted the terms and conditions contained herein and with the Customer’s signature as evidence thereof.

Signature ____________________________________________Customer (_______________________________________) CS 21-09-2015 Please sign as same signature as given to the Company

Power of Attorney

Executed at KT ZMICO Securities Company Limited

Date __________________________________________________________

By this instrument, I/we __________________________________________________________________________________________________________________________________________________

Age ____________________ years, ID Card No. / Passport No. / Juristic Registration No. __________________________________________________________________

located at ___________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________ Tel. _____________________________________________ Hereinafter called the “Grantor”

hereby authorize ________________________________________________________________________________________________________________________ Age _________________ years,

ID Card No. / Passport No. _______________________________________________________Relationship ___________________________________________________ of the Grantor

located at ___________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________ Tel. __________________________________________ Hereinafter called the “Attorney-in-fact”

having power to deal with KT ZMICO Securities Company Limited on my behalf to the following activity :-

1) To purchase, sell, transfer-out, transfer-in, deposit and subscribe for all kinds of securities and/or derivatives listed in the stock exchange or other trading center, or to accept the trading transactions on behalf of the Grantor together with to receive, to deliver, to acquire the mentioned securities and/or derivatives.

2) To pay for the cost of securities and/or derivatives purchased, commission/brokerage fees, duty stamp and other expenses related to the trading transactions, to request and receive money for the sold securities and/or derivatives, together with dividend, interest or other rights of benefits received from the securities and/or derivatives.

3) To deposit, withdraw cash or other assets placed for collateral in securities and/or derivatives account in order to offset the purchased securities and/or derivatives, share subscriptions and/or other expenses derived from the purchase of securities and/or derivatives, or to exercise for any rights in securities by order of the Grantor or may request from time to time, to deposit, withdraw the outstanding of cash or other assets under my name or other party which can be under the regulations of the Company.

4) To receive any advices together with documents related to the trading transactions on behalf of the grantor.

5) To perform any other acts under the laws, regulations, conditions and terms, and other obligations related to the aforementioned transactions which is necessary or appropriated in the exercise of any of the power granted in this Power of Attorney made with KT ZMICO Securities Company Limited.

Any acts duly performed by the “Attorney-in-fact” on his/her substitute by virtue hereof shall be the responsibility of the Grantor and shall be binding upon the Grantor in all respects. In witness whereof, I/We have signed my/our name in the presence of witness.

Signature ________________________________________________________________________________________________ The Grantor

( _________________________________________________________________________________________________ )

Signature _____________________________________________________________________________________________________ Attorney-in-fact

( _________________________________________________________________________________________________ )

Signature _____________________________________________________________________________________________________ Witness / Marketing Officer

( _________________________________________________________________________________________________ )

Signature _____________________________________________________________________________________________________ Witness

( _________________________________________________________________________________________________ )

Duty Stamp

THB 30.-





Remarks : _____________________________________________________________________________________________________________________________






Remarks : _____________________________________________________________________________________________________________________________


วนท/Date ……………………………

เรยน ผจดการธนาคาร Dear The Manager of (Bank),

…………………………………………..………………

สานกงานใหญ/สาขา Head Office / Branch …………………...............................................................................

ขาพเจา I

…………………………………………………………………………………..………

บตรประชาชน หนงสอเดนทาง เลขท ID.Card Passport No. ……………………………………

เจาของบญชเงนฝากประเภท ออมทรพย กระแสรายวน บญชเลขท (10 หลก) ชอบญช Owner of Savings A/c Current A/c A/c No. (10 digits) ………………………………..……..……… A/c Name ………………………………..……………..…...……… สถานทตดตอ Contact Address

……………………………………………………………………………………………………………………..……………………..………………………………………………………….

รหสไปรษณย Post Code ………………………………….

โทรศพท Tel. .…………………………………………………………….…..

อเมล E-mail …………………………...…...………..….

มความประสงคใหธนาคารหกเงนจากบญชเงนฝากดงกลาวของขาพเจา และนาสงเงนดงกลาวโอนเขาบญชเงนฝากของบรษทหลกทรพย เคท ซมโก จากด (ตอไปนเรยกวา “บรษท”) และ/หรอ ตวแทนของบรษท และ/หรอ บญชอนใดซงบรษทจะเปลยนแปลงหรอกาหนดเพมเตมในอนาคต เพอชาระหน และ/หรอ บรรดาภาระผกพนตางๆตามจานวนเงนทปรากฏในใบแจงหน หรอระบบสอสารขอมลคอมพวเตอร หรอแผนบนทกขอมล (Diskette) หรอขอมลอเลคทรอนค (Electronic data ) หรอคาสงทธนาคารไดรบจากบรษท และ/หรอ ตวแทนของบรษท และ/หรอ บคคลอนทไดรบแตงตงหรอมอบหมายจากบรษทใหกระทาการแทน และ/หรอ ในนามของบรษท

ทงน ขาพเจาตกลงชาระคาบรการ และ/หรอ คาธรรมเนยม และ/หรอ คาใชจายอนๆทเกยวกบการใชบรการหกบญชดงกลาวใหแกธนาคารตามทธนาคารกาหนด โดยยนยอมใหธนาคารหกเงนจากบญชเงนฝากทระบขางตน และ/หรอ บญชเงนฝากอนใดของขาพเจาทมอยกบธนาคาร เพอชาระคาบรการ และ/หรอ คาธรรมเนยม และ/หรอ คาใชจายดงกลาวได

Request the bank to debit my aforesaid account and credit the same amount to the bank

account of KT ZMICO Securities Company Limited (hereinafter called “The Company”

and/or the agent of company and/or the other account which the company will change in the

future) for the payment of the debt and/or any obligations as the amount specified in the

billing note or the data communication system by computer or Diskette or Electronic data or

the order that the bank receives from the company and/or agent and or the others that are

authorized or assigned from the company to act instead and/or in the name of the company.

So that, I accept to pay the service charge and/or fee and/or the other expenses about the

ATS deduction service as mentioned above to the bank as the bank specified and I allow the

bank debit the fees from my aforesaid bank account and/or my other accounts that have with

the bank in order to pay the service charge and/or fee and/or those expenses.

