KLN Logistics Group Limited - Proxy Solicitation & Information Statement 2024

THIS CIRCULAR IS IMPORTANT AND REQUIRES YOUR IMMEDIATE ATTENTION

If you are in any doubt as to any aspect of this circular or as to the action you should take, you should consult your stockbroker or other licensed securities dealer, bank manager, solicitor, professional accountant or other professional adviser.

The contentsofthis circular have not been reviewed by any regulatory authority in Hong Kong.You are advisedto exercise caution in relation to the distribution. If you are in any doubt about any of the contents of this circular, you should obtain independent professional advice.

Hong Kong Exchanges andClearing Limited,The Stock Exchange of Hong Kong Limited and Hong Kong SecuritiesClearing Company Limited take no responsibility for the contents of this circular, make no representation as to its accuracy or completeness and expressly disclaim any liability whatsoever for any loss howsoever arising from or in reliance upon the whole or any part of the contents of this circular.

This circular is for information purpose only, and does not constitute an invitation or solicitation of an offer to acquire, purchase or subscribe securities or an invitation to enter into an agreement to do any such thing, nor is it calculated to invite any offer to acquire, purchase or subscribe securities.

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(Incorporated in the British Virgin Islands and continued into Bermuda as an exempted company with limited liability)

Stock Code 636

DECLARATION OF SPECIAL INTERIM DIVIDEND BY WAY OF DISTRIBUTION IN SPECIE OF SHARES OF KERRY EXPRESS (THAILAND) PUBLIC COMPANY LIMITED

Sole Financial Adviser to the Company

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A letter from the Board is set out on pages 7 to 24 of this circular.

27 February 2024

CONTENTS

		Page
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1
LETTER FROM THE BOARD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		7
1.	INTRODUCTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	7
2.	THE DISTRIBUTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	8
3.	KEX OFFER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	9
4.	OPTIONS AVAILABLE TO QUALIFYING MINORITY SHAREHOLDERS. . . . . . . . . . . . . . . . . . . . .	11
5.	NON-QUALIFYING SHAREHOLDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	15
6.	BENEFICIAL OWNERS WHOSE KLN SHARES ARE DEPOSITED IN CCASS. . . . . . . . . . . . . . . . . .	16
7.	OTHER IMPORTANT NOTES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	18
8.	REASONS FOR AND BENEFITS OF THE DISTRIBUTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	19
9.	FINANCIAL EFFECTS OF THE DISTRIBUTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
10.	INFORMATION ABOUT THE COMPANY AND KLN GROUP. . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
11.	INFORMATION ABOUT KEX AND KEX GROUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
12.	HONG KONG LISTING RULES IMPLICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	20
13.	FURTHER DETAILS REGARDING THE KEX OFFER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	21
14.	SHAREHOLDING STRUCTURE OF KEX GROUP BEFORE AND AFTER THE CLOSE OF
	THE KEX OFFER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	23
15.	EXPECTED TIMETABLE OF THE DISTRIBUTION AND KEX OFFER. . . . . . . . . . . . . . . . . . . . . . . .	24
APPENDIX – SPECIMEN TRANSFER FORM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		25

– i –

DEFINITIONS

In this circular, the following expressions have the following meanings unless the context otherwise requires:

“Account 600” a securities issuer’s account, participant no. 600 opened with TSD for a Qualifying Minority Shareholder who elects Option 1 (Shares) and provides the requisite documentation in accordance with the instructions set out in this circular and the Election Form
“Beneficial Owner(s)” in respect of a KLN Shareholder, beneficial owner(s) of KLN Shares whose KLN Shares are registered in the name of the KLN Shareholder as shown on the Registers of Members
“BLS” Bualuang Securities Public Company Limited “Board” the board of Directors “Business Day(s) (HK)” day(s) on which banks in Hong Kong are open for business, operate and provide normal banking services (excluding Saturdays, Sundays, public holidays)
“Business Day(s) (TL)” day(s)onwhich banks inThailand areopenfor business,operate and provide normal banking services (excluding Saturdays, Sundays, public holidays)
“BVI” the British Virgin Islands “CCASS” the Central Clearing and Settlement System established and operated by HKSCC
“ChinaClear” China Securities Depository and Clearing Corporation Limited “Company” or “KLN” Kerry Logistics Network Limited, incorporated inthe BVI and continued into Bermudato become an exempted company with limited liability,the issued shares of which are listed on the Main Board of the Hong Kong Stock Exchange (stock code: 636)
“Condition” has the meaning given to it under the section headed “2.The Distribution – 2.2 Condition to the Distribution” in the “Letter from the Board” contained in this circular
“controlling shareholder” has the meaning ascribed to it under the Hong Kong Listing Rules “Director(s)” the director(s) of the Company

– 1 –

DEFINITIONS

“Distribution”	the distribution of a special interim dividend in specie of 0.5019 of a KEX
	Share for every one KLN Share held by Qualifying Shareholders on the
	Record Date
“Distribution Closing Date”	26 March 2024or suchotherdate astheCompany may announcefromtime
	to time, being the date on which (i) KEX DIS Shares are credited to Account
	600 for Qualifying Minority Shareholders who elect Option 1 (Shares) and
	(ii) payment of consideration under the KEXOffer is made to KerryThailand
	on behalf of Qualifying Minority Shareholders who elect (or are deemed to
	have elected) Option 2 (Share Sale) and Non-qualifying Shareholders
“Election Form”	the election form for Qualifying Minority Shareholders to complete and
	return to the Registrar to confirm the option by which they elect to receive
	the benefit of the Distribution, a copy of which is despatched with this
	circular and the Transfer Form
“FHHL”	Flourish Harmony Holdings Company Limited, an indirect wholly-owned
	subsidiary of SF Holding HK
“First Announcement”	the announcementoftheCompanydated 29 December 2023 in relationto,
	among others, the Distribution
“HKSCC”	Hong Kong Securities Clearing Company Limited
“HK$”	Hong Kong dollar(s), the lawful currency of Hong Kong
“Hong Kong”	the Hong Kong Special Administrative Region of the PRC
“Hong Kong Listing Rules”	the Rules Governing the Listing of Securities on the Hong Kong Stock
	Exchange, as amended, supplemented or otherwise modified from time to
	time
“Hong Kong Stock Exchange”	The Stock Exchange of Hong Kong Limited
“HSBC”	The Hongkong and Shanghai Banking Corporation Limited, being the sole
	financial adviser to theCompany in relation to the Distribution, a registered
	institution under the SFO, registered to carry on Type 1 (dealing in
	securities), Type 2 (dealing in futures contracts), Type 4 (advising on
	securities), Type 5 (advising on futures contracts), Type 6 (advising on
	corporate finance) and Type 9 (asset management) regulated activities
	under the SFO and a licensed bank under the Banking Ordinance (Chapter
	155 of the Laws of Hong Kong)

– 2 –

DEFINITIONS

“Kerry Thailand” KLN Logistics (Thailand) Limited, an indirect subsidiary of the Company “KEX” Kerry Express (Thailand) Public Company Limited, a public company with limited liability registered in Thailand and listed on the Thailand Stock Exchange (stock symbol: KEX) and an indirect subsidiary of the Company
“KEX DIS Shares” the KEXSharesthatwill bedistributedtoQualifyingShareholders underthe Distribution
“KEX Group” KEX and its subsidiaries
“KEX Offer” the mandatory tender offer being made by the Offeror as a result of the Distribution pursuant to the Thai Code
“KEX Offer Document” the tender offer document in respect of the KEX Offer that was issued and published by the Offeror on 8 February 2024 in accordance with the Thai Code and any ancillary documents, as amended from time to time
“KEX Offer Period” the period between 13 February 2024 and 22 March 2024 both days inclusive, subject to extension as permitted under the Thai Code
“KEX Offer Price” the price atwhichthe KEXOffer is being made, beingTHB5.50 per KEXOffer Share
“KEX Offer Share(s)” all issued KEX Shares other than the Offeror’s KEX Shares
“KEX Shareholder(s)” registered holder(s) of KEX Shares
“KEX Share(s)” share(s) of par value of THB0.50 each in KEX
“KLN Group” the Company and its subsidiaries
“KLN Shareholder(s)” registered holder(s) of KLN Share(s) “KLN Share(s)” share(s) of nominal value of HK$0.50 each in the Company or, if there has been a subdivision, consolidation, reclassification or reconstruction of the share capital of the Company, shares forming part of the ordinary share capital of the Company
“Last Trading Day” 28 December 2023, beingthe lasttradingdayonwhichthe KEXShareswere traded on the Thailand Stock Exchange prior to the date of the First Announcement

– 3 –

DEFINITIONS

“Latest Practicable Date”
22 February 2024, being the latest practicable date prior to the printing of this circular for ascertaining certain information in this circular
“MIB Securities”
MIB Securities (Hong Kong) Limited
“Net Proceeds” the total proceeds to be received from the Offeror from the tender for acceptance of (i) the KEX DIS Shares to which Qualifying Minority Shareholders who have elected Option 2 (Share Sale) are entitled and (ii) the KEX Shares to which the Non-qualifying Shareholders are otherwise entitled, after deducting brokerage fee of 0.25% of the KEX Offer Price, value added tax of 7% of the brokerage fee and among other (if any) transaction costs, levies, fees, expenses and withholding tax incurred in connection with the tendering of such KEX Shares
“Non-qualifying Shareholder(s)”
Overseas Shareholder(s) or overseas Beneficial Owner(s) who is/are excluded from receiving KEX Shares by the Board out of necessity and/or expediency, on account of applicable legal or regulatory requirements or restrictions, including Stock Connect Investors
“Offeror”
the offeror of the KEX Offer, being SF Thai SPV
“Offeror Concert Group” the Offeror, its related persons, concert parties or related persons of the concert parties (all as defined under the Thai Code)
“Offeror Undertaking”
has the meaning given to it under the section headed “3. KEX Offer – 3.1 Launch of the KEX Offer” in the “Letter from the Board” contained in this circular
“Offeror’s KEX DIS Shares”
the KEX DIS Shares to which FHHL is entitled under the Distribution, which will be transferred by FHHL to SFThai SPV on the Distribution Closing Date
“Offeror’s KEX Shares”
Offeror’s KEX DIS Shares and other KEX Shares already held by the Offeror
“Option 1 Documents” has the meaning given to it in the section headed “4. Options Available to Qualifying Minority Shareholders – 4.1 Option 1 (Shares)” in the “Letter from the Board” contained in this circular
“Option 1 (Shares)” the option being made available to FHHL and Qualifying Minority Shareholders for receiving the benefit of the Distribution in scripless form, which allows them to elect to have the KEX DIS Shares to which they are entitled under the Distribution credited to their Account 600

