KNOW YOUR CUSTOMER (FORM)

Inline with Mitsun Group and its subsidiaries policy, it is mandatory to scrutinise complete client details in order to minimize compliance risk. For the purpose of this due diligence process, please complete this Form and with all supporting documentation.

COMPANY DETAILS:

PROVIDE YOUR CONTACT PERSON INFORMATION:

CONTROLLING SHAREHOLDERS ABOVE 5% SHARES / VOTING RIGHTS TO THE LEVEL OF ULTIMATE BENEFICIAL OWNER(S):

(Please Attach Official Document Confirming This Ownership)

BOARD OF DIRECTORS: (e.g. CEO, CFO etc)

ARE ANY OF YOUR DIRECTORS OR DIRECT OR INDIRECT SHAREHOLDERS CONSIDERED AS OR RELATED TO A POLITICALLY EXPOSED PERSON (PEP) ?:

(*Directors : Chief Executive Officer, Managing director, deputy CEO or managing director, members of the management board, board of directors, supervisory board. Politically Exposed Persons are individuals who are or have been entrusted with prominent public functions, whether in their home country or abroad, for example Heads of State or of government, senior politicians, senior government, judicial or military officials, senior executives of state owned corporations, important political party officials. Persons known to be closely related to PEP are also considered as PEP. These individuals are still considered as PEP after the end of their functions.)

If The Above Is Yes, Please Provide Relevant Details:

YES NO

DETAILS:

II. PURPOSE OF REGISTRATION:

INTENDED BUSINESS WITH MITSUN:

III. REFERENCES:

BANK REFERENCE:

TRADE REFERENCE:

REFERENCE ONE

REFERENCE TWO

PLEASE ATTACH:

1. Bank reference

2. Incorporation Document (Cert. of registration, form co2 and form co7)

3. Proof of IDs of Directors/Shareholders (UBOs)

4. Proof of Registered/Operational Address (UBOs)

Bank reference:

Incorporation Document (Cert. of registration, form co2 and form co7)

Proof of IDs of Directors/Shareholders (UBOs)

Proof of Registered/Operational Address

By clicking the Submit button, we hereby fully and irrevocably agree to indemnify Mitsun, its agents, and respective affiliates, as well as its officers, directors, employees, collateral managers, services, and counsel, against any loss, litigation, or any other expense arising from the statement of untrue or incomplete information herein, or due to the undersigned's failure to disclose any illegality in relation to the source of funds as requested by this document. We hereby confirm that the information provided by us is accurate.

KNOW YOUR CUSTOMER (FORM)