ในการหกเงนจากบญชเงนฝากของขาพเจาเพอชาระหนและ/หรอบรรดาภาระผกพนตาง ๆ ใหแกบรษทดงกลาว หากปรากฏในภายหลงวาจานวนเงนทระบในคาสงตามทธนาคารไดรบนนไมถกตอง และธนาคารไดทาการหกเงนจากบญชเงนฝากของขาพเจาตามจานวนทปรากฏในคาสงเรยบรอยแลว ขาพเจาตกลงทจะดาเนนการเรยกรองเงนจานวนดงกลาวจากบรษทโดยตรง ทงน ขาพเจาขอสละสทธในการเรยกรอง หรอฟองรองใหธนาคารชดใช และ/หรอ คนเงนทธนาคารไดหกและโอนเขาบญชเงนฝากของบรษท และ/หรอ เงนคาบรการ และ/หรอ คาธรรมเนยม และ/หรอ คาใชจายอนๆทหกชาระใหแกธนาคาร(ถาม) และขาพเจายอมรบวาธนาคารจะหกเงนจากบญชของขาพเจาตอเมอเงนในบญชมเพยงพอในการหกบญชในขณะนนเทานน และในการหกบญชเงนฝากดงกลาว ขาพเจาไมประสงคจะใหธนาคารแจงการหกบญชแตอยางใด เนองจากขาพเจาสามารถทราบรายการดงกลาวนนไดจากสมดคฝาก และ/หรอSTATEMENTของธนาคาร และ/หรอจากใบรบเงน และ/หรอ ใบเสรจรบเงนของบรษทอยแลว

For the said debit to my account for payment of the debt and/or any obligations to the

Company, should it appear later that the bank was notified the incorrect amount contained in

the transaction and the Bank has already debited the sum equivalent to the amount stated in

the transaction from my account, I agree to claim such amount from the Company directly. I

hereby waive my right to claim or sue the Bank to reimburse and/or refund the money

including the service charge and/or fee and/or the other expenses (if any) which the Bank

has debited and credited to the account of the Company. I agree that the Bank shall debit

only when the fund in my account is, at the time, available. I also waive notice of such debit

because I will be able to receive all details from the passbook/statement of the bank, and/or

invoice/receipt of the Company.

ในกรณทเอกสารหลกฐาน เลขทบญชเงนฝากทกลาวในวรรคขางตนไดเปลยนแปลงไปไมวาโดยเหตใดกตาม ขาพเจาตกลงใหหนงสอยนยอมใหหกบญชเงนฝากฉบบนคงมผลใชบงคบสาหรบบญชเงนฝากทไดมการเปลยนแปลงเอกสารหลกฐานหรอเลขทบญชเงนฝากดงกลาวไดดวยทกประการ การขอใหหกบญชเงนฝากตามหนงสอนใหมผลใชบงคบทนทนบแตวนทาหนงสอน และใหมผลบงคบตอไปจนกวาจะไดเพกถอนโดยทาเปนลายลกษณอกษรใหธนาคารและบรษททราบลวงหนาไมนอยกวา 2 เดอน

In case of documents of evidence and the account number mentioned above has been

changed for whatever reason, this letter of consent shall be valid and enforceable for such

account. The debit to my account shall be immediately valid upon entering into this letter of

consent and shall be in full force and effect until the cancellation of the service by my written

instruction to revoke this letter of consent is given to the Bank and my notification to the

Company not less than 2 months in advance.

ขอแสดงความนบถอ / Sincerely yours,

ลงลายมอชอ Signature

………………………………………………………………….. (ตามทใหไวกบธนาคาร / At that given to the bank)

ผใหความยนยอม Consenting party

หนงสอยนยอมใหหกบญชเงนฝากธนาคาร Letter of Consent for Debit to the Bank Account

[ATS]

รบทราบโดย รบรองความถกตองของบญชเงนฝาก และลายมอชอผใหความยนยอม ระบเลขทบตรพนกงาน

ลงชอ …………………………………………………………………… (…………………………………………………………)

ลงชอ ……………………………………………………………… (…………………………………………………………)

บรษทหลกทรพย เคท ซมโก จากด / KT ZMICO Securities Company Limited ลายมอชอผรบมอบอานาจสาขา

กรณาแนบ “สาเนาสมดคฝากบญชธนาคารหรอสาเนาใบแจงรายการบญชธนาคาร” (หนาทมชอและเลขทบญช) พรอมรบรองสาเนาถกตอง Please provide the copy of Passbook / Stateemnt with Name and Bank Account Number (Certified true copy)

บรษทหลกทรพย เคท ซมโก จากด KT ZMICO SECURITIES COMPANY LIMITED ชน 15 อาคารลเบอรตสแควร เลขท 287 ถนนสลม เขตบางรก กรงเทพฯ 10500 15th Floor, Liberty Square, 287 Silom Road, Bangrak, Bangkok 10500

Tel. +66(0) 2695 5500 Fax: +66(0)2695991 http://www.ktzmico.com

Name - Surname :

Part 1 Personal Information Score

1. Age � Over 55 years 1

� 45-55 years 2

� 35-44 years 3

� Under 35 years 4

� More than 75% of total incomes 1

� Between 50%-75% of total incomes 2

� Between 25%-50% of total incomes 3

� Less than 25% of total incomes 4

3. Your current financial status. � Assets less than liabilities 1

� Assets equal liabilities 2

� Assets more than liabilities 3

� Have confident that there is enough savings or investments for life after retirement. 4

� Bank deposit 1

� Government Bond or Government Bond Funds 2

� Debenture or Fixed Income Funds 3

� Stock, Equity Fund, or other high risk assets. 4

� Less than 1 year 1

� 1-3 years 2

� 3-5 years 3

� More than 5 years 4

6. What is the main purpose of your investment? � 1

� Focus the opportunity to earn consistent returns, but may have some risk of loss of principal. 2

� Focus the opportunity to earn higher returns, but the opportunity of loss of initial investment is increased. 3

� Focus the highest returns in long term, but the risks of loss of mainly initial investment may be high. 4

� 1

� 2

� 3

� 4

� Anxiety and panic to feel fear of loss 1

� Uncomfortable but can understand 2

� Understand and accept a certain level of fluctuations. 3

� Do not worry about the high loss and expected to get higher returns. 4

� 5% or less 1

� More than 5%-10% 2

� More than 10%-20% 3

� More than 20% 4

� Panics and wants to sell rest of investment. 1

� Concern and transfer some investment into low risky assets. 2

� Continue holding and wait for yields come back. 3

� 4

� Not acceptable � Slightly acceptable � Acceptable

Part 3 Overseas Investment

� Not acceptable �Moderately acceptable �Total risk is acceptable

C&I*Suitability Test Form#1/2016 Effective 28/3/2016 Page1/2

money to invest more. Can you accept this?

Suitability Assessment Form for Individual

11. Investment in derivatives products, if the investment success, you may get high or more return. On the other hand you may lose all of your investment and may increased the

10.If you invest 100,000 Baht in the past year, but this year the value of your investment is dropped to 85,000 Baht. How will you do?

Part 2 Investment In Derivatives

12. Beside of investment risks, can you accept foreign exchange rate risks?

9. How many percentage of loss on your investment that will make you feel anxious or unacceptable?

Group 3 The opportunity to get maximum return of 15%, but may be a loss of up to 5%.

Group 4 The opportunity to get maximum return of 25%, but may be a loss of up to 15%.8.If you choose to invest in assets with higher risks, but the chances of loss also high too. How do you feel?

7. Considering of your investment from risks and returns, please choose the group of risk tolerance that you prefer?

5. How long do you expect to have no need to spend the money on this investment.?

Group 1 The opportunity to earn a return of 2.5% with no loss at all.

Group 2 The opportunity to get maximum return of 7%, but may be a loss of up to 1%.

2. Currently, you have a financial burden such as housing loan, installment loan for car, and personal expenses etc. How many percentage of total income?

4. Do you have experience or knowledge of investment in the following investment products. (Can choose more than one answer)

Focus the initial investment must be safe but generate consistency returns, although it may be low.

