Individual Application Form Appendix

1. Products and Services

Account Category

Joint

Type of Account

Cash Account Margin Facility

Online Trading

Yes No

2. Personal Information (Main Applicant)

Name

NRC No. (or) Passport No.

Date of Birth

Father Name

Gender

Male Female

Nationality

Type

Local Foreigner

Resident Status

Resident Non-Resident

Country of Residence

Occupation

Business Owner Employee Government Services Student Retired Housewife Others

If others, please specify.

Marital Status

Single Married

Spouse's Name

Spouse's Occupation

Annual Income.

Source of Fund

Employment Self-employed Inheritance Others

If others, please specify.

Net Worth (Excluding Residence.)

3. Address

Current Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Permanent Address

Same as above Different with Current Address

Permanent Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Current Address in Home Country (Non-Resident)

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Contact Details

Home Phone

Mobile Phone

Fax

Email Address

4. Bank Details

Personal

Bank Account No.

Bank Name.

Bank Branch Name

Type of Account

Saving A/C Call Deposit A/C Current A/C Others

If others, please specify.

Personal (Non-Resident)

Bank Account No. (Home Country Bank A/C)

Bank Name

Bank Branch Name

Type of Account

5. Employment Details

Academic Qualification

Higher Secondary (Dip) Graduate (Bachelor) Post Graduate (Master) Doctorate

Name of Company

Position

Year(s) of Service

Employer Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Office Phone

Fax

Office Email Address

6. Trading Activities

Do you have previous experience in securities trading?

Yes No

Year(s) (If yes, please specify)

Do you have any trading account opened with other brokerage firms other than uab securities Limited?

Yes No

Company Name (If yes, please specify)

Do you now, or have ever had any litigation or bankruptcy proceeding against you by other brokerage houses, financial institution outstanding disputed accounts, or unresolved matters with other brokerage houses / financial institution(s)?

Yes No

Description (If yes, please describe briefly)

7. Politically Exposed Person

Do any of your immediate family members hold or have previously held or are actively seeking a position or are being considered for a prominent public function?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

Do you hold, or have previously held or are actively seeking a position or are being considered for a prominent public function?

Yes No

Position (If yes, please describe briefly)

8. Others

Are you a principal shareholder of any company that currently has an account with uab securities Limited?

Yes No

Company Name (If yes, please specify)

Are you related to or employed by any listed companies on Yangon Stock Exchange?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

Company Name (If yes, please specify)

9. Account Relationship Details

Are you an employee of uab securities Limited?

Yes No

Are you related to any employee of uab securities Limited?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

10. Declaration in Account Opening Form

I hereby confirm that the information provided herein is true and correct. I shall inform uab securities Limited immediately if such information or any details have changed.

I hereby agree that I shall abide by the rules, regulations and conditions set out herein as well as the stipulation laid down at present or in the future by the Securities and Exchange Commision of Myanmar (the "SECM"), the Yangon Stock Exchange (the "YSX"), uab securities Limited and other regulatory authorities.

I have been notified by my marketing officer and understand the Terms & Conditions for Securities Trading (a copy of which has been received by me), and acknowledge that investment in the stock market contains element of risk.

I hereby agree to appoint and authorize uab securities Limited to act as my agent and/or broker in the purchase and/or sale of securities under all the securities trading account that I have or will open with uab securities Limited. I agree to the Terms & Conditions for Securities Trading of the uab securities Limited.

1. Personal Information (Joint Applicant)

Name

NRC No. (or) Passport No.

Date of Birth.

Father Name

Gender

Male Female

Nationality

Type

Local Foreigner

Resident Status

Resident Non-Resident

Country of Residence

Occupation

Business Owner Employee Government Services Student Retired Housewife Others

If others, please specify.

Marital Status

Single Married

Spouse's Name

Spouse's Occupation

Annual Income

Source of Fund

Employment Self-employed Inheritance Others

If others, please specify.

Net Worth (Excluding Residence)

2. Address

Current Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Permanent Address

Same as above Different with Current Address

Permanent Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Current Address in Home Country (Non-Resident)

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Contact Details

Home Phone

Mobile Phone

Fax

Email Address

3. Bank Details

Personal

Bank Account No.

