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

in the firm Address City State Postcode Country E-mail address Telephone number Fax number Does your firm belong to an international network ? Yes No If yes, please state the – Name of the network

which is supervised by a regulator located in a country whose supervisory measures on investment management are recognized by the SEC Office; For the purpose of intermediaries’ compliance with the

of the country), hereby certify follows; 1. My immediate family member, including spouse (or equivalent) and dependent, and I do not hold any share of my audit clients and or its related entities. 2

home country where its official agency or regulator is a member of International Organization of Securities Commissions (IOSCO), whose regulation on certain derivatives business is not inferior to those

capital market product denominated in foreign currency which is issued or offered for sale in a foreign country; “ debenture denominated in foreign currency ” means any debenture denominated in foreign

and is subject to anti-money laundering and terrorist financing regulatory and oversight regime that is comparable to international standards accepted by the Office, e.g. Financial Action Task Force

product denominated in foreign currency which is issued or offered for sale in a foreign country; “ debenture denominated in foreign currency ” means any debenture denominated in foreign currency and

Fund หรือ Country Fund) เป็นกองทุนรวมที่บริษัทจัดการจัดตั้งขึ้นโดยมีวัตถุประสงค์ที่จะเสนอขายหน่วยลงทุนให้แก่ผู้ลงทุนที่มีภูมิลำเนานอกประเทศ เพื่อที่จะระดมเงินมาลงทุนในประเทศไทย กองทุนรวมประเภทนี้มักจด

following regulatory agencies which is located in a country whose supervisory measures on investment management are recognized by the SEC Office: (a) a regulatory agency which is a member of the International