KT-ZMICO Public Company Limited hereby would like to request for your kind cooperation to provide a genuine answer in order to obtain a proper assessment of the investors’ risk profile.

Still confident, because understand that must be invest in long term, and will increase the same type of investment to average cost.

Total scores

��

� ��

� ��

��

��

Bank deposit and Short-term debt securities

Government Debt Securities with

maturity more than 1 year

Corporate Debt Securities

Equity instruments

Alternative investment (including

commodity/derivatives)

<20% <10% <5%

<20% <20% <10%

<10% <30% <10%

<10% <40% <20%

<5% >60% <30%

LowLevel 1

fixed income instruments and equities.

Level 2

Very High

Level 3

Level 4

Signature � Investor

( )

Signature�� Signature��

Signature � Marketing Officer ��

� ��

/ /

C&I*Suitability Test Form#1/2016 Effective 28/3/2016 Page2/2

Please sign as the same as you give sighature to company

Money market funds : The investment policy includes a portion invested in foreign securities at no more than 50% of NAV. The funds invest or hold cash deposits, debt securities, or other securities or assets as well as methods of generating returns, as allowed by S.E.C., that are redeemable on call or at maturity or at the end of agreements. The remaining tenures of such debt instrument, securities, or agreement shall not exceed 1 year from the date of investment. The portfolio duration of this type of funds at any time do not exceed 3 months.

Level 8

Fixed Income Funds : The investment policy is to invest in general fixed income instruments.

> 60%

15-21 scores Medium-to-moderate-low-risk investor : This type of investor <70%

Table-level of risk assessment to invest in various investment instrument

Below 15 scores Low-risk investor : This type of investor has small toleranceShould invest in: a little equities / debt instruments and fund level 1 / can invest in fund level 2-8 < 20% of total investment

for investment risk. You require an investment return higher

Government Bond Funds : The investment policy focuses on government securities, amounting to an average of 80% of NAV over the financial year.

For Marketing Officer For Credit Control Office

Total Scores Type of Investors

Basic Asset Allocation

22-29 scores Medium-to-moderate-high-risk investor : This type of investor <60%Should invest in: moderate equities / debt instruments and fund level 1-5 / can be invest fund level 6-8 < 20% of total investment

is able to accept investment loss occasionally.

30-36 scores

than bank deposit rates and aim to invest over the short term.

Type of Financial Intrusments that can be

invested and Risk Spectrum

<30%

has rather small investment risk tolerance. You emphasized on

capital protection and aim for regular income generated from investment.

A very-high-risk investor : This type of investor is keen for

High-risk investor : This type of investor is able to accept high

Should invest in: some equities / debt instruments and fund level 1-4 / can be invest fund level 5-8 < 20% of total investment

• After securities company’s officer finishes the client’s investment risk level assessment (Suitability Assessment ) and informs the assessment result to him/her, the securities company shall assume that client has already realized his investment risk assessment result (which is evaluated from information provided by client) at a certain level.

• Client should study relevant investment information, investment and risk warning as well as requests for investment advice from marketing officer who can provide investment recommendation to client carefully. In addition, client should thoroughly study his/her investment risk assessment result in order to support his decision making to invest in securities, futures, financial instrument or other types of investment suitable to client. Information relevant to investment or other financial instruments received from securities company’s representatives (if any) is only a partial factor to assist in decision making on investment by client.

• Decision making on investment depends on client’s own decision which shall not bind with investment assessment result and may not follow investment risk level assessment under this assessment. Client also agrees to bear risk arising from investment. In case that client decides to invest in higher risk level than the investment risk level assessment, the securities company hereby agrees to assume that client agrees to bear all risk arising from such investment himself/herself. Besides, client accepts that his/her investment may not be in accordance with the assessment result, not in line with his suitability assessment and may change from the assessment result.

Risk Levels and Type of Funds (Wealth)Moderate to High

<40%Should invest in: quite large equities and a little derivatives / debt instruments and fund level 1-7 / can be invest fund level 8 < 20% of total investment

investment risk, high market volatility and can accept

investment loss with an aim for investment value to grow over the long term

Over 37 scores

Alternative Investment Funds : The investment caters to alternative investment schemes or investments that are structurally complex such as commodity/gold fund/derivatives which are not for the purposes of hedging. These include structured products where principle is not protected.

Sector Funds : The investment policy is to invest only in some particular sector(s), amounting to an average of at least 80% of NAV over the financial year

Mixed Funds : The investment policy is to invest in both

• Client agrees to provide information to securities company’s officer who will use to conduct Suitability Assessment Client also acknowledges that this questionnaire is used for the benefit of his/her investment risk awareness.

opportunities to generate a high return and is able to accept

substantial risk and can accept quite high investment loss.

Should invest in: equities/ some derivatives / debt instruments level 1-8

Signature Examiner Recorder

•Securities company, management officer, employee, and company’s officer shall not take any liability, obligation or be in charge of any damages arising from the investment by client.

• Client’s investment risk level is assessed from information clarified by himself/herself. However, this does not represent that the securities company shall accept the accuracy, completeness or liability of such information provided by client and the assessment result.

Level 5

High

Domestic money market funds : The investment policy to investments only within Thailand by investing or holding cash deposits, debt instruments, or the other securities or assets as well as methods of generating returns, as allowed by the S.E.C, that are redeemable on call or at maturity or at the end of agreements. The remaining tenures of such debt instrument, securities, or agreement shall not exceed 1 year from the date of investment. The portfolio duration of this type of funds at any time do not exceed 3 months

Level 6 Equity Funds : The investment policy focuses mainly on equities, amounting to an average of at least 65% of NAV over the financial year.

Moderate to Low

Suitability Assessment, any related action and information are applied only to the investors in Thailand only. Client has to read and understand the above warning, relevant information and agrees to abide by such warning and relevant obligation.

• The securities company reserves its right to amend, edit or change suitability test form in order to assess client’s investment risk level and any relevant information without prior notice.

Level 7

บนทกขอตกลงแกไขเพมเตมบนทกแนบสญญาแตงตงตวแทนเพอซอขายสญญาซอขายลวงหนา

Amendment to the Attachment to the Derivatives Agent Appointment Agreement

บญชซอขายตราสารอนพนธเลขท Derivatives Trading A/c No. ___________________________

วนท Date _____________________________________

ตามทบนทกแนบสญญาแตงตงตวแทนเพอซอขายสญญาซอขายลวงหนา มขอความวา บรษทขอสงวนสทธทาการตงคาสง Zero Equity

Balance Stop เพอวตถประสงคในการบรหารความเสยงซงจะเปนการตงคาสงเพอดาเนนการปดฐานะสญญาแลวทาใหระดบหลกประกนเทยบเทา

เงนสดของลกคามมลคาเหลอพอสาหรบคาธรรมเนยม และคาใชจายในการปดฐานะ เนองจากในปจจบนน บรษทไดใหบรการการเปนตวแทน

สญญาซอขายลวงหนาทมสนคาอางองเพมขนหลายชนด ตลาดมชวงเวลาซอขายเพมมากขนและมความผนผวนมากขน รวมถงปจจบนนมลกคา

ทไววางใจใชบรการผานบรษทเพมขนมาก และคณะกรรมการกากบตลาดทนไดมประกาศ แกไข เพมเตมเกยวกบการเรยกและการวางหลกประกน

ในการซอขายสญญาซอขายลวงหนาฯ ใหสอดคลองกบสภาวะการซอขายในปจจบน

According to the Attachment to the Derivatives Agent Appointment Agreement specified that “ The Company reserves the right to

issue a Zero Equity Balance Stop” in order to close the derivatives position(s) for the reason of managing risk and keep an

adequate amount of the Customer’s Equity Balance to cover payment of pertinent fees and expenses incurred by this closure.