– 4 –

DEFINITIONS

“Option 2 (Share Sale)” the option being made available to Qualifying Minority Shareholders for receiving the benefit of the Distribution in the form of cash, which allows them to elect to have the KEX DIS Shares to which they are entitled under the Distribution tendered for acceptance under the KEX Offer and the Net Proceeds paid to them after the KEX Offer Period ends
“Overseas Shareholder(s)” KLN Shareholder(s) whose address(es) shown on the Registers of Members on the Record Date was/were in a place outside Hong Kong
“PRC” the People’s Republic of China “Qualifying Minority Qualifying Shareholders other than FHHL Shareholder(s)”
“Qualifying Shareholder(s)” KLN Shareholder(s) whose name(s) appear(s) on the Registers of Members on the Record Date, other than Non-qualifying Shareholder(s)
“Record Date” 22 February 2024, being the record date for determining KLN Shareholders’ entitlement to the Distribution
“Registers of Members” the Company’s principal register of members and Hong Kong branch register of members
“Registrar” or “Transfer Agent” Tricor Investor Services Limited, the Company’s Hong Kong branch share registrar and transfer office
“Second Announcement” the announcement of the Company dated 5 February 2024 in relation to, among others, satisfaction of the Condition
“SET member broker” a securities brokerage firm registered with SET as a member “SF Holding HK” SF Holding (HK) Limited, an indirect wholly-owned subsidiary of S.F. Holding
“SF Thai SPV” SF International Holding (Thailand) Co., Ltd., a limited liability company incorporated in Thailand, being the Offeror
“SFO” the Securities and Futures Ordinance (Chapter 571 of the Laws of Hong Kong), as amended, supplemented or otherwise modifiedfrom time to time
“SPA” has the meaning given to it in the section headed “2. The Distribution – 2.2 Condition to the Distribution” in the “Letter from the Board” contained in this circular

– 5 –

DEFINITIONS

“Stock Connect”	Shanghai-Hong Kong Stock Connect and Shenzhen-Hong Kong Stock
	Connect
“Stock Connect Investors”	PRC Southbound trading investors who hold KLN Shares through Stock
	Connect
“Submission Deadline”	4:30 p.m. on 13 March 2024, or such other time and date as the Company
	may announcefromtimetotime, beingthedeadlinefor submittingtheduly
	completed and signed Election Form and (if applicable) other Option 1
	Documents to the Registrar
“subsidiary”	has the meaning ascribed to it under the Hong Kong Listing Rules
“S.F. Holding”	S.F. Holding Co., Ltd., a controlling shareholder of the Company
“Thai Code”	Securities and Exchange Act B.E. 2535 (1992) (as amended), Notification of
	Capital MarketSupervisory BoardTorJor. 12/2554 Re: Rules,Conditions and
	Procedures for the Acquisition of Securities for Business Takeover (as
	amended), and any other relevant rules, regulations, and notifications
	issued thereunder
“Thai Legal Adviser”	Siam Premier International Law Office Limited, being the legal adviser to
	the Company as to Thailand law
“Thai SEC”	the Securities and Exchange Commission, Thailand
“Thailand”	the Kingdom of Thailand
“Thailand Stock Exchange” or “SET”	The Stock Exchange of Thailand
“THB”	Thai Baht, the lawful currency of Thailand
“Transfer Form”	TSD-404, a standard form application for securities transfer to/from the
	issuer account, including FATCA/CRS Self-Certification Form and its
	applicable supplement forms, a copy of which is despatched with this
	circular and the Election Form, being one of the Option 1 Documents
“TSD”	Thailand Securities Depository Company Limited, a wholly-owned
	subsidiaryoftheThailandStock Exchange andthe securities registrarof KEX
“%”	per cent.

For illustrative purpose only, in this circular, HK$ has been translated from THB at the rate of THB4.6311:HK$1 basedontheaveragecounterratesquotedbycommercialbanks(averagesellingrate)asattheLatestPracticableDate as statedonthewebsiteofthe BankofThailand.Unlessotherwise stated,alltimeanddate references inthis circularare to Hong Kong time and date.

– 6 –

LETTER FROM THE BOARD

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(Incorporated in the British Virgin Islands and continued into Bermuda as an exempted company with limited liability)

Stock Code 636

Chairman, Non-executive Director: Mr WANG Wei

ViceChairman, Non-executive Director: Mr KUOK Khoon Hua

RegisteredOffice: Victoria Place, 5th Floor 31 Victoria Street Hamilton HM 10 Bermuda

Executive Directors:

Mr CHEUNG Ping Chuen Vicky ( Group Managing Director ) Mr CHENG Chi Wai Non-executive Directors: Mr HO Chit Ms OOI Bee Ti Ms CHEN Keren

Corporate Headquarters and Principal Place of Business in Hong Kong: 16/F, Kerry Cargo Centre 55 Wing Kei Road Kwai Chung New Territories Hong Kong

Independent Non-executive Directors:

Dr CHEUNG Wai Man Mr LAI Sau Cheong Simon Mr TAN Chuen Yan Paul Ms WONG Yu Pok Marina

27 February 2024

To the KLN Shareholders

Dear Sir or Madam

DECLARATION OF SPECIAL INTERIM DIVIDEND BY WAY OF DISTRIBUTION IN SPECIE OF SHARES OF KERRY EXPRESS (THAILAND) PUBLIC COMPANY LIMITED

1. INTRODUCTION

Reference is made to the First Announcement. On 29 December 2023, the Board resolved to declare a special interim dividend, conditional upon the satisfaction of the Condition, to be effected by way of a distribution in specie of 907,200,000 KEX Shares (representing approximately 52.1% of all issued KEX Shares) indirectly held by the Company to Qualifying Shareholders whose names appear on the Registers of Members on the Record Date, in proportion to their then respective shareholdings in the Company.

– 7 –

LETTER FROM THE BOARD

Reference is further made to the Second Announcement. On 5 February 2024, the Condition was satisfied and the Distribution became unconditional.

On 13 February 2024, the KEX Offer was launched by the Offeror.

The purpose of this circular is to provide you with further information relating to the Distribution and the KEX Offer.

2. THE DISTRIBUTION

Qualifying Shareholders will be entitled to 0.5019 of a KEX Share for every one KLN Share held on the Record Date.

KEX is an indirect subsidiary of the Company and KEX Shares are listed on theThailand Stock Exchange (stock symbol: KEX). Upon completion of the Distribution, the Company will no longer hold any KEX Shares and KEX will cease to be an indirect subsidiary of the Company.

For referenceonly, basedonthe closing priceofTHB5.45 (equivalentto approximately HK$1.18) per KEXShare as traded on the Thailand Stock Exchange on the Latest Practicable Date, the aggregate market value of the KEX Shares to be distributed under the Distribution is approximately HK$1,068 million, which is equivalent to approximately HK$0.59 per KLN Share. The final aggregate market value of the Distribution will be based on the closing price of KEX Shares on the Distribution Closing Date.

KEX Shares to be distributed under the Distribution are fully paid and will be distributed free of encumbrance.

The number of KEXShares to which aQualifyingShareholder is entitled under the Distribution will be rounded down to the nearest whole number. Fractions of KEX Shares will not be distributed to Qualifying Shareholders, and will be aggregated and tendered under the KEX Offer by the Company and/or Kerry Thailand for their own benefit.

2.1. Thai Code implications

Pursuant to theThai Code, a mandatory tender offer is required to be extended for all securities of a company listedontheThailandStock Exchange andto all securities holdersof such listed company, if an acquisitionof interest would cause the voting rights held by a shareholder (acting alone or with its related persons, concert parties, or related persons of the concert parties, all as defined under theThai Code) to reach or cross the prescribed threshold of 25%, 50% or 75%.

2.2. Condition to the Distribution

Since the KEX Shares to be distributed under the Distribution are held in the name of Kerry Thailand, the Company and KerryThailand will enter into a share purchase agreement with respect to the acquisition of such KEX Shares (the “ SPA ”) so as to provide the Company a right to direct the transfer of KEX Shares to KLN Shareholders for implementing the Distribution.

– 8 –

LETTER FROM THE BOARD

In such case, the Company is considered to have triggered tender offer obligations under theThai Code (unless waived) on two occasions: (i) on approval of the Distribution by the Board and the publication of the First Announcement, and (ii) when theCompany and KerryThailand enter into the SPA in order to effect the Distribution. In the case of (i), the Company is deemed to have obtained rights over KEX DIS Shares and is therefore deemed as having made a public announcement of a business takeover, thereby triggering an obligation to make a voluntary tender offer in relation to KEX under theThai Code. In the case of (ii), the Company is deemed to have acquired KEX DIS Shares by entering into the SPA despite it not being the recipient or transferee of any such KEX DIS Shares, thereby triggering an obligation to make a mandatory tender offer in relation to KEX under the Thai Code.

If the Company were to proceed with the said tender offer(s) as required under the Thai Code, it would contradictthe intentionofthe Distribution.TheCompany hastherefore sought, andthe Distribution is subjecttothe Company obtaining, a waiverfromThaiSEC in respect of its tender offer obligations arising out of the Distribution as described above, pursuant to the Thai Code (the “ Condition ”).

As disclosed in the Second Announcement, the Company obtained a waiver from Thai SEC in respect of the aforesaid tender offer obligations on 5 February 2024, subject to the conditions that (i) the Company must procure the Offeror to perform a tender offer for all securities of KEX until completion, on conditions and at a price not less favourable than those that would have been extended by the Company had it proceeded with the tender offers, to provide an opportunity for KEX Shareholders to decide on the matter regarding their holding of KEX’s securities and (ii) the Company must procure KEX to publish an announcement informing investors of (i). The Company confirms that both (i) and (ii) have been satisfied. Accordingly, the Condition has been fulfilled and the Distribution has become unconditional.

3. KEX OFFER

S.F. Holding is a controlling shareholder of KLN and as at the Record Date, indirectly held (through its indirect wholly-owned subsidiary, FHHL) approximately 51.5% of all issued KLN Shares. FHHL will therefore be entitled to receiveanaggregateof467,373,855KEXSharesundertheDistribution,whichrepresentsapproximately26.8%ofall issued KEX Shares as at the Latest Practicable Date.

As advised by FHHL, it intends to transfer all of the KEX DIS Shares to be received by it under the Distribution totheOfferoronthe samedaythatthey are received.Accordingly,theOfferor will be requiredto make a mandatory tender offer to acquire all KEX Shares (other than the Offeror’s KEX Shares) in accordance with the requirements of the Thai Code.

3.1. Launch of the KEX Offer

SF Holding HK, FHHL and the Offeror jointly undertook to the Company (the “ Offeror Undertaking ”) that, subject to the satisfaction of the Condition, (i) each of FHHL and SF Thai SPV will execute, submit and provide all requisitedocumentsfor receiving its KEX DISSharesfromtheCompany and/or KerryThailand in accordancewiththe procedures set out in the announcements and circulars to be issued by the Company regarding the Distribution, and (ii) the Offeror will make the KEX Offer at the KEX Offer Price to acquire all issued KEX Shares (other than the Offeror’s KEXShares)from KEXShareholdersonterms in compliancewith all applicable requirements undertheThai Code.

– 9 –

LETTER FROM THE BOARD

In accordance with the Offeror Undertaking, on 8 February 2024, the Offeror submitted to Thai SEC the KEX Offer Document containingdetailsofthe KEXOffer andon 13 February 2024,theOfferor launchedthe KEXOffer at the KEX Offer Price of THB5.50 per KEX Offer Share to acquire all issued KEX Shares (other than the Offeror’s KEX Shares) from KEX Shareholders in compliance with the Thai Code.

