(UNOFFICIAL TRANSLATION) (Updated 2017) 2. Background and Details of Applicant Requesting Approval 1. First and last name of the applicant Mr. Ms. Mrs. Others (please specify
the Notifications of the Securities and Exchange Commission pursuant to the Securities and Exchange Act (No. 4) B.E. 2551 (2008); and (2) prescribe the rules regarding the maintenance of documents
amendments to the Notifications of the Securities and Exchange Commission pursuant to the Securities and Exchange Act (No. 4) B.E. 2551 (2008); and (2) prescribe the rules regarding the maintenance of
) prescribe procedures and methods for reporting to the board of directors or the audit committee in case where compliance officer and compliance unit find breaches of the laws, code of ethics and professional
); (c) prescribe procedures and methods for reporting to the board of directors or the audit committee in case where compliance officer and compliance unit find breaches of the laws, code of ethics and
units to perform their duties under (a); (c) prescribe procedures and methods for reporting to the board of directors or the audit committee in case where compliance officer and compliance unit find
Securities company Foreign Securities company Big lot (please specify the name(s) of parties executing the transaction with the reporting person (if known)) ( ) Direct sale/purchase (please specify the name(s
specify) Full name as per Passport Date of birth (DD/MM/YYYY) Passport number Identification number Country of issue of Passport CPA license number Issued by Country Home address City State Postcode Country