Nowadays, we have provided a wide range of services as a Derivatives Product Agent, coincidently the derivatives market has

expanded its additional trading sessions and has more fluctuation together with the Customers has also trustfully used our

services increasingly. Thus the Capital Market Supervisory Board (CMSB) has notified to amend, request for additional margin on

derivatives trading in order to adjust along with the current situation

ดวยเหตผลดงกลาวขางตนมผลทาใหการตงคาสง Zero Equity Balance Stop ทกาหนดในบนทกแนบทายสญญาแตงตงตวแทนเพอซอขาย

สญญาซอขายลวงหนานนไมสามารถดาเนนการใหบรรลวตถประสงคได

To the above reason, it will effect to the issuance of Zero Equity Balance Stop as specified in the Attachment to the Derivatives

Agent Appointment Agreement that such order is unable to execute anymore.

ดงนน ลกคาจงรบทราบและตกลงใหบรษทยกเลกการตงคาสง Zero Equity Balance Stop ตามทระบไวในบนทกแนบสญญาแตงตงตวแทน

เพอซอขายสญญาซอขายลวงหนา

Thus the Customer acknowledges and agrees to the Company to cancel such “Zero Equity Balance Stop” order as specified by the

Derivatives Agent Appointment Agreement.

ลงชอ Sign ___________________________________________________________

ลกคา Customer

( ________________________________________________________ )

ลงชอ Sign ___________________________________________________________

พยาน / เจาหนาทการตลาด Witness / Marketing Officer

( ________________________________________________________ )

ลงชอ Sign ___________________________________________________________

บรษท The Company

(บรษทหลกทรพย เคท ซมโก จากด / KT ZMICO Securities Company Limited)

ลงชอ Sign ___________________________________________________________

พยาน Witness

( ________________________________________________________ )

e -Dividend

How to Apply

Please submit the completed form and enclose other required documents, which

have been duly certificated.

1. A copy of the signatory’s alien identity card or passport, certified true with an

original signature

2. A copy of the front page of bankbook or bank statement with securities holder /

securities owner’s name and bank account number shown

1. A copy of the juristic person certificate issued by the Ministry of Commerce,

issued within the past 12 months, with the original signatures of directors

authorized to represent the company or their representatives following the

company’s conditions

2. A copy of the national I.D. card / alien identity card / passport of directors who

are authorized to represent



1. A copy of the company’s registration certificate issued by the regulating

government agency

2. A copy of the juristic person’s affidavit of incorporation showing directors

authorized to bind the company and conditions relating to that, showing the

company’s headquarters location and authority of the signatory. This affidavit must

be issued by an authorized official of the juristic person or the government agency

having jurisdiction over the juristic person.

Notification Letter for Payment of Dividend /

Interest / Other Cash Benefits to Bank Account

I / We ……………………….………………………………………………….

I.D. Card / Passport / Juristic Registration No.

……………………………………………………………………………………

Telephone number: ……………………………………………………..

email address: …………………………………………………………….

request to have my dividend / interest / other cash benefits

transferred into the following bank account:

Bank Account Details

Name of Shareholder’s Bank Account

………………………………………………………………………………..

Bank Name (The bank branch must be in Thailand.)

……………………………………………………………………………….

Type of Account Saving Current

Account Number

Remark - The request made herein include all securities held by myself in

physical certificate form, and / or deposited into an issuer account and / or

scripless system (broker / custodian). Such securities must have Thailand

Securities Depository Co., Ltd. as registrar.

- I agree to allow TSD to use the aforementioned data in

recording/updating in the shareholders database, in both the scrip and

scripless systems

Sign………………………………………….….... Securities Holder

(……………………………………………...)

Date ………….../……….…../…….……..

Convenient, Fast and Safe

Convenient

Any deposit account with any commercial

bank branch in Thailand is acceptable and

withholding tax certificate will be provided.

Fast

Can immediately receive dividends,

interests and other cash benefits on the

payment date.

Safe

No problems for the delay or loss of cheque

delivery.

Cash Benefit Transferred into Bank Account

Thailand Securities Depository Co., Ltd.

93 14thFloor Rachadapisek Road, Dindaeng,

Bangkok 10400

SETContactCenter 0 2009 9999

email: [email protected] www.set.or.th/tsd

TSD will process your request when the completed

application form and all the other required documents have

been submitted.

Dear Thailand Securities Depository Co., Ltd. (TSD):

For a list of companies participating in TSD’s e-Dividend program,

please visit: www.set.or.th/tsd

Individual

Thai Juristic Person

Individual

Foreign Juristic Person

All documents for “Foreign” above, must have been:

- Certified true by notary public or agency of the government having jurisdiction

where the document was executed

- Certified true by the Thai Embassy or Consulate of Thailand in the country having

jurisdiction over the affidavit of incorporation and notary public whose stamp has

been affixed

- Certified within the past 12 months before being submitted to TSD

- Translated into English if necessary

3. A copy of the passport or other official identity document of each authorized

director signing this document



mailto:[email protected]

http://www.ktzmico.com/download/en/FatcaForm_EN.pdf

C&I - Instruction for KT Zmico’s FATCA Form_revise 13-5-2558

How to complete the FATCA Form of Company 1. All applicants who open new account both of Individual (since 1 Jul. 14) and Organization /Entity (since 1 Jan. 15)

are required to answer all questions on FATCA Form of company. This is to presence whether you are U.S. person or U.S. Entity.

2. When applicants completed following FATCA form no.1, please refer to the below guideline for further completion on IRS Form in case of the needs.