The KEX Offer Price of THB5.50 per KEX Offer Share represents:

(i) a premium of approximately 0.9% to the closing price of THB5.45 per KEX Share as quoted on the Thailand Stock Exchange on the Latest Practicable Date;
(ii) a premium of approximately 11.3% to the closing price of THB4.94 per KEX Share as quoted on the Thailand Stock Exchange on the Last Trading Day;
(iii) a premium of approximately 16.6% to the average closing price of THB4.72 per KEX Share as quoted on the Thailand Stock Exchange for the five consecutive trading days up to and including the Last Trading Day;
(iv) a premium of approximately 21.1% to the average closing price of THB4.54 per KEX Share as quoted on theThailandStock Exchangeforthe 10 consecutivetradingdays upto and includingthe LastTrading Day;
(v) a premium of approximately 28.4% to the average closing price ofTHB4.28 per KEX Share as quoted on theThailandStock Exchangeforthe 30 consecutivetradingdays upto and includingthe LastTrading Day;
(vi) adiscountof approximately 5.4%tothe average closing priceofTHB5.81 per KEXShare asquotedonthe Thailand Stock Exchange for the 90 consecutive trading days up to and including the Last Trading Day;
(vii) a discount of approximately 34.9% to the average closing price ofTHB8.44 per KEX Share as quoted on the Thailand Stock Exchange for the 180 consecutive trading days up to and including the Last Trading Day; and
(viii) a premium of approximately 261.2% over the audited consolidated net asset value of KEX Group of approximately THB1.52 per KEX Share as at 31 December 2023, based on 1,742,577,000 KEX Shares in issue as at 31 December 2023.

The KEX Offer Document issued by the Offeror on 8 February 2024 is published on SET’s website (https://weblink.set.or.th/dat/news/202402/1616NWS080220241230190483E.pdf), which may be further amended from time to time. The amendment (if any) will also be published on SET’s website under the “News” section (https://www.set.or.th/en/market/product/stock/quote/KEX/news). The principal terms of the KEX Offer are summarised in the section headed “13. Further details regarding the KEX Offer” below.

– 10 –

LETTER FROM THE BOARD

4. OPTIONS AVAILABLE TO QUALIFYING MINORITY SHAREHOLDERS

As the KEX Offer will remain open for acceptance by KEX Shareholders (including KerryThailand) in respect of their KEX Shares (excluding the Offeror’s KEX Shares) until 22 March 2024 (i.e., before the Distribution Closing Date),Qualifying Shareholders (other than FHHL) who are entitled to receive KEX DIS Shares under the Distribution willbeabletoelecttohavetheirKEXDISSharestenderedintheKEXOffer.FHHLisentitledtoOption1(Shares)only.

Accordingly, each Qualifying Minority Shareholder is entitled to elect (at his/her/its absolute discretion) Option 1 (Shares) or Option 2 (Share Sale) as follows:

Option 1 (Shares) : To authorise the Company and/or theThai LegalAdviser to complete the transfer of KEX DIS Shares to which the Qualifying Minority Shareholder is entitled, in scripless form, to the Account 600 under such Qualifying MinorityShareholder’s name withTSD at completionofthe Distribution, and confirm not to have his/her/its entitled KEX DIS Shares tendered in the KEX Offer
Option 2 (Share Sale) : To authorisetheCompany and/or KerryThailandto acceptthe KEXOffer and tender all of the KEX DIS Shares to which the Qualifying Minority Shareholder is entitled under the Distribution in exchange for the Net Proceeds to be received after the KEX Offer closes, and confirm not to hold any KEX DIS Shares at completion of the Distribution

An Election Form is despatched with this circular, which includes further terms of and conditions to the Distribution and the options available to Qualifying Minority Shareholders.

It is not possible for Qualifying Minority Shareholders to elect to have only some but not all of their KEX DIS Shares held in scripless form under Option 1 (Shares) or sold under Option 2 (Share Sale). Qualifying Minority Shareholders areonly entitledto elect ONEOPTION in respectoftheirfull entitlementto KEX DISShares underthe Distribution, save that nominee or trustee companies (including HKSCC) are permitted to make a partial election to the extent required to satisfy the elections made by holders of beneficial interests in KLN Shares of which they are the registered holders or on behalf of whom they hold interests in KLN Shares. Based on the current timetable, the KEXOffer will close on 22 March 2024, which is two Business Days (TL) before the DistributionClosing Date. Hence, Qualifying Minority Shareholders who elect Option 1 (Shares) will not be able to tender their KEX DIS Shares under the KEX Offer after they receive them on the Distribution Closing Date. In respect of Option 2 (Share Sale), none of the Company, Kerry Thailand and the Registrar will be involved in the further allocation and distribution of Net Proceeds to the clients/beneficiaries of the nominee or trustee companies.

– 11 –

LETTER FROM THE BOARD

4.1. Option 1 (Shares)

Under this option, Qualifying Minority Shareholders will receive KEX DIS Shares in scripless form in Account 600 on the Distribution Closing Date. Qualifying Minority Shareholders who wish to elect Option 1 (Shares) are reminded to read the terms and conditions in the Election Form carefully and must provide (i) duly completed and signed Election Form, (ii) duly completed and signed Transfer Form, and (iii) the following supporting documents (collectively, the “ Option 1 Documents ”), to the Registrar at 17/F, Far East Finance Centre, 16 Harcourt Road, Hong Kong by post or by hand, marked “ Kerry Logistics Network Limited – Distribution ” as soon as possible and in any event no later than the Submission Deadline.The documents received will be forwarded by theThai Legal Adviser to TSD on behalf of each Qualifying Minority Shareholder for transferring his/her/its KEX DIS Shares to the Account 600 under such Qualifying Minority Shareholder’s name.

Supporting documents for non-Thai individual or body corporate Qualifying Minority Shareholders:

IndividualQualifying Minority Shareholders of non-Thai nationality

Body corporate Qualifying Minority Shareholders of non-Thai nationality

a copy of his/her passport certified true and correct by the Qualifying Minority Shareholder[(1)]
a notarised and legalised copyof its certificateof incorporation[(2)]
a notarised and legalised copy of his/her passport[(2)]
a notarised and legalised affidavit, stating the name(s) of director(s), authorised signatory(ies) (being person(s) who is/are authorisedto signon behalf of the body corporate) and the signing conditions attached (if any)tothe authorisation, and identifying its business headquarters[(2)] , together with either (a) (the preferred option) notarised and legalised extract of the board resolution(s) appointing the authorised signatory(ies) or (b) a notarised and legalised power of attorney/letter of authorisation as to the authority of signatory(ies) in affirming such authorisation[(2)]
a notarised and legalised copy of the identity document of person(s) signing theTransfer Form as authorised under item (2) certified true and correct by such holder(s)[(1)(2)]

Notes:

The certification must be on each page of the document and accompanied by the certifier’s signature, full name and date, where the certifier shall be the owner of the document. Suggested wording for the certification is as follows (in English): “I certify this to be a true copy of the original” or “certified true copy”. In case of certification of a passport with signature column, the certifier’s signature must be the same as that in the passport and if any, the signature appearing on the passport’s emergency page.

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LETTER FROM THE BOARD

The document requires notarisation by a notary public in Hong Kong who is registered with the Royal Thai Consulate-General, Hong Kong and the notarisation must be further certified (legalised) by the Royal Thai Consulate-General, Hong Kong. The notarisation and legalisation must be issued not more than one year before the date of submission of the Option 1 Documents (otherthanthe Election Form)toTSD, anddocuments in languagesotherthan English must betranslated into English.Qualifying Minority Shareholders who (in relation to individuals) do not hold any Hong Kong identification document or (in relation to body corporates) are not incorporated in Hong Kong may be subject to additional notarisation and/or legalisation requirements to be imposed by the Royal Thai Consulate-General, Hong Kong as they see fit. Procedures and documentation requirements for notarisation and legalisation will be determined on a case-by-case basis by the Royal Thai Consulate-General, Hong Kong. Qualifying Minority Shareholders are advised to consult their professional advisers in this regard.

The above serves as further elaboration of the documentation requirements as outlined in the Transfer Form. Certain details have been further elaborated to explain TSD’s requirements.

Supporting documents for Thai individual or body corporate Qualifying Minority Shareholders: If you are a Thai individual or body corporate and wish to elect Option 1 (Shares), please refer to the list of identification documents set out in theTransfer Form in respect of the procedures necessary for preparing the relevant supporting documents.

For reference, a specimen of the Transfer Form is appended to this circular. Qualifying Minority Shareholders are advised to complete and sign the Transfer Form with reference to the specimen Transfer Form. Qualifying Minority Shareholders are reminded to complete the entire Transfer Form either electronically or by handwriting (but not both) and sign it in wet ink. TSD will not accept electronic signatures to the Transfer Form.

Qualifying Minority Shareholders should be aware that it takes time to arrange for documents to be notarised and legalised.Those who wish to electOption 1 (Shares) are advised to consult their professional advisers as soon as possible in order to meet the Submission Deadline.

Provided that all Option 1 Documents have been validly completed, signed and submitted to the Registrar by the Submission Deadline and the application for the transfer of KEX DIS Shares to Account 600 has been approved byTSD,Qualifying MinorityShareholderswho electOption 1 (Shares)will havetheir KEX DISShares creditedtotheir Account 600 and be registered on KEX’s register of shareholders on the Distribution Closing Date. An email notification will be sent by the Registrar to the Qualifying Minority Shareholder at his/her/its email address as specified in theTransfer Form after the crediting of KEX DISShares against his/her/itsAccount 600, on or around the DistributionClosing Date.AllQualifying MinorityShareholderswill be entitledtothe samevoting,dividend,transfer and other rights (including those arising on liquidation of KEX) as the existing fully paid KEX Shares in issue on the Distribution Closing Date, save that KEX DIS Shares deposited in Account 600 cannot be traded on the Thailand Stock Exchange and must be withdrawn from Account 600 and deposited into a securities brokerage account in order to do so. It is, however, possible to transfer KEX DIS Shares deposited in Account 600 to another Account 600 without requiring a securities brokerage account. For details on trading in KEX DIS Shares, please see the section headed “4.2 Brokerage services for trading KEX DIS Shares” below.

Inthe eventthat (i) anyoftheOption 1 Documents is not received bythe Registrar bytheSubmission Deadline, orcontainsinaccurate,incorrect,invalidand/orincompleteinformation,orisotherwiseinvalid,or(ii)theapplication for the transfer of KEX DIS Shares to Account 600 has not been approved by TSD, the Qualifying Minority Shareholderwill bedeemedto havewithdrawn his/her/its electionforOption 1 (Shares) and instead,to have elected Option 2 (Share Sale).

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LETTER FROM THE BOARD

4.2. Brokerage services for trading KEX DIS Shares

Qualifying Minority Shareholders should be aware that KEX Shares can only be traded on the Thailand Stock Exchange in scripless form via a securities trading account and not an Account 600. Therefore, Qualifying Minority Shareholders who wish to trade KEX DIS Shares in the future will need to make further arrangements with a SET member brokerto havethe KEX DISShareswithdrawnfromtheirAccount 600 andtransferredto a securitiestrading account opened with the SET member broker, before they are able to trade such KEX DIS Shares on market.

To assist Qualifying Minority Shareholders who elect Option 1 (Shares) to trade their KEX DIS Shares on the Thailand Stock Exchange in the future, the Company has appointed MIB Securities as the designated broker, who is able to facilitate the trading of securities listed on the Thailand Stock Exchange through arrangements with a SET member broker.

Qualifying Minority Shareholders who wish to make use of this brokerage facility will need to first provide the requisite documentation (including, without limitation, identification document, specimen signature and address proof) to MIB Securities and complete customary “know-your-client” procedures for account opening purpose, and to withdraw the KEX DIS Shares from Account 600. Once all KEX DIS Shares are transferred out of Account 600 under a Qualifying Minority Shareholder’s name, that Account 600 will automatically fall away and no account closure instruction needs to be given by the Qualifying Minority Shareholder. To transfer KEX DIS Shares from Account 600to a securities brokerage account, aQualifying MinorityShareholderwill needto provide MIBSecurities with a duly completed and signed application for securities transfer in the prescribed form and his/her/its identification document. Qualifying Minority Shareholders should contact MIB Securities for details during their office hours from 9:00 a.m. to 5:00 p.m. Monday to Friday except on Hong Kong public holidays, as follows:

MIB Securities (Hong Kong) Limited Contact person: Mr Anson Lui, Sales Manager, Corporate Sales Email: [email protected] Telephone: +852 2268 0369

MIBSecurities is not afinancial advisertotheCompany andwill not provide adviceonthe meritsoftheoptions available for receiving the Distribution.

