gather information on name, last name, nationality, occupation, residential address, contacting address, name of ultimate beneficial owner, name of ultimate controlling person, name of the entity

Date : (Please attach a copy of identification card or passport) 1.3 Nationality : 1.4 Date of Birth : [ specify director or executive’s full name ] 1.5 Current Address : # Village / Building Moo Trok

) First name (Mr./Mrs./Miss) ………………… Last name ………………… Former name (if any) ………………………………………………………… (2) Date/month/year of birth ……… Age ……..years / Nationality …………… Identity card ……………………………… No

general: : 2.1 First name ……………………… Last name ………………………. Former name (if any) ………………………………………………... 2.2 Date/month/year of birth ............., age ………..years, gender.... 2.3 Nationality …………………… 2.4 O

core business in a foreign country, identify the directors who have Thai nationality and are domiciled in Thailand. There shall be at least two such directors. 7.2.3 Information related to the roles and