2.1 FATCA Form for Individual Customer

Part 1: Status of Customer If answer in FATCA Form Complete Form

U.S. Person Check “Yes” in any one question W-9

Non-U.S. Person Check “Yes” in any one question , Have some U.S. Indicia W-8BEN

Check “No” in every question Not required to complete

W-8BEN

2.2 FATCA Form for Organization / Entity Customer

For more information, please check out from the link below:

1. Instructions for the Requester of Form W-9 (Rev. December 2014) http://www.irs.gov/pub/irs-pdf/iw9.pdf

2. Instructions for Form W-8BEN (Rev. February 2014) http://www.irs.gov/pub/irs-pdf/iw8ben.pdf

3. Instructions for Form W-8BEN-E (June 2014) http://www.irs.gov/pub/irs-pdf/iw8bene.pdf

Part 1: Status of Applicant If answer in FATCA Form Complete Form

U.S. Entity Check “Yes” in the question W-9

Non-U.S. Entity Check “Yes” in any one question W-8BEN-E

Check “No” in every question Not required to complete W-8BEN-E

http://www.irs.gov/pub/irs-pdf/iw9.pdf

http://www.irs.gov/pub/irs-pdf/iw8ben.pdf

http://www.irs.gov/pub/irs-pdf/iw8bene.pdf

C&I - FATCA FORM # 2/2015 (Effective 13/05/2015) Page 1/5

แบบฟอรม FATCA สาหรบลกคาประเภทบคคลธรรมดา

FATCA Form for Individual Customer

หนงสอฉบบนมอบใหแก บรษทหลกทรพย เคท ซมโก จากด และบรษทในเครอรวมถงกลมธรกจการเงนของ บรษทหลกทรพย เคท

ซมโก จากด (ไมวาแตละรายหรอรวมกนในหนงสอฉบบนรวมเรยกวา “ผรบ”) เพอประโยชนของผรบและบคคลทสาม ตามทกลาวถง

ในสวนท 4 ของหนงสอฉบบน โดยใหถอวาบคคลดงกลาวทงหมดเปนผรบหนงสอฉบบนเชนกน

This form is provided to KT ZMICO Securities Company Limited and it’s affiliated companies including their financial

conglomerate (individually or collectively shall be hereinafter referred as the “Receiver”) for the benefit of the Receiver and the

third parties referred to in Part 4 of this form and it’s shall be deemed that all of them arealso the Receiver of this form.

ขอมล / คายนยน / และขอตกลงของลกคา

ผเปดบญช (คานาหนา / ชอ / นามสกล) / / Applicant Name (Title / Name / Last name)

Customer’s Information / representation / and agreement

วนท/Date

สญชาต ไทย อนๆ (โปรดระบทกสญชาตททานถอ) Nationality (ies) Thai Other (Please specify all nationalities that you hold.)

เลขทบตรประชาชน (สาหรบคนไทย) Thai Citizen ID Card No.

เลขทหนงสอเดนทาง (เฉพาะคนตางชาต) Passport No. (Non-Thai only)

สถานะของลกคา

Status of Customer

บคคลอเมรกน / U.S. Person

หากทานทาเครองหมายในชอง “ใช” ชองใดชองหนง โปรดกรอกแบบฟอรม W-9 และขามคาถามในสวน ไมเปนบคคลอเมรกน ขางทายน

If you check “Yes” in any one box, please complete IRS Form W-9 and skip the Non-U.S. Person questionnaire below.

1. ทานเปนบคคลอเมรกนใชหรอไม

• โปรดตอบ“ใช”หากทานเปนพลเมองอเมรกน แมวาทานอาศยอยนอกสหรฐ

• โปรดตอบ“ใช”หากทานมสถานะเปนพลเมองของหลายประเทศ และหนงในนนคอเปนพลเมอง

อเมรกน

• โปรดตอบ“ใช”หากทานเกดในสหรฐ (หรอดนแดนทเปนของสหรฐ) และยงไมไดสละความเปน

พลเมองของสหรฐตามกฎหมาย

1. Are you a U.S. Citizen?

• You must answer“Yes” if you are U.S. citizen even though you reside outside of the U.S.

• You must answer“Yes” if you hold multiple citizenships, one of which is U.S. citizenship.

• You must answer“Yes” if you were born in the U.S. (or U.S. Territory) and have not legally

surrendered U.S. citizenship.

ใช

Yes

ไมใช

No

สวนท 1 Part 1

ลกคาเลขท

Customer No.


บคคลอเมรกน (ตอ) / U.S. Person (continue)

2. ทานเปนผถอบตรประจาตวผมถนทอยถาวรอยางถกกฎหมายในสหรฐ อเมรการ (เชน กรนการด) ใช

หรอไม

• โปรดตอบ “ใช” หากสานกงานตรวจคนเขาเมองและสญชาตของสหรฐอเมรกาไดออกบตร

ประจาตวผมถนทอยถาวรอยางถกตองตามกฎหมายในสหรฐอเมรกาใหแกทานไมวาบตรดงกลาว

ของทานจะหมดอายแลวหรอไม ณ วนททานกรอกและลงลายมอชอในแบบฟอรมน

• ควรตอบ “ไมใช” หากบตรดงกลาวของทานไดถกสละยกเลก หรอถอดถอนอยางเปนทางการ

แลว ณ วนททานกรอกและลงลายมอชอในแบบฟอรมน

2. Are you a holder of any U.S. Permanent Resident Card (e.g. Green Card)?

• You must answer “Yes” if the U.S. Citizenship and Immigration Service (USCIS) has issued a

U.S. Permanent Resident Card to you, regardless of whether or not such card has expired on

the date you complete and sign this form.

• You should answer "No" if such card has been officially abandoned, revoked, or relinquished as

of the date you sign and complete this form.

ใช

Yes

ไมใช

No

3. ทานมสถานะเปนผมถนทอยในสหรฐเพอวตถประสงคในการเกบภาษอากรของสหรฐใชหรอไม

ทานอาจถกพจารณาวาเปนผมถนทอยในสหรฐหากเปนไปตามเกณฑ “Substantial Physical Presence

Test” ตวอยางททานจะถอวาเปนไปตามเกณฑน ในปปจจบน ทานอยในสหรฐอยางนอย 183 วน เปน

ตน และหากตองการรายละเอยดเพมเตม โปรดศกษาขอมลใน website ของหนวยงานจดเกบภาษอากร

ของสหรฐ ดงน

3. Are you a U.S. resident for U.S. tax purposes?

http://www.irs.gov/Individuals/International-Taxpayers/Substantial-Presence-Test

You may considered a U.S. resident if you meet the “Substant ia l Physical Presence Test”.

You will meet this test if, for ins tance, during the current year, you were present in the U.S .

for a t least 183 days . For more deta i ls , p lease refer to the in formation on the

IRS websi te

ใช

Yes

http://www.irs.gov/Individuals/International-Taxpayers/Substantial-Presence-Test

ไมใช

No

ไมเปนบคคลอเมรกน / Non-U.S. Person

หากทานตอบวา “ใช” ในขอใดขอหนง โปรดกรอกแบบฟอรม W-8BEN พรอมทงสงเอกสารประกอบ

(1) สาเนาบตรประชาชนสาหรบคนไทย หรอ

(2) สาเนาหนงสอเดนทางสาหรบคนตางชาตทแสดงวาไมใชคนอเมรกน

If you check “Yes” in any one box, please complete IRS Form, W-8BEN and provide supporting document(s):

(1) A copy of Thai Citizen ID card or

(2) A copy of passport in case you are not a Thai citizen which indicate that you are not a US Person

1. ทานเกดในสหรฐอเมรกา (หรอดนแดนทเปนของสหรฐอเมรกา) แต

กรณทตอบ ”ใช” โปรดให สาเนาหนงสอรบรองการเสยสญชาตอเมรกน เปนเอกสารประกอบ

ไดสละความเปนพลเมองอเมรกน

อยางสมบรณตามกฎหมายแลว ใชหรอไม

1. Were you born in the U.S. (or U.S. Territory) but

In case you answer “Yes”, please provide supporting document; A copy of Certificate of Loss of

Nationality of the United States.

have legally surrendered U.S. citizenship?