Qualifying Minority Shareholders who already maintain securities trading account(s) with a SET member broker should note that it will not be possible for them to receive KEX DIS Shares directly in any such account. Once the KEX DIS Shares have been credited to Account 600, Qualifying Minority Shareholders may at any time arrange for their transfer to their own securities trading account(s).

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LETTER FROM THE BOARD

4.3. Option 2 (Share Sale)

Under this option, Qualifying Minority Shareholders will authorise the Company and/or Kerry Thailand to accept the KEX Offer and tender all of the KEX DIS Shares to which such Qualifying Minority Shareholders are entitled in exchange for the Net Proceeds to be received after the KEX Offer Period ends. Qualifying Minority Shareholders who wish to elect Option 2 (Share Sale) are reminded to read the terms and conditions in the Election Form carefully and provide the duly completed and signed Election Form to the Registrar at 17/F, Far East Finance Centre, 16 Harcourt Road, Hong Kong by postor by hand, marked “ Kerry Logistics Network Limited – Distribution ” as soon as possible and in any event no later than the Submission Deadline.

Net Proceeds receivable by eachQualifying MinorityShareholderwho has electedOption 2 (ShareSale)will be paid in HK$ based on the prevailing exchange rate, on or around the 10th Business Day (HK) after the Distribution Closing Date. Cheques in respect of the Net Proceeds (rounded down to the nearest HK cent) will be despatched to Qualifying Minority Shareholders by ordinary post at their own risk to their registered address on the Registers of Members, except that Net Proceeds of less than HK$100 per recipient will not be distributed and will be retained for the Company and/or Kerry Thailand’s benefit.

5. NON-QUALIFYING SHAREHOLDERS

The Distribution will be made available to Qualifying Shareholders whose names appear on the Registers of Members on the Record Date, but will not be extended to Non-qualifying Shareholders.

5.1. Overseas Shareholders

Neither this circular nor any documents relating to the Distribution will be registered or filed under the securities legislation of any jurisdiction.

Based on the Registers of Members as at the Record Date, there were Overseas Shareholders with registered addresses inAustralia,Canada, Indonesia, Malaysia,the Philippines,the PRC,Singapore,theUnited Kingdom andthe UnitedStates.The Board has made enquiries astothe legal restrictions underthe lawsoftheseoverseas jurisdictions and the requirements of any relevant regulatory body or stock exchange in such jurisdictions that are applicable to the Distribution.

Basedon advicefromtheCompany’s legal advisers inAustralia,Canada,the Philippines,the PRC andSingapore and having consideredthe circumstances,the Board hasformedtheviewthat it is necessary and/or expedient notto extend the Distribution to Overseas Shareholders in the said jurisdictions due to the time and costs involved in fulfilling the applicable registration and/or filing requirements and/or in performing the additional step(s) required of the Company and/or the Overseas Shareholders to ensure compliance with other legal and/or regulatory restrictions. Accordingly, the Distribution will not be made to Overseas Shareholders in these jurisdictions and they will constitute Non-qualifying Shareholders.

If, after the Record Date but before the Distribution Closing Date, there are changes to the legal restrictions under the laws of relevant overseas jurisdictions and/or the requirements of relevant regulatory bodies and/or stock exchanges in such jurisdictions and, based on advice from the Company’s legal advisers in those jurisdictions, the Board takes the view that it would be unduly onerous and/or burdensome to make the Distribution to Overseas Shareholders in the said jurisdictions then the Board may, in its sole discretion, exclude them from the Distribution and such Overseas Shareholders will become Non-qualifying Shareholders.

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LETTER FROM THE BOARD

5.2. Stock Connect Investors

Since KEXShares are not listed on the Hong KongStock Exchange,StockConnect Investors will not be allowed to buy or sell such securities through Stock Connect. Considering the practical difficulty faced by Stock Connect Investors in realising the benefit of the KEX DIS Shares, absent any facility to open or arrange the opening on their behalfofAccount 600 (as is requiredfor receiving KEX DISShares)or a securitiestrading accountwith aSET member broker (as is required to trade KEX DIS Shares on market), Stock Connect Investors will not be able to elect Option 1 (Shares) and Option 2 (Share Sale) will be compulsory for them.

Stock Connect Investors should seek advice from their intermediary (including broker, custodian, nominee or ChinaClear participant) and/or other professional advisers in this regard.

5.3. Arrangements for Non-qualifying Shareholders

Owingto practicaldifficulties arisingfromthedistributionof KEXSharesto Non-qualifyingShareholders,they will not be entitledto receive KEXShares. Instead, Non-qualifyingShareholderswill receive cash-in-lieu paymentfor KEX Shares which would otherwise have been distributed to them.To fund such cash-in-lieu payment, theCompany and/or Kerry Thailand will tender for acceptance under the KEX Offer in respect of the KEX Shares to which the Non-qualifying Shareholders are otherwise entitled under the Distribution. The Net Proceeds will be paid to the Non-qualifying Shareholders in the same manner as that for Qualifying Minority Shareholders who elect Option 2 (Share Sale).

6. BENEFICIAL OWNERS WHOSE KLN SHARES ARE DEPOSITED IN CCASS

Beneficial Owners whose KLN Shares are held through CCASS on the Record Date will need to follow the procedures set out below and such other requirement(s) as stipulated by CCASS to elect either Option 1 (Shares) or Option 2 (Share Sale).

Beneficial Owners who wish to take up Option 1 (Shares) must:

(i) provide the Registrar (and notCCASS) with (a) a duly completed and signedTransfer Form and (b) all the supporting documents listed in and prepared in the manner stated in, the paragraph headed “4. Options available toQualifying MinorityShareholders – 4.1Option 1 (Shares)” above. For the avoidance of doubt, the documentation requirements set out therein are applicable to non-Thai persons only. Beneficial Owners of Thai nationality should refer to the list of identification documents set out in the Transfer Form; and
(ii) submit their election instruction:
(a) to CCASS through their stockbroker or financial intermediary, before the deadline given by the stockbroker or financial intermediary; or
(b) if they are admitted to participate in CCASS as CCASS investor participants, to CCASS directly, before the deadline given by CCASS,

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LETTER FROM THE BOARD

in order to receive the KEX Shares in scripless form in Account 600, registered in the name of the Beneficial Owners.

Any Beneficial Owner who elects Option 1 (Shares) and provides the requisite documentation to the Registrar will be deemed to have authorised the Thai Legal Adviser to submit the same to TSD on his/her/its behalf for transferring his/her/its KEX DIS Shares to theAccount 600 under the Beneficial Owner’s name. Provided that all the required documents are duly submitted by a Beneficial Owner before the Submission Deadline and his/her/its application for the transfer of KEX DIS Shares is approved byTSD, the BeneficialOwner will have his/her/itsAccount 600 credited with the KEX DIS Shares to which he/she/it is entitled on the Distribution Closing Date. An email notification will be sent by the Registrar to the Beneficial Owner at his/her/its email address as specified in the Transfer Form after the crediting of KEX DIS Shares against his/her/its Account 600, on or around the Distribution Closing Date.

For the avoidance of doubt, a CCASS participant who holds KLN Share(s) on behalf of a Beneficial Owner does not itself need to be a SET member broker in order for the Beneficial Owner to elect Option 1 (Shares). CCASS participants are advised to contact CCASS to understand the procedures involved for Beneficial Owners to make their election under the Distribution.

Beneficial Owners who elect Option 2 (Share Sale) should submit their election instruction:

(i) to CCASS through their stockbroker or financial intermediary, before the deadline given by the stockbroker or financial intermediary; or
(ii) ifthey are admittedto participate inCCASS asCCASS investor participants,toCCASSdirectly, beforethe deadline given by CCASS,

in order to receive cash payment under the Distribution.

Those who elect Option 2 (Share Sale) will have their KEX DIS Shares tendered in the KEX Offer by the Company and/or Kerry Thailand and the Net Proceeds paid to HKSCC Nominees Limited to be remitted onward to them. Beneficial Owners are advised to consult their stockbroker, bank or other professional advisers as to the documentation requirements applicable to their chosen option.

As stated in the section headed “4. Options available to Qualifying Minority Shareholders – 4.2 Brokerage servicesfortrading KEX DISShares” above, KEXShares canonly betradedontheThailandStock Exchange in scripless form via a securities trading account and not an Account 600. Beneficial Owners who wish to make use of the brokerage facility provided by MIB Securities should contact MIB Securities for details.

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LETTER FROM THE BOARD

To the extent that Beneficial Owners are known to the Company as being resident outside Hong Kong, the Board reserves the absolute right to also exclude them from the Distribution on the same basis and in the same manner as if they were themselves KLN Shareholders.

7. OTHER IMPORTANT NOTES

It is the responsibility of any person (including but without limitation a nominee, agent or trustee) receiving this circular and/or any other documents relating to the Distribution outside Hong Kong and wishing to receive KEX DIS Shares under the Distribution to satisfy himself/herself/itself as to the full observance of applicable laws and regulations, includingtheobtainingof any governmental, exchange controlorother consentswhich may be required or payment of any transfer or other taxes due in the relevant jurisdiction. Acceptance of KEX DIS Shares under the Distribution by any KLN Shareholder or Beneficial Owner will be deemed to constitute a representation and warranty from him/her/it to the Company that all local laws and requirements have been complied with. If you are in any doubt as to your position, please consult your professional advisers.

The Company, KerryThailand, the Registrar and/orTSD may in their absolute discretion reject any or all of the Election Forms and (if Option 1 (Shares) is elected) other Option 1 Documents that they determine to be not duly completed or executed in accordance with the applicable instructions, or to contain inaccurate, incorrect, invalid or incomplete information or illegible writing or otherwise. In such case, the Qualifying Minority Shareholder or Beneficial Owner will be deemed to have elected Option 2 (Share Sale). No notice will be given to any Qualifying Minority Shareholder or Beneficial Owner of any such defects or irregularities and any and all liabilities arising from not giving such notification are expressly disclaimed.

The ISIN numbers of the KEX DIS Shares areTHA078010008 (local) andTHA078010016 (foreign). Qualifying Minority Shareholders and Beneficial Owners who successfully elect Option 1 (Shares) will receive (i) in case of non-Thai nationals, foreign KEX DIS Shares or (ii) in case of Thai nationals, local KEX DIS Shares.

7.1. Qualifying Minority Shareholders

Qualifying Minority Shareholders are reminded that whether or not it is to their advantage to elect to receive the Distribution via Option 1 (Shares) or Option 2 (Share Sale) depends on their own individual circumstances and preferences, and that any decision in this regard and all resultant effects are the sole responsibility of each individual Qualifying Minority Shareholder.

Qualifying Minority Shareholders are advised to consult their broker and professional advisers as to the implications (including tax implications) of the Distribution as well as the disposal of KEX DIS Shares under the KEX Offer or otherwise. None of the Company, Kerry Thailand, HSBC or their respective directors accepts any responsibility for any tax effect or other liabilities in this regard.

