Complaint Form Against SEC Executive and Officer Information of Complainant Mr. Mrs. Ms. Name:…………………………………Surname:…………………….. ID Number/ Passport ID: ………………..………………..………………..………………….. Aged
and that English translation is strictly for reference. Accordingly, the SEC Office can neither undertake any responsibility for its accuracy, nor be held liable for any loss or damages arising from or
)..............................................ชื่อสกุล................................................. First name (Mr./Mrs./Miss)…………………………Last name……………………………................ (ชื่อ-สกุลเดิม) (ถ้ามี
.......................................................................... 1.1 กรณีบุคคลธรรมดา (1) ชื่อ (นาย/นาง/นางสาว)..............................................ชื่อสกุล................................................. First name (Mr./Mrs./Miss)…………………………Last name
................................................. First name (Mr./Mrs./Miss)…………………………Last name……………………………................ (ชื่อ-สกุลเดิม) (ถ้ามี
)..............................................ชื่อสกุล................................................. First name (Mr./Mrs./Miss)…………………………Last name……………………………................ (ชื่อ-สกุลเดิม) (ถ้ามี
. Neither the Office of the Securities and Exchange Commission nor Linklaters (Thailand) Ltd undertakes any responsibility for the accuracy of the English Translation, nor will either of them be held liable
parties e.g. individual or entity you have a complaint against as well as other agencies for completion of complaint consideration procedure. 1. Complainant’s information Name : Mr. Mrs. Ms
Juristic 3 = Foreign individual Official Prefix Code Char(3) 3 M คำนำหน้าชื่อ Refer to Appendix B - Prefix Type List Official Prefix Char(30) 30 O Title of the Shareholder คำนำหน้าชื่อ Official First Name
เจ้าของประวัติ 1.1 ชื่อ (นาย/นาง/นางสาว) ................................................. ชื่อสกุล ..................................................... First name (Mr./Mrs./Miss