Bank Name

Bank Branch Name.

Type of Account

Saving A/C Call Deposit A/C Current A/C Others

If others, please specify.

Personal (Non-Resident)

Bank Account No. (Home Country Bank A/C)

Bank Name

Bank Branch Name

Type of Account

4. Employment Details

Academic Qualification

Higher Secondary (Dip) Graduate (Bachelor) Post Graduate (Master) Doctorate

Name of Company

Position

Year(s) of Service

Employer Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Office Phone

Fax

Office Email Address

5. Trading Activities

Do you have previous experience in securities trading?

Yes No

Year(s) (If yes, please specify)

Do you have any trading account opened with other brokerage firms other than uab securities Limited?

Yes No

Company Name (If yes, please specify)

Do you now, or have ever had any litigation or bankruptcy proceeding against you by other brokerage houses, financial institution outstanding disputed accounts, or unresolved matters with other brokerage houses / financial institution(s)?

Yes No

Description (If yes, please describe briefly)

6. Politically Exposed Person

Do any of your immediate family members hold or have previously held or are actively seeking a position or are being considered for a prominent public function?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

Do you hold, or have previously held or are actively seeking a position or are being considered for a prominent public function?

Yes No

Position (If yes, please specify)

7. Others

Are you a principal shareholder of any company that currently has an account with uab securities Limited?

Yes No

Company Name (If yes, please specify)

Are you related to or employed by any listed companies on Yangon Stock Exchange?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

Company Name (If yes, please specify)

8. Account Relationship Details

Are you an employee of uab securities Limited?

Yes No

Are you related to any employee of uab securities Limited?

Yes No

Name (If yes, please specify)

Relationship (If yes, please specify)

9. Declaration in Account Opening Form

I hereby confirm that the information provided herein is true and correct. I shall inform uab securities Limited immediately if such information or any details have changed.

I hereby agree that I shall abide by the rules, regulations and conditions set out herein as well as the stipulation laid down at present or in the future by the Securities and Exchange Commission of Myanmar (the "SECM"), the Yangon Stock Exchange (the "YSX"), uab securities Limited and other regulatory authorities.

I have been notified by my marketing officer and understand the Terms and Conditions for Securities Trading (a copy of which has been received by me), and acknowledge that investment in the stock market contains element of risk.

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Individual Application Form (Joint Account)

1. Products and Services

Account Category

Type of Account

Online Trading

2. Personal Information (Main Applicant)

Name

NRC No. (or) Passport No.

Date of Birth

Father Name

Gender

Nationality

Type

Resident Status

Country of Residence

Occupation

If others, please specify.

Marital Status

Spouse's Name

Spouse's Occupation

Annual Income.

Source of Fund

If others, please specify.

Net Worth (Excluding Residence.)

3. Address

Current Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Permanent Address

Permanent Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Current Address in Home Country (Non-Resident)

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Contact Details

Home Phone

Mobile Phone

Fax

Email Address

4. Bank Details

Personal

Bank Account No.

Bank Name.

Bank Branch Name

Type of Account

If others, please specify.

Personal (Non-Resident)

Bank Account No. (Home Country Bank A/C)

Bank Name

Bank Branch Name

Type of Account

5. Employment Details

Academic Qualification

Name of Company

Position

Year(s) of Service

Employer Address

(e.g. No., Street, Ward, Township, City, State)

Postal Code

Country

Office Phone

Fax

Office Email Address

6. Trading Activities

Do you have previous experience in securities trading?

Year(s) (If yes, please specify)

Do you have any trading account opened with other brokerage firms other than uab securities Limited?

Company Name (If yes, please specify)

Do you now, or have ever had any litigation or bankruptcy proceeding against you by other brokerage houses, financial institution outstanding disputed accounts, or unresolved matters with other brokerage houses / financial institution(s)?

Description (If yes, please describe briefly)

7. Politically Exposed Person

Do any of your immediate family members hold or have previously held or are actively seeking a position or are being considered for a prominent public function?

Name (If yes, please specify)

Relationship (If yes, please specify)

Do you hold, or have previously held or are actively seeking a position or are being considered for a prominent public function?

Position (If yes, please describe briefly)