After a valid Election Form is lodged (together with other Option 1 Documents, if Option 1 (Shares) is elected) withthe Registrar, no election may be in any way withdrawn, revoked, supersededor altered withouttheCompany’s agreement.Qualifying MinorityShareholders whofailto make avalid electiononor beforetheSubmission Deadline will bedeemedto have electedOption 2 (ShareSale) in respectof all KEX DISSharestowhichthey are entitled under the Distribution.

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LETTER FROM THE BOARD

7.2. Transfer Agent in Hong Kong

The Company has appointed the Transfer Agent in Hong Kong for the purpose of the Distribution. If KLN Shareholders have questions relating to Option 1 (Shares) or Option 2 (Share Sale) or the Distribution generally, or require assistance astothe completion and returnofthe Election Form, please contacttheTransferAgent asfollows:

Tricor Investor Services Limited

Address: 17/F, Far East Finance Centre, 16 Harcourt Road, Hong Kong Telephone hotline: +852 2980 1333 Email: [email protected]

The hotline will be available from 9:00 a.m. to 5:30 p.m. Monday to Friday except on Hong Kong public holidays, and will remain open until Friday, 31 May 2024 (or such other date as the Company may announce).

For matters relating to the completion of the Transfer Form and preparation of other Option 1 Documents, investors may alternatively reach out to TSD directly during their office hours from 9:00 a.m. to 7:00 p.m. Monday to Friday (except on Thai public holidays), as follows:

SET Contact Center:

Email: [email protected] Tel: +66 2009 9999

8. REASONS FOR AND BENEFITS OF THE DISTRIBUTION

KEX was incorporated as a private limited company in 2014todevelop expressdelivery business inThailand. In 2020, the Company spun off the business of KEX for a separate listing on the Thailand Stock Exchange in order to focus on the continued expansion of its own business and afford KEX independent access to capital markets.

Further to theCompany’s disposal of certain companies engaging in express delivery businesses as disclosed in its announcement dated 25 July 2023, the Distribution reinforces the Company’s strategy of focusing on its core business of integrated logistics and international freight forwarding while streamlining its express delivery businesses, with an aim to enhancing its overall performance and prospects.

Through the Distribution, FHHL and Qualifying Minority Shareholders who opt for Option 1 (Shares) can directly participate in and support the development of KEX’s business as well as enjoy full autonomy in choosing their exposure to it over time. For other KLN Shareholders, the tender of their KEX DIS Shares in the KEX Offer will provide an immediate realisation of value through cash.

After completion of the Distribution, the Company will no longer hold any interest in KEX. KLN Shareholders and potential investors will then be better positioned to differentiate and value the separate businesses of KLN Group and KEX Group based on their respective business models, revenues and earnings. Going forward, KLN Group can fully focus on its own strategic plans and growth opportunities. It will also allow the Company to reduce exposure to market volatilities unrelated to its principal business, which the Board trusts will provide cost savings in the long-term.

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LETTER FROM THE BOARD

Based on the above, the Board is of the view that the Distribution is in the interest of the Company and KLN Shareholders as a whole.

9. FINANCIAL EFFECTS OF THE DISTRIBUTION

Upon completionofthe Distribution,theCompany will no longer hold any KEXShares and KEX will ceaseto be an indirect subsidiary of the Company. Accordingly, KEX Group’s financial results and assets and liabilities will cease to be consolidated into KLN Group’s financial statements upon completion of the Distribution.

The actual financial effect as a result of the Distribution will depend on the market price of KEX Shares and the net asset value of KEX Group as at the Distribution Closing Date and therefore, the actual financial impact arising from the Distribution on KLN Group may only be determined following the completion of the Distribution.

10. INFORMATION ABOUT THE COMPANY AND KLN GROUP

The Company is incorporated in the BVI and continued into Bermuda to become an exempted company with limited liability, the issued shares of which are listed on the Main Board of the Hong Kong Stock Exchange (stock code: 636).

KLN Group is a leading Asia-based logistics service provider with a highly diversified business portfolio and global presence in 59 countries and territories. Headquartered in Hong Kong, KLN Group offers a broad range of supply chain solutions from integrated logistics, international freight forwarding (air, ocean, road, rail and multimodal), industrial project logistics, to cross-border e-commerce and last-mile fulfilment.

11. INFORMATION ABOUT KEX AND KEX GROUP

KEX is a public company with limited liability registered inThailand and listed on theThailand Stock Exchange (stock symbol: KEX).

KEX Group is principally engaged in express delivery business in Thailand.

12. HONG KONG LISTING RULES IMPLICATIONS

The Distribution does not constitute a transaction of the Company under Chapter 14 of the Hong Kong Listing

Rules.

Asthe applicable percentage ratios calculated basedonthe KEXSharesto bedistributed underthe Distribution are all below 75%, the requirements under Rule 14.94 of the Hong Kong Listing Rules do not apply to the Distribution.

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LETTER FROM THE BOARD

13. FURTHER DETAILS REGARDING THE KEX OFFER

The following sets out the principal terms of the KEX Offer, as extracted from the Offeror Undertaking and/or the KEX Offer Document. The KEX Offer Document issued by the Offeror on 8 February 2024 is available on SET’s website (https://weblink.set.or.th/dat/news/202402/1616NWS080220241230190483E.pdf), which may be further amended from time to time. The amendment (if any) will also be published on SET’s website under the “News” section (https:// www.set.or.th/en/market/product/stock/quote/KEX/news).

The Offeror has engaged BLS as tender offer preparer and tender offer agent for the KEX Offer.

13.1. KEX Offer Price

The KEX Offer is extended to all KEX Offer Shares in issue (excluding the Offeror’s KEX Shares) on the date the KEX Offer was made (i.e. 13 February 2024).

As atthedateofthe KEXOffer Document,the numberof issued KEXShares was 1,742,577,000 andtheOfferor held 1,000 KEX Shares. Taking also into account the number of Offeror’s KEX DIS Shares to be received under the Distribution (being 467,373,855 KEX Shares), the total number of KEX Offer Shares is 1,275,202,145, representing approximately 73.2% of all issued KEX Shares as at the date of the KEX Offer Document.

Pursuant to the requirements of the Thai Code and Thai SEC, the KEX Offer Price must not be less than the highest price paid for KEX Shares by the Offeror Concert Group during the period of 90 days prior to the date on which the KEX Offer Document is submitted to Thai SEC. As confirmed by the Offeror, during the aforesaid 90-day period, the highest price paid for KEX Shares by theOfferorConcertGroup wasTHB4.34 per KEX Share.Accordingly, the KEX Offer Price must be no less thanTHB4.34 per KEX Offer Share (“ Floor Price ”).Taking account of the recent average closing prices of KEX Shares prior to the First Announcement and other factors, the Offeror has determined the KEX Offer Price at THB5.50 per KEX Offer Share, representing a premium of 26.7% over the Floor Price.

13.2. Highest and lowest KEX Share prices

The highest and lowest closing prices of the KEX Shares as quoted on the Thailand Stock Exchange during the period commencing three months preceding the Last Trading Day were THB6.75 per KEX Share on 29 September 2023 and THB3.86 per KEX Share on 13 December 2023, respectively.

13.3. Effect of authorising the Company and/or Kerry Thailand to accept the KEX Offer

The KEXOffer is unconditional in all respects and is not conditional upon acceptances being received in respect of a minimum numberof KEXSharesor anyother condition, savethattheOfferor may cancelthe KEXOffer uponthe occurrence of certain events specified in the KEX Offer Document.

By accepting the KEX Offer, KEX Shareholders (including Kerry Thailand on behalf of Qualifying Minority Shareholders who have elected Option 2 (Share Sale) and Non-qualifying Shareholders) will sell their KEX Shares freefrom encumbrances andtogether with all rights accruingor attachingtothem, including without limitation,the right to receive all dividends and distributions which may be recommended, declared, made or paid, if any, at any time on or after the date on which the KEX Offer was made.

Acceptances of the KEX Offer will be irrevocable and not capable of being withdrawn, except as permitted under the Thai Code.

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LETTER FROM THE BOARD

13.4. Transaction expenses

For KEXShareholders who acceptthe KEXOffer (including KerryThailand who acceptsthe KEXOfferon behalf ofQualifying Minority Shareholders who electOption 2 (Share Sale) and Non-qualifying Shareholders), a brokerage fee of 0.25% of the KEX Offer Price and value added tax of 7% of the brokerage fee will be deducted from the total offer consideration payable under the KEX Offer.

13.5. Payment of KEX Offer Price by the Offeror

The total KEX Offer Price payable by the Offeror will be financed out of a cash deposit maintained by the Offeror. Based on the fund confirmation letter issued by the Offeror’s bank, BLS has confirmed in the KEX Offer Document that there are sufficient funds available for conducting the KEX Offer.

Payment in cash in respect of acceptances of the KEX Offer will be made to accepting KEX Shareholders (including Kerry Thailand on behalf of Qualifying Minority Shareholders who elect (or are deemed to have elected) Option 2 (ShareSale) and Non-qualifyingShareholders) by no laterthan 26 March 2024 (i.e.,two Business Days (TL) after the KEX Offer Period ends).

As stated in the sections headed “4. Options Available to Qualifying Minority Shareholders – 4.3 Option 2 (Share Sale)” and “5. Non-qualifying Shareholders – 5.3Arrangements for Non-qualifying Shareholders” above, Net Proceeds receivable by eachQualifying MinorityShareholder who has elected (or isdeemedto have elected)Option 2 (Share Sale) and each Non-qualifying Shareholder will be paid in HK$ based on the prevailing exchange rate, on or around 12 April 2024, being the 10[th] Business Day (HK) after the Distribution Closing Date.

13.6. Independent financial adviser to KEX

An independent financial adviser, being Capital Advantage Co., Ltd., has been appointed by KEX to advise KEX and its board of directors in respect of the KEX Offer and in particular, as to whether the KEX Offer is, or is not, fair and reasonable and as to acceptance.

KEX is required to submit its opinion on the KEX Offer including the opinion of its board of directors (together with the opinion of the independent financial adviser of KEX) within 15 Business Days (TL) after the KEX Offer Document is submitted to Thai SEC (i.e. on or before 29 February 2024). As at the Latest Practicable Date, these opinions were in the process of being finalised and had not been submitted to Thai SEC. Once submitted, the said opinions will be published on SET’s website. The Company will made further announcement(s) as and when such opinions are published.

13.7. Information about the Offeror

The Offeror is a company incorporated in Thailand for the purpose of holding KEX Shares, including the Offeror’s KEX DIS Shares. It is an indirect subsidiary of S.F. Holding.

S.F. Holding is a joint stock company incorporated inthe PRCwith limited liabilitythe sharesofwhich are listed ontheShenzhenStock Exchange (stock code: 002352.SZ).S.F. Holding is a leading global integrated logistics service provider.

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LETTER FROM THE BOARD

13.8. Intentions of the Offeror in relation to KEX Group

The Offeror has no current intention to make any material change to the business objectives, core business operation/assets, business management plan, investment plan, management, financial structure or dividend policy of KEX during the period of 12 months after the KEXOffer Period ends, nor does it intend to (unless required by legal and/or regulatory requirements) delist the KEX Shares from the Thailand Stock Exchange during the period.

The Offeror may however during the said period consider making necessary changes, as it deems appropriate, depending on the results of the KEX Offer (and therefore, the level of control held by the Offeror in KEX after the close of the KEX Offer) while also factoring in the prevailing market environment as well as development plans and business operations of KEX.

