Mobile Phone No. Personal E-mail address: .......................................................................................... Name and title of signatory on proposal: Signature Date Print Name of Signatory: *The Offeror hereby undertakes to notify IEC of any change in the above information provided by him.
Mobile Phone No. Home Phone No: ...........................................................
Mobile Phone No. Fax No.: ......................................... X.X.Xxx: ................. Email: .........................................................................
Mobile Phone No. Fax No.: ......................................... X.X.Xxx: ................. Email: ......................................................................... Particulars of the Third Customer: Investor’s No. in Abu Dhabi Securities Market (if any): .................................................................................. Investor’s No. in Dubai Financial Market (if any): .................................................................................. Name in Full (pursuant to Passport or ID): .................................................................................. Passport or ID No.: ................................................................................ Family Book Extract No. (For UAE citizens only): .................................................................................. Relationship (to the First and/or Second Customer(s): ..................................................................................
Mobile Phone No. Signature/thumbprint: 3) Name:
Mobile Phone No. Fax No.: ............................. P.O. Box: ................................. Email: ............................................................................... Classification of the Customer: Language of Communications: Arabic English Particulars of the Proxy/Guardian/ Legal Guardian (if any): Natural Person Corporate Person/Company Investor’s No. in Abu Dhabi Market: .................................................................................. Investor’s No. in Dubai Market: .................................................................................. Trading No. in Abu Dhabi Securities Market (For Broker’s Use): .................................................................................. Trading No. in Dubai Financial Market (For Broker’s Use): ..................................................................................
Mobile Phone No. Fax No.: ......................................... X.X.Xxx: ...................... Email: ................................................................................ No.,Place and Date of Issuance of the Power of Attorney or Guardianship: ............................................................................................ .................................................................................. Customer’s Signature (or Legal Representative in case of a Company) Joint Account: (Should there be more than three Investors, a list indicating the names and particulars of the Investors must be provided, which list once signed by each Investor and approved by the Broker, shall constitute an integral part of this Agreement). Account Management Method: Nationality: .................................................................. Date of Birth: ................................................................ Direct Phone No.: ..........................................................
Mobile Phone No. Fax No.: ......................................... X.X.Xxx: ............... Common Language: Arabic English Email:.........................................................................
Mobile Phone No. Email: ........................................................ Email Người đại diện là Representative’s status Đại diện theo pháp luật Đại diện theo ủy quyền Legal representative Authorized person PTSP-CB/OMNI-KHDN/M01A;(00,12/04/2021) Trang 1/4
Mobile Phone No. Fax No. E-mail - for submitting bids to Allocation Office Name Telephone No. Mobile phone No. Fax No. E-mail - for financial issues Name Telephone No. Mobile phone No. Fax No. E-mail Valid postal address for sending the Agreement: Xxxxx postal address for sending the Invoices: Official e-mail for sending Invoices: The Registered Participant is obliged to inform Allocation Office promptly in case of any changes identified in the table above. Date: For the Registered Participant