ใช

Yes

ไมใช

No


ไมเปนบคคลอเมรกน (ตอ) / Non-U.S. Person (continue)

2. ทานมทอยอาศยในปจจบนหรอทอยเพอการตดตอในสหรฐอเมรกา สาหรบบญชทเปดไวกบ / ผาน ผรบ

ใชหรอไม

Do you have a current U.S. residence address or U.S. mailing address for the account opened

with/through the Receiver?

ใช/Yes

ไมใช/No

3. ทานมหมายเลขโทรศพทในสหรฐอเมรกาเพอการตดตอทาน หรอบคคลอนทเกยวของกบบญชทเปดไว

กบ / ผาน / หรอมอยกบ ผรบ หรอไม

Do you have U.S. telephone number for contacting you or another person in relation to the

account opened with or through or maintained with the Receiver?

ใช/Yes

ไมใช/No

4. ทานมคาสงทารายการโอนเงนเปนประจาโดยอตโนมตจากบญชทเปดไวกบ/ผาน/หรอมอยกบ ผรบ ไป

ยงบญชในสหรฐอเมรกา ใชหรอไม

Do you have standing instructions to transfer funds from the account opened with or through or

held with the Receiver to an account maintained in the U.S.?

ใช/Yes

ไมใช/No

05. ทานมการมอบอานาจ หรอใหอานาจการลงลายมอชอแกบคคลทมทอยในสหรฐอเมรกา เพอการใดๆ ท

เกยวของกบบญชทเปดไวกบ / ผาน / หรอมอยกบ ผรบ ใชหรอไม Do you have a power of attorney or signatory authority for the account opened with or through

or held with the Receiver granted to person with U.S. address?

ใช/Yes

ไมใช/No

การยนยนและการเปลยนแปลงสถานะ

Confirmation and Change of Status

1. ทานยนยนวา ขอความขางตนเปนความจรง ถกตอง และครบถวนสมบรณ

You confirm that the above information is true, correct, accurate and complete.

2. ทานรบทราบและตกลงวาหากทานมสถานะเปนบคคลอเมรกน แตขอมลทใหตามแบบฟอรมน หรอตามแบบฟอรม W-9 เปนขอมลอนเปนเทจ ไม

ถกตอง หรอไมครบถวนสมบรณ ผรบมสทธใชดลยพนจแตเพยงฝายเดยว ทจะยตความสมพนธทางการเงน / ทางธรกจกบทานไมวาทงหมดหรอ

บางสวนตามทผรบเหนสมควร

You acknowledge and agree that if you are a U.S. Person but the information provided on this form or Form W-9 is false, inaccurate or incomplete,

the Receiver shall be entitled to terminate, at its sole discretion, the entire or part of banking / business relationship with you may be deemed

appropriate by the Receiver.

3. ทานตกลงทจะแจงใหผรบไดทราบ และนาสงเอกสารประกอบใหแกผรบภายใน 30 วน หลงจากมเหตการณเปลยนแปลงอนทาใหขอมลของทานท

ระบในแบบฟอรมนไมถกตอง และในกรณทผรบมการรองขอเอกสาร / ขอมล / คายนยอมเพมเตม ทานตกลงทจะดาเนนการใหแลวเสรจตามทไดรบ

การรองขอภายในเวลาทผรบกาหนด

You agree to notify and provide relevant documents to the Receiver within 30 days after any change in circumstances that causes the information

provided in this form to be incorrect, or after the date that the Receiver has requested for additional document / information / consent.

4. ทานรบทราบและตกลงวาในกรณททานไมไดดาเนนการตามขอ 3 ขางตน หรอมการนาสงขอมลอนเปนเทจไมถกตอง หรอไมครบถวนสมบรณ

เกยวกบสถานะของทานผรบมสทธใชดลยพนจแตเพยงฝายเดยวทจะยตความสมพนธทางการเงน / ทางธรกจกบทานไมวาทงหมดหรอบางสวนตามท

ผรบเหนสมควร

You acknowledge and agree that failure to comply with item 3 above, or your providing of any false, inaccurate or incomplete information as to

your status, shall entitle to the Receiver to terminate, at its sole discretion, the entireor part of banking / business relationship with you may be

deemed appropriate by to the Receiver.



การยนยอมใหเปดเผยขอมลและการหกบญช

Authorization for information disclosure and account withholding

ภายใตขอบเขตของกฎหมายทเกยวของ และ / หรอ ขอตกลงใดๆ ระหวาง ผรบ และหนวยงานภาษอากรในประเทศ และ / หรอ ตางประเทศ ทานตกลงให

ความยนยอม และตกลงทจะไมเพกถอนการใหความยนยอมดงกลาวแก ผรบ ในการดาเนนการดงตอไปน

To the extent required by applicable laws and/or any agreements between the Receiver and domestic and/or foreign tax authorities, the Customer hereby

irrevocably authorize the Receiver to:

1. เปดเผยขอมลตางๆ ของทานใหแกบรษทในกลมของผรบ เพอประโยชนในการปฏบตตาม FATCA หรอกฏหมายใดๆ หนวยงานจดเกบภาษอากรใน

ประเทศ และ/หรอตางประเทศ ซงรวมถงหนวยงานจดเกบภาษอากรของสหรฐ (Internal Revenue Service: IRS) ขอมลดงกลาว ไดแก ชอ ทอย เลข

ประจาตวผเสยภาษ หมายเลขบญช สถานะตามหลกเกณฑเรอง FATCA (คอ เปนผปฏบตตาม หรอผไมใหความรวมมอ) จานวนเงนหรอมลคา

คงเหลอในบญช การจายเงนเขาออกในบญชในระหวางปปฏทนทผานมา รายการเคลอนไหวทางบญช จานวนเงน ประเภทและมลคาของผลตภณฑ

ทางการเงน และ/หรอทรพยสนอนๆ ทมอยกบผรบ และ/หรอเปดผานผรบ ตลอดจนจานวนรายได และขอมลอนๆ ทเกยวกบความสมพนธทาง

การเงน/ทางธรกจทอาจถกรองขอโดยบรษทในกลมของผรบ หนวยงานทางภาษอากรในประเทศ และ/หรอตางประเทศ ซงรวมถง IRS ดวย

Disclose to the group companies of the Receiver for the benefit of FATCA compliance or any other laws, domestic and/or foreign tax authorities,

including the U.S. Internal Revenue Service (IRS) your name, address, taxpayer identification number, account number, FATCA compliance status

(compliant or recalcitrant), account balance or value, the payments made with respect to the account during the calendar year, account statements,

the amount of money, the type and value of financial products and/or other assets held with the Receiver or account opened through, as well as the

amount of revenue and income and any information regarding the banking / business relationship which may be requested or required by the group

companies of the Receiver, domestic and/or foreign tax authorities, including the IRS;

2. หกเงนจากบญชของทานทมกบผรบหรอเปดผานผรบ และ/หรอ เงนททานอาจมหรอมสทธไดรบจากผรบ รวมถงเงนไดททานไดรบจากบญชดงกลาว