14. SHAREHOLDING STRUCTURE OF KEX GROUP BEFORE AND AFTER THE CLOSE OF THE KEX OFFER

Set out below is the shareholding structure of KEX (i) as at the Latest Practicable Date, (ii) immediately after completion of the Distribution and the KEX Offer and assuming all Qualifying Minority Shareholders elect Option 1 (Shares) and no KEX Shareholders accept the KEX Offer, and (iii) immediately after completion of the Distribution and the KEX Offer and assuming all Qualifying Minority Shareholders elect Option 2 (Share Sale) and all KEX Shareholders accept the KEX Offer:

KerryThailand Offeror1 Other KEX Shareholders Qualifying Minority Shareholders Total	As at the Latest Practicable Date (i) Numberof KEX Shares %of issued KEX Shares 907,200,000 52.1 1,000 <0.01 835,376,000 47.9 – – 1,742,577,000 100.0	Immediately after completion of the Distribution and the KEX Offer and assuming all Qualifying Minority Shareholders elect Option 1 (Shares) and no KEX Shareholders accept the KEX Offer(4) (ii) Numberof KEX Shares %of issued KEX Shares – – 467,374,8552 26.8 835,376,000 47.9 439,826,1453 25.3 1,742,577,000 100.0	Immediately after completion of the Distribution and the KEX Offer and assuming all Qualifying Minority Shareholders elect Option 2 (Share Sale) and all KEX Shareholders accept KEX Offer (iii) Numberof KEX Shares %of issued KEX Shares – – 1,742,577,000 100 – 0 – 0 1,742,577,000 100.0	Immediately after completion of the Distribution and the KEX Offer and assuming all Qualifying Minority Shareholders elect Option 2 (Share Sale) and all KEX Shareholders accept KEX Offer (iii) Numberof KEX Shares %of issued KEX Shares – – 1,742,577,000 100 – 0 – 0 1,742,577,000 100.0
				0 0
				100.0

Notes:

FHHLwilltransferthe KEX DISSharestowhich it is entitled underthe DistributiontotheOfferoronthe DistributionClosing Date.
Such figure has been rounded down to the nearest whole number of KEX Shares based on the distribution ratio of 0.5019 of a KEX Share for every one KLN Share held (the “ Distribution Ratio ”).
Such figure represents the arithmetic difference between (i) the total number of KEX Shares to be distributed under the Distribution and (ii) the number of Offeror’s KEX DIS Shares, without taking account of fractional entitlements which may arise from rounding adjustments made to the Distribution Ratio and the entitlements of individual KLN Shareholders when applying the Distribution Ratio.
Column (ii) does not take into account KEX DIS Shares which are attributable to Non-qualifying Shareholders.

– 23 –

LETTER FROM THE BOARD

15. EXPECTED TIMETABLE OF THE DISTRIBUTION AND KEX OFFER

Set out below is the expected timetable for the Distribution and KEX Offer:

2024 Latest time for lodging the Election Form and (if applicable) 4:30 p.m. on Wednesday, 13 March other Option 1 Documents Tender for acceptance of the KEX Offer of KEX DIS Shares under on or around Wednesday, 20 March Option 2 (Share Sale) Last day for acceptance of the KEX Offer Friday, 22 March Last day for payment of consideration to accepting KEX Tuesday, 26 March Shareholders (including Kerry Thailand on behalf of Qualifying Minority Shareholders who elect (or are deemed to have elected) Option 2 (Share Sale) and Non-qualifying Shareholders) under the KEX Offer Crediting of KEX DIS Shares to Account 600 under Option 1 (Shares) on or around Tuesday, 26 March Despatch of cheques to Qualifying Minority Shareholders who elect on or around Friday, 12 April (or are deemed to have elected) Option 2 (Share Sale) and Non-qualifying Shareholders

Note: All time and dates shown above are indicative only. If a tropical cyclone warning signal no. 8 (or above) is hoisted, or a “black” rainstorm warning is issued, or “extreme conditions” are announced on any of the dates above then such time and dates may be affected. If there is any change to the expected timetable, further announcement(s) will be made by the Company.

Yours faithfully For and on behalf of

Kerry Logistics Network Limited WANG Wei

Chairman

– 24 –

SPECIMEN TRANSFER FORM

APPENDIX

WARNING: This specimen Transfer Form is for reference purpose only. Please complete the blank Transfer Form that is despatched with this circular. Please follow the instructions in red text below when completing your Transfer Form.

TSD-404

Application for Securities Transfer to/from the Issuer Account

Highly Confidential Page 1/3

Dear registrar of securities Please register the following securities transfer :

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----- Start of picture text -----

IMPORTANT NOTE: You are reminded to complete the entire Transfer Form either electronically or by handwriting (but not both)
Transferor and sign it in wet ink. TSD will not accept electronic signatures to the Transfer Form.
� Name of securities transferor �� (“Transferor”)
phone no. �� email address ��
Intend to transfer the securities :
� The total amount of securities transferred is ___ items, the details of which appear in the document showing the �
details of the securities transferred attached to this application form, to be transferred to the transferee pursuant to the
information of the securities transferee.
The transferor must be able to show the intention to transfer the securities to the registrar. If the transferor cannot express such
intention, the registrar may ask the transferor to provide additional documents to confirm his or her ability to show intent, such as a
medical certificate. It is to ensure that the transferor is fully conscious. (The medical certificate must not be more than 1 month from
the date of issue.) Please fill in each box exactly as provided for in this specimen Transfer Form.
----- End of picture text -----

Transferee

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----- Start of picture text -----

� Name of securities transferee (“Transferee”)
national I.D. card/passport/company registration no. nationality
occupation mailing address
postal code home phone
office phone mobile phone email address
If you are the first time securities holder, the above mailing address will be the main and only address for sending proxy form, the meeting invitation and
related document
� Please fill FATCA/CRS Self-Certification Form. Please fill in your personal details above. You are reminded to also fill in the
FATCA/CRS Self-Certification Form that is attached to the Transfer Form.
----- End of picture text -----

I hereby represent that the content in the application form and the document showing the details of securities deposited (“ Documents ”) is true, and in case the deposit of the securities in the account of the securities issuer causes any damage to the TSD whatsoever, I shall accept any liabilities and agree to pay any damages to the TSD in full. Moreover, I acknowledge that the TSD may disclose the information in the Documents to the Revenue Department or other authorities with power under the law or which have an agreement with the TSD with regard to the request of such information.

If the information appearing in TSD’s central registration records is not identical with that given above, I/we hereby agree that the registrar may use the information appearing in the central registration as being correct for the securities holder for this company. If there is no information in TSD’s central registration records, I/we hereby agree that the registrar may use the information above until I/we request to amend any information in the future.

In this regard, I/We agree to deliver the supporting documents to TSD within 30 days after the date of change such that my information specified in this form is incorrect, and in case TSD requests for additional documents/information/consent, I agree to comply as requested within the time stipulated by TSD.

TSD404_5/2023_EN : 1/9/2023

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– 25 –

SPECIMEN TRANSFER FORM

APPENDIX

TSD-404

Highly Confidential

Application for Securities Transfer to/from the Issuer Account

==> picture [60 x 42] intentionally omitted <==

Page 2/3

I/We have thoroughly read all the details specified in the privacy notice of the Stock Exchange of Thailand group (“SET Group”) (https://www.set.or.th/th/privacy-notice.html) and acknowledged that my/our personal data, and any third party’s personal data I/We have provided to TSD (if any) will be processed and protected under such privacy notice. In this regard, I/we hereby confirm and represent that I/we have procured such third party to read all the details specified in such privacy notice and have duly obtained a proper and lawful consent from such third party to provide the personal data of the third party to TSD.

In addition, I/We hereby acknowledge that in case of any special action (such as where fingerprint is used instead of signature) which additional information that may contain sensitive personal data is required to be submitted to TSD and such additional information is necessary for the provision of TSD service, not providing such additional information may render TSD to be unable to provide TSD service to me/us. Hence, by signing this application, I/we agree and consent that such sensitive personal data to be processed by TSD in connection with the purpose of the provision of TSD service.

ignature (	ignature (	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.	Please fill in each box exactly as provided for in this specimen Transfer Form.
		Transfe ) �� Please DO NOT sign here.					ror Sig		natu	re
		Please DO NOT sign here.
		��

If the transferor and/or the transferee a proxy has been assigned, please sign as channel the transferor and the transferee ~~and the grantor~~ I/We hereby authorize as my/our representative, with full authority to file this application. Signature Transferor/Grantor Signature Transferee/Grantor ( )( ) Signature Grantee ( ) Phone no. Stamp Duty THB 10/person �� �� �� �� Please DO NOT sign here. Please DO NOT sign here. Please sign here. Please insert your name above.			transferee a proxy has been assig				ned, ple		ase	sign as channel the transferor and the transferee as my/our representative, re Transferee/Gran ( ) Grantee Stamp D THB 10/pe Please sign here. Please insert your name above.

															Stamp D THB 10/pe	uty rson
			��
																tor
		Please DO NOT sign here.									Please sign here.
		( ��
		Signature									Please insert your nam			e above.
												Grantee
						Please DO NOT sign here.
						( ��							) Phone no.	��


For Date	offici	al use only Transaction no. Checke Please leave this blank.										I have Signatur	already checked e	all original identification documents Officer
				Please leave this blank.

					. Checke			r

TSD404_5/2023_EN : 1/9/2023

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– 26 –

SPECIMEN TRANSFER FORM

APPENDIX

==> picture [424 x 519] intentionally omitted <==

----- Start of picture text -----

Please fill in each box exactly as provided for in this specimen Transfer Form.
TSD-404
Application for Securities Transfer to/from the Issuer Account
Highly Confidential Details of the securities transferred �3
Page 3/…....
Attachment
No. Details of the securities transferred For official
use only
Transaction no.
� Securities name …………………………………………………………………………………… �� Please leave
this blank.
(Please specify the securities name or
securities symbol) …………………………………………………………………………………… ��
Please fill in in accordance with Note A below.
Number of transferred securities shares/units
Amount in letters shares/units
Please fill in in accordance with
Note B below.
Securities name
……………………………………………………………………………………
(Please specify the securities name or
securities symbol) ……………………………………………………………………………………
Please leave this blank.
Number of transferred securities shares/units
Amount in letters shares/units
Securities name
……………………………………………………………………………………
(Please specify the securities name or
securities symbol ……………………………………………………………………………………
Please leave this blank.
Number of transferred securities shares/units
Amount in letters shares/units
Securities name
……………………………………………………………………………………
(Please specify the securities name or
securities symbol ……………………………………………………………………………………
Please leave this blank.
Number of transferred securities shares/units
Amount in letters shares/units
----- End of picture text -----

Remark: The TSD reserves the rights to proceed in accordance only with the application forms containing complete and correct information. Note A: Please fill in the number of KEX DIS Shares to which you are entitled in numerical form (i) in the case of a KLN Shareholder, as stated on the cover page of the Election Form or (ii) in the case of a Beneficial Owner, as notified to you by your stockbroker. Note B: Please fill in the number of KEX DIS Shares to which you are entitled in letter form (e.g., “One Hundred” for 100 KEX DIS Shares).

==> picture [430 x 61] intentionally omitted <==

----- Start of picture text -----

Signature Please DO NOT sign here. Transferor Signature Please sign here. Transferee
( �� ) ( )
Please insert your name above.
TSD404_5/2023_EN : 1/9/2023
----- End of picture text -----

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– 27 –

SPECIMEN TRANSFER FORM

APPENDIX

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1. Application for the Securities Transfer to/from the Issuer Account with the details filled in and signed by the securities holder correctly and completely.

