Complaint Form Against SEC Executive and Officer Information of Complainant Mr. Mrs. Ms. Name:…………………………………Surname:…………………….. ID Number/ Passport ID: ………………..………………..………………..………………….. Aged

. ……………………………… Surname : ………………………………… ID number/Passport ID : ……………………...…………………………..………………………………… Gender : Male Female Aged : ………………….. Nationality : ………………………………….. Email

cohabiting partner and minor children; (2) director, executive, controlling person, staff member or employee of the business in the digital token offeror’s group, who holds the position or carry out the work