ในจานวนทกาหนดโดยหนวยงานจดเกบภาษอากรในประเทศ และ/หรอตางประเทศ ซงรวมถง IRS ดวย ภายในบงคบของกฎหมาย และ/หรอ

กฎเกณฑตางๆ รวมถงความตกลงใดๆ ระหวางบรษท และหนวยงานจดเกบภาษอากรดงกลาว

Withhold from your account opened with/through the Receiver and/or the income you may have or may be entitled to get paid from the Receiver

and/or the income derived from such accont in the amount as required by the domestic and/or foreign tax authorities, including the IRS, pursuant to

the laws and/or regulations, including any agreements between the company and such tax authorities;

3. หากทานไมใหขอมลทจาเปนตอการพจารณาสถานะความเปนบคคลอเมรกน (U.S. person) หรอขอมลทจาเปนตองรายงานใหแกผรบ หรอไมใหคา

ยนยอมใหผรบดาเนนการอนใด รวมถงการเปดเผยขอมลและการหก ณ ทจาย ตามทระบในหนงสอฉบบน ผรบมสทธใชดลยพนจแตเพยงฝายเดยวท

จะยตความสมพนธทางการเงน/ทางธรกจกบทานไมวาทงหมดหรอบางสวนตามทผรบเหนสมควร

If you fail to provide the information required to determine whether you are a U.S. person, or to provide the information required to be reported

tothe Receiver, or if you fail to provide a waiver of a law that would prevent reporting, the Receivershall be entitled to terminate, at its sole

discretion, the entire or part ofbanking/business relationship with you as may be deemed appropriate by the Receiver.

การอนญาตใหบคคลทสามใชประโยชนและขอตกลงในเอกสารน

Customer’s authorization for the third parties to use this form, information disclosure, consent and agreement in this form

เพอความสะดวกของทาน (ลกคา /ผขอใชบรการ ) และเปนการลดภาระความซาซอนของทาน ในการนาสงเอกสาร/ขอมล/คายนยอมใหกบบรษท และ

สถาบนการเงนตางๆ ทเปนเจาของผลตภณฑท ผรบ เปนตวแทนขาย (หรอเปนผจดจาหนาย) เปนรายๆ ไป รวมทงกรณททานเปดบญชกบบรษท/สถาบน

การเงนใดๆ ผาน ผรบ โดยหนงสอฉบบน ทานรบทราบและยนยอมใหบคคล (รวมนตบคคล) ดงตอไปนทงหมด (อนไดแก 1.บรษทจดการ/กองทน/สถาบน

การเงนใดๆ ททานทาธรกรรมทางการเงนผาน หรอเปดบญชเงนฝาก หรอ บญชซอขายหลกทรพย หรอใชบรการทางการเงนอนใดทงโดยตรงหรอผาน ผรบ

2. ผสนบสนนการขายฯ รายอน และผเกยวของกบบรษทจดการ /กองทน/สถาบนการเงนดงกลาวขางตน 3. สมาชกของกลมธรกจทางการเงนของ ผรบ และ

4. ตวแทน หรอผทเกยวของ หรอบรษทในเครอของบคคลดงกลาวขางตนทงหมด ) ทงในปจจบนและอนาคต มสทธใชเอกสาร /ขอมล/คายนยน และคา

ยนยอมใดๆ เกยวกบการแสดงตนและการเปดเผยขอมล หรอหก ณ ทจาย ตามเอกสารฉบบน และเอกสาร /ขอมลทอางถง (ซงตอไปนจะรวมเรยกวา

“เอกสารและขอมล”) ตามกฎหมายทเกยวของทงในและตางประเทศ (รวมถงกฎหมาย FATCA และกฎหมายปองกนและปราบปรามการฟอกเงนและการ

สนบสนนทางการเงนแกการกอการราย) เสมอนหนงวา ทานไดมอบเอกสารและขอมลนน และไดใหคายนยน/คายนยอมกบบคคลดงกลาวขางตนทกราย




และใหบคคลดงกลาวขางตนรวมถงหนวยงานราชการทงในและตางประเทศและบคคลทเกยวของทกรายสามารถนาสง/ใชเอกสาร และขอมลใดๆ ของทาน

ระหวางกนได ไมวาจะอยในรปสาเนา หรอเอกสารฉบบจรง กใหมผลผกพนกบทานทกประการ

In consideration of the customer’s convenience and to reduce the customer’s burden of having to repetitively submit this same type of document/

information/ consent to each and every company and financial institution that the customer open account/ with through the Receiver; the customer hereby

acknowledge and agree that any of following persons(including entity person) (i.e., 1.Any asset management company/Fund/Any financial institution

with whom the customer open deposit account or securities trading account or using any financial service directly with or through the Receiver 2.The

distributors/Agents/ and Other person(s) related to the aforesaid funds/asset management company/Financial institution 3.Any member of Financial

Business Group of the Receiver and 4.The agents or related persons or affiliated company of the all the aforesaid persons) at present or in future to use

any documents, information, affirmation, consent related to identification and disclosure or withholding, as mentioned and referred to in this document

(hereinafter referred to as the “Document and Information”) in accordance with any applicable laws (FATCA and AML/CTF) as if the customer have

provided such Documents and Information to each of those aforesaid person (s) by the customer’s self .The customer further hereby authorize those

person (s) to use / provide / share such Document and Information among themselves.

ขาพเจารบทราบและตกลงปฎบตตามขอกาหนด ขอตกลง และเงอนไขตางๆ ในเอกสารฉบบน ซงรวมถงตกลงยนยอมใหมการ

เปดเผยขอมล การหกบญช และการยตความสมพนธทางการเงน/ทางธรกจกบขาพเจา เพอเปนหลกฐานแหงการนจงไดลงลายมอชอ

ไวเปนสาคญ

By signing in the space below, I hereby acknowledge and agree to the terms and conditions specified herein, including the

permitting the disclosure of information, account withholding and termination of banking/business relationship.

ลายมอชอของลกคาผเปดบญช Signature of Applicant ………………………………………………………

วนท Date ….…....…/……..…../………...

สาหรบเจาหนาทบรษทฯ เทานน / For company Use Only

เจาหนาทการตลาด Marketing Officer

วนท Date ….…....…/……..…../………...

ผมอานาจลงนาม Authorized Person

วนท Date ….…....…/……..…../………...

สวนบรการลกคาและควบคมวงเงน / Customer Services & Credit Control

ผตรวจสอบลายเซน Checked by

ผอนมต Approved by

ผบนทก Input by

วนท Date ….…....…/……..…../………...

วนท Date ….…....…/……..…../………...

วนท Date ….…....…/……..…../………...

Form W-8BEN(Rev. July 2017)

Department of the Treasury Internal Revenue Service

Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding and Reporting (Individuals)

▶ For use by individuals. Entities must use Form W-8BEN-E. ▶ Go to www.irs.gov/FormW8BEN for instructions and the latest information.

▶ Give this form to the withholding agent or payer. Do not send to the IRS.

