APPLICATION FORMS AND NOTICES (AFN) – MKT2 For DFSA use only MKT2 Form Application for Admission of Securities to the Official List of Securities of the DFSA For enquiries relating to this form please contact: Telephone: +971 4 362 1500 E-mail: [email protected] 1 of 22 MKT2/VER1/07-12 APPLICATION FORMS AND NOTICES (AFN) – MKT2 Purpose of this form This form must be submitted by any Person which proposes to seek an admission of Securities to the Official List of Securities maintained by the DFSA. This application must be made pursuant to Chapter 9 (The Listing Rules) of the Markets Rules of the DFSA Rulebook (MKT). Contents Section Title Who should complete the section 1 General Information To be completed by all Applicants 2 Details of Security To be completed by all Applicants 3 Trading Details To be completed by all Applicants 4 Additional Information To be completed where relevant 5 Exempt Securities To be completed where relevant 6 Islamic Product To be completed where relevant 7 Declaration To be completed by all Applicants 8 Appendices 2 of 22 MKT2/VER1/07-12 APPLICATION FORMS AND NOTICES (AFN) – MKT2 Notes for completing this form  In this form, the term “Applicant” means an applicant for admission of Securities to the Official List of Securities of the DFSA and includes, where the context requires, the Issuer.  In this form, a reference to Securities is a reference to the Securities of the Issuer or, where the context requires, the Securities for which the Applicant is or proposes to be a Reporting Entity but not the Issuer.  In this form, a reference to the “Listing Rules” is a reference to Chapter 9 of the MKT and relevant appendices.  Defined terms are identified throughout this application form by the capitalisation of the initial letter of a word or phrase and are defined in the Glossary module (GLO) of the DFSA Rulebook.  Questions must be answered fully and the use of abbreviations or acronyms should be avoided or such acronym clearly defined.  Do not leave any questions blank. If a question is not applicable this should be indicated in the response section. Failure to answer questions or provide full responses may delay the progress of the application.  Prior to completion of this form, Applicants are strongly urged to read the Markets Law 2012 and MKT to ensure appropriate information is provided to the DFSA.  Answers must be typed in electronic format and the form must be signed by a Director of the Applicant.  Applicants are reminded that any material changes to any information submitted in this application whilst it is under consideration by the DFSA must be immediately notified to the DFSA, and that failing to provide such information may lead to an offence under Article 66 of the Regulatory Law 2004 if it causes information submitted to the DFSA to be false, misleading or deceptive at the time that the DFSA relies upon it.  The application will not be processed until the relevant fee is paid in full to the DFSA. Details of the fee schedule are set out in the Fees module of the DFSA Rulebook. Please make the payment by bank transfer in US Dollars to the account listed below. Cheques or bank drafts will not be accepted. 3 of 22 MKT2/VER1/07-12 APPLICATION FORMS AND NOTICES (AFN) – MKT2 Account name Account number IBAN: Bank details Dubai Financial Services Authority 020-683751-100 AE080200000020683751100 HSBC Bank Middle East PO Box 66 Dubai, UAE BBMEAEAD Application fee [applicant name] Swift code Reference to be quoted (Kindly provide a copy of the remittance advice to the DFSA) 4 of 22 MKT2/VER1/07-12 APPLICATION FORMS AND NOTICES (AFN) – MKT2 SECTION 1 - GENERAL INFORMATION About the Applicant 1.1 Full name of Applicant: 1.2 Applicant’s registered office address Applicant’s contact person for this application Position/title Telephone number Mobile number Fax number E-mail address 1.3 Name and address of transfer agent/share registrar and any paying agent: 1.4 Name and address of the Applicant’s current auditors, accounting standards and, auditing standards of the Applicant (or the Issuer): 1.5 Company website address: 1.6 Financial year-end: 1.7 Name of the adviser or sponsor Adviser/sponsor’s address (if relevant) 5 of 22 MKT2/VER1/07-12 APPLICATION FORMS AND NOTICES (AFN) – MKT2 Adviser/sponsor’s contact person Position/title Telephone number Mobile number Fax number E-mail address 1.8 Issuer’