CDS 1(a) CSD & REGISTRY COMPANY LIMITED

DEPOSITORY ACCOUNT APPLICATION FORM - INDIVIDUAL

Please use CAPITAL LETTERS

Title (Prof/Dr/Hon/Rev/Mr/Mrs/miss/ms):

Full Name:
(First, Middle, Last Name)

Address:

Client’s Occupation:

Nationality:

Telephone Number:

Email Address:

Bank Account Number:

Bank Name:

Branch:

Identity Type: Number:

First Applicant Signature: Date:

I/We hereby apply to open and maintain a depository account at the CSDR Central Securities Depository System

JOINT APPLICANTS:
The first applicant should fill in the above details. Other persons, applying to hold the account jointly with the applicant,
should insert their names in CAPITAL LETTERS and sign in the box below.

I/We join in this application as joint holder(s).

Title Full Name (First, Middle, Last Name) Nationality Signature

I/We understand that the securities to be deposited in the CDS account to be opened pursuant to this application
will be held by CSD & Registry Company Limited in Trust for me (us).

This application was lodged through

Stamp and Authorized Signature of Authorized CDS Operator Date

Subject to the Rules and Practices of the CSDR