OMB No. 1545-1621

Do NOT use this form if: Instead, use Form:

• You are NOT an individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN-E

• You are a U.S. citizen or other U.S. person, including a resident alien individual . . . . . . . . . . . . . . . . . . . W-9

• You are a beneficial owner claiming that income is effectively connected with the conduct of trade or business within the U.S. (other than personal services) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI

• You are a beneficial owner who is receiving compensation for personal services performed in the United States . . . . . . . 8233 or W-4

• You are a person acting as an intermediary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8IMY

Note: If you are resident in a FATCA partner jurisdiction (i.e., a Model 1 IGA jurisdiction with reciprocity), certain tax account information may be provided to your jurisdiction of residence.

Part I Identification of Beneficial Owner (see instructions) 1 Name of individual who is the beneficial owner 2 Country of citizenship

3 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address.

City or town, state or province. Include postal code where appropriate. Country

4 Mailing address (if different from above)

City or town, state or province. Include postal code where appropriate. Country

5 U.S. taxpayer identification number (SSN or ITIN), if required (see instructions) 6 Foreign tax identifying number (see instructions)

7 Reference number(s) (see instructions) 8 Date of birth (MM-DD-YYYY) (see instructions)

Part II Claim of Tax Treaty Benefits (for chapter 3 purposes only) (see instructions) 9 I certify that the beneficial owner is a resident of

% rate of withholding on (specify type of income):

within the meaning of the income tax

treaty between the United States and that country. 10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article and paragraph

of the treaty identified on line 9 above to claim a

.

Explain the additional conditions in the Article and paragraph the beneficial owner meets to be eligible for the rate of withholding:

Part III Certification Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further certify under penalties of perjury that:

• I am the individual that is the beneficial owner (or am authorized to sign for the individual that is the beneficial owner) of all the income to which this form relates or am using this form to document myself for chapter 4 purposes,

• The person named on line 1 of this form is not a U.S. person,

• The income to which this form relates is:

(a) not effectively connected with the conduct of a trade or business in the United States,

(b) effectively connected but is not subject to tax under an applicable income tax treaty, or

(c) the partner’s share of a partnership's effectively connected income,

• The person named on line 1 of this form is a resident of the treaty country listed on line 9 of the form (if any) within the meaning of the income tax treaty between the United States and that country, and

• For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.

Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or any withholding agent that can disburse or make payments of the income of which I am the beneficial owner. I agree that I will submit a new form within 30 days if any certification made on this form becomes incorrect.

Sign Here

▲

Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY)

Print name of signer Capacity in which acting (if form is not signed by beneficial owner)

For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 7-2017)

Form W-9(Rev. November 2017)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

▶ Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the requester. Do not send to the IRS.

Pri

nt o

r ty

pe.

S

ee S

pec

ific

Inst

ruct

ions

on

pag

e 3.

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes.

Individual/sole proprietor or single-member LLC

C Corporation S Corporation Partnership Trust/estate

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶

Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner.

Other (see instructions) ▶

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):

Exempt payee code (if any)

Exemption from FATCA reporting

code (if any)

(Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.) See instructions.

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number

– –

orEmployer identification number

–

Part II CertificationUnder penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Here

Signature of U.S. person ▶ Date ▶

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of FormAn individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.• Form 1099-INT (interest earned or paid)

• Form 1099-DIV (dividends, including those from stocks or mutual funds)

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)• Form 1099-S (proceeds from real estate transactions)• Form 1099-K (merchant card and third party network transactions)• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)• Form 1099-C (canceled debt)• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Cat. No. 10231X Form W-9 (Rev. 11-2017)

Form W-9 (Rev. 11-2017) Page 2

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and

4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.

• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and

• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.3. The article number (or location) in the tax treaty that contains the

saving clause and its exceptions.4. The type and amount of income that qualifies for the exemption

from tax.5. Sufficient facts to justify the exemption from tax under the terms of

the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup WithholdingWhat is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the instructions for Part II for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships, earlier.

What is FATCA Reporting?The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your InformationYou must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

PenaltiesFailure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.


Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific InstructionsLine 1You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.

c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.

d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.

e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

Line 2If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

IF the entity/person on line 1 is a(n) . . .

THEN check the box for . . .

• Corporation Corporation

• Individual • Sole proprietorship, or • Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes.

Individual/sole proprietor or single-member LLC

• LLC treated as a partnership for U.S. federal tax purposes, • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.

Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation)

• Partnership Partnership

• Trust/estate Trust/estate

Line 4, ExemptionsIf you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.• Generally, individuals (including sole proprietors) are not exempt from backup withholding.

• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

• Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.

• Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)

2—The United States or any of its agencies or instrumentalities

3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

4—A foreign government or any of its political subdivisions, agencies, or instrumentalities

5—A corporation

6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

7—A futures commission merchant registered with the Commodity Futures Trading Commission

8—A real estate investment trust

9—An entity registered at all times during the tax year under the Investment Company Act of 1940

10—A common trust fund operated by a bank under section 584(a)

11—A financial institution

12—A middleman known in the investment community as a nominee or custodian

13—A trust exempt from tax under section 664 or described in section 4947


The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

IF the payment is for . . . THEN the payment is exempt for . . .

Interest and dividend payments All exempt payees except for 7

Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.

Barter exchange transactions and patronage dividends

Exempt payees 1 through 4

Payments over $600 required to be reported and direct sales over $5,0001

Generally, exempt payees 1 through 52

Payments made in settlement of payment card or third party network transactions

Exempt payees 1 through 4

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup

withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

B—The United States or any of its agencies or instrumentalities

C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

G—A real estate investment trust

H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

I—A common trust fund as defined in section 584(a)

J—A bank as defined in section 581

K—A broker

L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan

Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

Line 6Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

Part II. CertificationTo establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.


1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the RequesterFor this type of account: Give name and SSN of:

1. Individual The individual

2. Two or more individuals (joint account) other than an account maintained by an FFI

The actual owner of the account or, if combined funds, the first individual on

the account1

3. Two or more U.S. persons (joint account maintained by an FFI)

Each holder of the account

4. Custodial account of a minor (Uniform Gift to Minors Act)

The minor²

5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law

The grantor-trustee1

The actual owner1

6. Sole proprietorship or disregarded entity owned by an individual

The owner³

7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))

The grantor*

For this type of account: Give name and EIN of:8. Disregarded entity not owned by an

individualThe owner

9. A valid trust, estate, or pension trust Legal entity4

10. Corporation or LLC electing corporate status on Form 8832 or Form 2553

The corporation

11. Association, club, religious, charitable, educational, or other tax-exempt organization

The organization

12. Partnership or multi-member LLC The partnership

13. A broker or registered nominee The broker or nominee

For this type of account: Give name and EIN of:14. Account with the Department of

Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

The public entity

15. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))

The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.2 Circle the minor’s name and furnish the minor’s SSN.3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.

4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.

*Note: The grantor also must provide a Form W-9 to trustee of trust.

Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records From Identity TheftIdentity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

• Protect your SSN,

• Ensure your employer is protecting your SSN, and

• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Pub. 5027, Identity Theft Information for Taxpayers.

Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.


The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at [email protected] or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.

Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act NoticeSection 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.