2. Identification documents of securities holder and authorized person (if any) pursuant to the type of person with the details as per the table below.

In case of other types of person, please ask for additional information at SET Contact Center accordingly to the contact channels further below in the application form or https://media.set.or.th/rulebook/form/SupportingDocumentsforIndividuals-JuristicPersons.pdf

3. In case of the death of the securities holder please attach additional documents signed to certify true and correct copy by the executor or administrator of the deceased’s estate as follows:

A copy of the court order appointing the administrator/executor of the estate and a copy of certificate confirming the finality of the
case (issued no more than 1 year from the date of the certification by court) certified true and correct copy by the administrator/executor of the estate (on every page). � Copy of the deceased’s death certificate
Original and copy of the identification card of the executor or administrator of the deceased’s estate.
Letter of Confirmation of Investor’s Qualification in Securities Transfer Restriction. (for securities subject to transfer restriction as
specified in the stipulations of rights or prospectus of the securities issuers), which may be downloaded at

https://media.set.or.th/rulebook/form/�� �� � � ��pdf

Copy of identification documents submitted to TSD may contain sensitive personal data which is not necessary for the provision of TSD service, and TSD has no intention of collecting such sensitive personal data. As a result, the document owners may

proceed to cross out any part in order to cover up any sensitive personal data before submitting the identification documents containing such sensitive personal data to TSD. In case that no action is taken to cover up such sensitive personal data, TSD shall deem that you have given your consent to TSD to the collection of such sensitive personal data.

Type of person			Identification Documents
Individual Person - Thai Nationality	1. 2. 3. 4.	In case the transferor and the identification cards or digital id (Tor.Ror. 12/2). In case the transferor does no the original Thai ID Card of the
Individual Person - Other Nationalities	1 2.	. In case the transferor and the transferee contact TSD personally, the original alien identification card or passport of the transferor and the transferee must be presented. In case the transferor does not contact TSD personally, the transferor appointed contact person must present the original alien identification card or passport and its copy which has been certified as true and correct copy of the original document by the document owner.

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– 28 –

SPECIMEN TRANSFER FORM

APPENDIX

TSD-404

Highly Confidential

==> picture [61 x 42] intentionally omitted <==

Supporting Documents for the Application for the Securities Transfer to/from the Issuer Account

Type of person	Identification Documents
Individual Person - Other Nationalities	* If the original passport cannot be presented or this application is being submitted by registered mail, - The copy of the passport must be notarized by a notary public, and such notarization must be certified by the Thai embassy or consulate. Such certification must be issued not more than 1 year before the date of submission as part of this application. * If the original signatory’s alien identity card cannot be presented or this application is being submitted by registered mail, - Certificate of civil registration (issued not more than 90 days before the date of submission as part of this application)
Juristic Person - Thai Nationality	1. A copy of an affidavit issued by the Ministry of Commerce (issued no more than 1 year from the date of issuance) certified by the authorized director(s) of such juristic person. 2. A copy of the Thai ID Card/alien identity card/passport of each authorized director who signs on behalf of the juristic person which has been certified as true and correct copy of the original document by the document owner.
Juristic Person - Other Nationalities	1. A copy of the juristic person registration certificate issued by the regulating government agency in the country where such juristic person is domiciled. 2. A copy of the company’s affidavit enumerating its directors authorized to bind the company and conditions relating thereto, showing the juristic person’s headquarters location and authority of the signatory. This affidavit must be issued by an authorized official of the juristic person or the governmental agency in the country where such juristic person is domiciled. 3. A copy of the Thai ID Card/alien identity card/passport of each authorized director who signs on behalf of the juristic person which has been certified as true and correct copy of the original document by the document owner. All documents for“Other Nationalities”above, must have been: (1) notarized by the notary public or certified by any competent authority in the country where such documents were prepared or certified for the certification of the signature of the person who prepared or certified such documents. (The certification must be issued not more than 1 year before the date of submission as part of this application) (2) certified by the Thai Embassy or Thai Consulate in the country where such documents were prepared or certified for the notarization or certification performed by the public notary or such competent authority under (1). (The certification must be issued not more than 1 year before the date of submission as part of this application) �The documents prepared in any other foreign languages other than English must be translated into English.

Remark : 1. Sensitive Data means the information which can be considered as the personal data as prescribed in section 26 of the PDPA, for instance, religious belief, blood type, etc.

TSD will consider the above documents when receiving the complete documents and clear information such as the copy of identification documents or signature.

TSD404_5/2023_EN : 1/9/2023

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– 29 –

SPECIMEN TRANSFER FORM

APPENDIX

==> picture [64 x 45] intentionally omitted <==

If you are an individual, please complete the FATCA/CRS Self-Certification Form at pages 30 through 33 of this circular. You are only required to complete the supplement form "W-9" if you are a citizen of, born in or have permanent residency in the United States of America.

Highly Confidential

สาหรบลกคาประเภทบคคลธรรมดา

แบบแจ้งสถานะความเป็นบุคคลอเมริกันและผู้มีถิ�นที�อยู่ทางภาษีในประเทศอื�น

FATCA/CRS Self-Certification Form for Individual Customer

วันที� Please fill in the date with the date of signing. เลขทะเบียนผู้ถือหุ้น Please leave this blank. Date Account ID Please fill in your personal details below. ผู้ถือหลักทรัพย์ (คํานําหน้า/ชื�อ/สกุล) Shareholder (Title / Name / Surname) เลขประจําตัวประชาชน/เลขหนังสือเดินทาง วัน/เดือน/ปีเกิด Identification No. / Passport No. Birth Date สถานที�เกิด(ประเทศ) _____ สัญชาติ_______ Place of Birth (Country) Nationality

ส่วนที�� สถานะความเป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของ FATCA FATCA : Self-Certification

(หากตอบ “ใช่” ในข้อใดข้อหนึ�ง แสดงว่าผู้ถือหลักทรัพย์เป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของFATCA โปรดกรอกแบบฟอร์มW-9) (If you answer “Yes” for any of the questions, you are an American person pursuant to FATCA law, thus please fill in W-9) 1. เป็นพลเมืองอเมริกันหรือเกิดในสหรัฐอเมริกา � ใช่/YES � ไม่ใช่/No Being a American citizen or born in the United States of America 2. มีถิ�นที�อยู่ถาวรในประเทศสหรัฐอเมริกา � ใช่/Yes � ไม่ใช่/No Having permanent residence in the United States of America Please answer questions 1 and 2. If you answer “yes” to either question, then please fill in the supplement form “W-9” despatched with this circular.

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– 30 –

SPECIMEN TRANSFER FORM

APPENDIX

Highly Confidential

ส่วนที��

ข้อมูลถิ�นที�อยู่ทางภาษีในประเทศอื�นนอกจากสหรัฐอเมริกา

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CRS: Declaration of Tax Residency (other than the U.S.)

“ถิ�นที�อยู่ทางภาษี” หมายถึง ประเทศที�ผู้ถือหลักทรัพย์มีหน้าที�ต้องเสียภาษีเงินได้ สําหรับเงินได้ที�ผู้ถือหลักทรัพย์ได้รับจากประเทศนั�น และ/หรือประเทศอื�น ๆ เนื�องจากการมีภูมิลําเนาถิ�นที�อยู่ โดยพิจารณาจากจํานวนวันที�ผู้ถือหลักทรัพย์อยู่ในประเทศนั�นในแต่ละปี หรือโดยพิจารณาจากหลักเกณฑ์อื�น ๆ

“ Tax Residence ” means the country in which the securities holders have the duty to pay income tax for the income received by the securities holders in such country and/or other countries as a result of having domicile there taking into consideration the number of days the securities holders reside in such country in each year or other criteria.

Please complete this section. หากเลือกเหตุผล ข โปรดระบุเหตุผล หากไม่มีเลขประจําตัวผู้เสียภาษี ที�ผู้ถือหลักทรัพย์ไม่สามารถขอเลข โปรดระบุเหตุผล ก, ข หรือ ค ประเทศถิ�นที�อยู่ทางภาษีCountry of เลขประจําตัวผู้เสียภาษี ประจําตัวผู้เสียภาษีได้ If no TIN is unavailable, please Tax Residence (Tax Identification Number “TIN”) Please explain why you are unable to indicate reason A, B or C stipulated obtain a TIN in the bottom if you select Reason B หากผู้ถือหลักทรัพย์ไม่มีเลขประจําตัวผู้เสียภาษี(TIN) กรุณาระบุเหตุผลดังต่อไปนี� : If a TIN is unavailable, indicate which of the following reason is applicable : เหตุผล (A) – ประเทศที�ผู้ถือหลักทรัพย์มีถิ�นที�อยู่ทางภาษีไม่ได้ออกเลขประจําตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั�น

Reason (A) – The jurisdiction where the securities holder is a tax resident does not issue TINs to its residents. เหตุผล (B) – ผู้ถือหลักทรัพย์ไม่สามารถขอเลขประจําตัวผู้เสียภาษีที�ออกโดยประเทศนั�นได้

Reason (B) – The securities holder is otherwise unable to obtain a TIN.

ส่วนที��

การยืนยันและการเปลี�ยนแปลงสถานะ

Confirmation and Change of Status

ผู้ถือหลักทรัพย์รับรองว่า ข้อมูลที�ผู้ถือหลักทรัพย์ได้ให้ไว้แก่บริษัท ศูนย์รับฝากหลักทรัพย์ (ประเทศไทย) จํากัด(“ ศูนย์รับฝากฯ ”) ตามแบบแจ้งสถานะฯ ฉบับนี� เป็นข้อมูลของผู้ถือ หลักทรัพย์เอง และเป็นข้อมูลที�ถูกต้องครบถ้วนตามความเป็นจริงและเป็นปัจจุบันทุกประการ

The securities holders represent that the information provided by the securities holders to Thailand Securities Depository Co., Ltd. (“ TSD ”) pursuant to this status

declaration form belongs to the securities holders and is correct, complete, conforms to the truth and up-to-date in all respects.

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากศูนย์รับฝากฯ ตรวจพบหรือมีเหตุอันควรสงสัยว่า ข้อมูลของผู้ถือหลักทรัพย์ตามแบบแจ้งสถานะฯ ฉบับนี�, ในแบบฟอร์ม W-9 หรือในแบบฟอร์มอื�น ใดที�เกี�ยวข้อง ซึ�งผู้ถือหลักทรัพย์ได้ให้ไว้แก่ศูนย์รับฝากฯ ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือ ความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วนตามที�ศูนย์รับฝากฯ เห็นสมควร

The securities holders acknowledge and agree that in an event the TSD discovers or has reasonable cause to suspect that the information of the securities holders pursuant to this status declaration form, W-9 or other relevant forms provided by the securities holders to the TSD is not true, correct or complete, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate.

