:………………………………….. Nationality:……………………………………….. Email:…………………………………..Telephone Number:………………………………. Address
: ………………………………………………………………………………………………………. Telephone No. : ………………………… Mobile No. : ……………………… Fax : ……………..………. Address
Capital Tower All Seasons Place 87/1 Wireless Road Bangkok 10330 Telephone (66) 2305 8000 Facsimile (66) 2305 8010 www.linklaters.com Prepared by: Wilailuk Okanurak Telephone 66 2305 8024 wilailuk.okanurak
person in all respects and do all necessary acts so that the business shall proceed in accordance with the approved project. If it is appropriate, the SEC Office may change the provisional representative