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที�มีเหตุการณ์เปลี�ยนแปลงอันทําให้ข้อมูลของผู้ถือหลักทรัพย์ที�ระบุในแบบแจ้งสถานะฯ ฉบับนี�, ในแบบฟอร์ม W-9 หรือในแบบฟอร์มอื�นใดที� เกี�ยวข้องไม่ถูกต้อง ไม่ครบถ้วน หรือไม่เป็นปัจจุบัน ผู้ถือหลักทรัพย์มีหน้าที�ในการแจ้งให้ศูนย์รับฝากฯ ทราบถึงรายละเอียดการเปลี�ยนแปลงดังกล่าว พร้อมทั�งนําส่งเอกสารประกอบตามที�ศูนย์ รับฝากฯ กําหนด ภายใน 30 วันนับแต่วันที�มีการเปลี�ยนแปลงนั�น

The securities holders acknowledge and agree that in case of an event of change such that the information of the securities holders specified in this status declaration form, W-9 or other relevant forms becomes incorrect, incomplete or not up-to-date, the securities holders shall have the duty to inform the TSD of the details of such change and to submit any supporting documents as prescribed by the TSD within 30 days from the date of such change.

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Highly Confidential

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ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที�ผู้ถือหลักทรัพย์ไม่ได้ดําเนินการตามข้อ 3. หรือผู้ถือหลักทรัพย์นําส่งข้อมูลเกี�ยวกับสถานะของผู้ถือหลักทรัพย์ที�ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วน ตามที�ศูนย์รับฝากฯ เห็นสมควร

The securities holders acknowledge and agree that in case the securities holders fail to proceed in accordance with 3. or submit information on their status which is untrue, incorrect or incomplete, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate.

Foreign Account Tax Co สวนท4	mpliance Act:“FATCA”), มาตรฐานการแลกเปลยนขอมลทางการเงนแบบอตโนมต (The Common Reporting Standard: “CRS”) ตลอดจนกฎเกณฑของ การเปดเผยขอมลและความยนยอมในการหกเงนในบญช Disclosure of information and authorization for debiting funds in account
ผถอหลกทรพยรบทราบและตกลงผกพนตามการดาเนนการดงตอไปน โดยจะไมเพกถอนความตกลงยนยอมดงกลาวไมวาในเวลาใด ๆ The securities holders acknowledge and agree to be bound by the following and will not revoke any consent to such agreement at any time: 1. ผถอหลกทรพยรบทราบและตกลงใหศนยรบฝากฯ เปดเผยขอมลตาง ๆ ของผถอหลกทรพยใหแกตลาดหลกทรพยแหงประเทศไทย และบรษทยอยของตลาดหลกทรพยแหงประเทศ ไทย (รวมเรยกวา “กลมตลาดหลกทรพยฯ”) เพอประโยชนในการปฏบตตามหลกเกณฑการแลกเปลยนขอมลภาษตามขอตกลงระหวางรฐบาลไทยกบรฐบาลสหรฐอเมรกา (The Foreign Account Tax Compliance Act:“FATCA”), มาตรฐานการแลกเปลยนขอมลทางการเงนแบบอตโนมต (The Common Reporting Standard: “CRS”) ตลอดจนกฎเกณฑของ องคการเพอความรวมมอทางเศรษฐกจและการพฒนา (The Organization for Economic Co-operation and Development: “OECD”) หนวยงานจดเกบภาษอากรในประเทศ หนวยงาน จดเกบภาษอากรในตางประเทศ ซงรวมถงหนวยงานจดเกบภาษอากรของสหรฐอเมรกา(Internal Revenue Service:“IRS”) โดยขอมลทอาจมการเปดเผยเพอวตถประสงคดงกลาว รวมถงขอมลชอ ทอย เลขประจาตวผเสยภาษ หมายเลขบญช สถานะตามหลกเกณฑของ FATCA (เปนผปฏบตตาม หรอผไมใหความรวมมอ) จานวนเงนหรอมลคาคงเหลอในบญช การจายเงนเขา-ออกจากบญช รายการเคลอนไหวทางบญช จานวนเงน ประเภทและมลคาของผลตภณฑทางการเงน และ/หรอทรพยสนอน ๆ ทอยในความครอบครองของศนยรบฝากฯ ตลอดจนจานวนรายได และขอมลอน ๆ ทเกยวกบความสมพนธทางการเงนหรอความสมพนธทางธรกจของผถอหลกทรพย ทอาจถกรองขอโดยกลมตลาดหลกทรพยแหงประเทศไทย หนวยงานจดเกบภาษอากรในประเทศ และ/หรอหนวยงานจดเกบภาษอากรในตางประเทศ ซงรวมถง IRS ดวย The securities holders acknowledge and agree for the TSD to disclose any information of the securities holders to the Stock Exchange of Thailand and its subsidiaries (collectively as “SET Group”) for the purpose of complying with the The Foreign Account Tax Compliance Act (FATCA), Common Reporting Standards (CRS) as well as regulations of the Organization for Economic Co-operation and Development (OECD), and domestic and oversea taxation authorities which including Internal Revenue Service (IRS). In this regard, the information that may be disclosed for such purpose includes name, address, taxpayer identification number, account number, FATCA status, outstanding amount or value in the account, payment to-and-from the account, account movement statement, amount, type and value of financial products and/or other assets in the possession of the TSD as well as amount of income and other information on the financial or business relationship of the securities holders which may be requested by the SET Group, the domestic taxation authorities and/or oversea taxation authorities which including IRS. 2. ผถอหลกทรพยรบทราบและตกลงใหศนยรบฝากฯ หกเงนจากบญชของผถอหลกทรพย และ/หรอเงนไดทผถอหลกทรพยไดรบจากหรอผานศนยรบฝากฯ ในจานวนทกาหนดโดย หนวยงานจดเกบภาษอากรในประเทศ และ/หรอหรอหนวยงานจดเกบภาษอากรในตางประเทศซงรวมถง IRS ภายใตบงคบของกฎหมาย กฎเกณฑ รวมถงขอตกลงใด ๆ ระหวางศนยรบ ฝากฯ กบหนวยงานจดเกบภาษอากรดงกลาว The securities holders acknowledge and agree for the TSD to deduct money from the account of the securities holders and/or income received by the securities holders from or via the TSD in an amount prescribed by the domestic taxation authorities and/or oversea taxation authorities which including IRS pursuant to the laws, rules and agreements between the TSD and such taxation authorities.

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากผู้ถือหลักทรัพย์ไม่ให้หรือไม่ได้แจ้งให้ศูนย์รับฝากฯ ทราบถึงข้อมูลที�จําเป็นต่อการพิจารณาสถานะความเป็นบุคคลอเมริกัน (U.S. Person) สถานะบัญชีที�ต้องรายงาน หรือสถานะผู้ถือบัญชีที�ต้องถูกรายงาน, หรือไม่ได้ให้ข้อมูลที�จําเป็นต้องใช้ในการรายงานข้อมูลต่อหน่วยงานจัดเก็บภาษีอากรที�เกี�ยวข้อง, หรือผู้ถือหลักทรัพย์ ไม่สามารถขอยกเว้นการบังคับใช้กฎหมายที�ห้ามการรายงานข้อมูลได้ ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือ หลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วน ตามที�ศูนย์รับฝากฯ เห็นสมควร

The securities holders acknowledge and agree that in case the securities holders fail to provide or notify the TSD about the information required for the consideration of U.S. Person Status, the status of account or account holder which must be reported, or fail to provide information required to be reported to the relevant taxation authorities, or the securities holders are unable to apply for exemption from compliance with the laws prohibiting the reporting of information, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate.

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The securities holders acknowledge and agree to comply with the terms and conditions in this status declaration form and to be bound by the conditions on the disclosure of information, and agree for the TSD to deduct money in the account pursuant to the details prescribed above in all respects, and hereby affix signatures as evidence thereof.

Please sign here. ลงชื�อ ผู้ถือหลักทรัพย์ / ผู้มีอํานาจลงนามแทนผู้ถือบัญชี Signature Securities holders / Person authorized to sign on behalf of the account holder

	สาหรบเจาหนาท For official use only วนท_______ ผตรวจรบ____ Date Checker Please leave this blank.	ตรวจสอบหลกฐานแสดงตนฉบบจรงของผถอหลกทรพยแลว I have already checked all original identification documents. ลงชอ_________เจาหนาท Signature Officer

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If you are a body corporate, please complete the FATCA/CRS Self-Certification Form at pages 34 through 40 of this circular. You are only required to complete the supplement form "W-9" if you are a body corporate registered in the United States of America. You are only required to complete the supplement form "W-8BEN-E" if you are a body corporate with investment income or passive income of at least 50% of the total income, or having asset that generates such income of at least 50% of the total asset, in the latest financial year.

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Highly Confidential

สาหรบลกคาประเภทนตบคคล

แบบแจ้งสถานะความเป็นบุคคลอเมริกันและผู้มีถิ�นที�อยู่ทางภาษีในประเทศอื�น

FATCA/CRS Self-Certification Form for Entity/Juristic Person

วันที� Please fill in the date with the date of signing. เลขทะเบียนผู้ถือหุ้น Please leave this blank. Date Account ID

Please fill in your corporate details below.

ชื�อองค์กร/นิติบุคคล/บริษัท

Name of Organization/Entity/Company ประเทศที�จดทะเบียน หรือจัดตั�ง เลขทะเบียนนิติบุคคล Country of Incorporation/Registration or Organization Entity Registration Number

เลขประจําตัวผู้เสียภาษีในประเทศไทย

Thai Tax Identification Number

เลขประจําตัวผู้เสียภาษีในประเทศอื�น (โปรดระบุทุกประเทศ ถ้ามี)

Foreign Tax Identification Number(s) (Please provide a list of countries, if any) ประเทศ/Country เลขประจําตัวผู้เสียภาษี/Tax Identification____ ประเทศ/Country เลขประจําตัวผู้เสียภาษี/Tax Identification____ ประเทศ/Country เลขประจําตัวผู้เสียภาษี/Tax Identification_______

ส่วนที��

สถานะความเป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของ FATCA FATCA : Self-Certification

�. เป็นบริษัทที�จดทะเบียนในประเทศสหรัฐฯ (หากตอบ“ใช่”โปรดกรอก W-9)

� ใช่/Yes � ไม่ใช่/No

Being a juristic person registered in the United States of America (If answer “Yes”, please fill in W-9)

�. เป็นสถาบันการเงิน ภายใต้หลักเกณฑ์ของ FATCA (หากตอบ “ใช่” โปรดระบุประเภท � PFFI � RDCFFI) � ใช่/Yes � ไม่ใช่/No Being a financial institution under FATCA requirements (If answer “Yes”, please specify � PFFI � RDCFFI)

(หาก“ใช่”กรุณากรอกหมายเลขGIIN �� . �� . �� . ��)

(If “Yes”, please fill in GIIN ��.��.��.��)

�. เป็นนิติบุคคลที�มีรายได้จากการลงทุนหรือรายได้ทางอ้อมตั�งแต่ร้อยละ 50 ขึ�นไปของรายได้รวม � ใช่/Yes � ไม่ใช่/No หรือมีทรัพย์สินที�ก่อให้เกิดรายได้ดังกล่าวได้ตั�งแต่ร้อยละ50 ขึ�นไปของสินทรัพย์รวม ในรอบบัญชีปีล่าสุด (หาก “ใช่” โปรดกรอก W-8BEN-E) Being a juristic person with income from investment or indirect income of at least 50 percent of the total income or having income generating asset of at least 50 percent of the total asset within the latest financial year (If “Yes”, please fill in W-8BEN-E)

Please answer questions 1 through 3. If you answer “yes” to question 1, then please complete the supplement form “W-9” despatched with this circular. If you answer “yes” to question 3, then please fill in the supplement form “W-8BEN-E” despatched with this circular.

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Highly Confidential

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ส่วนที� 2 สถานะของนิติบุคคลภายใต้หลักเกณฑ์ของ CRS
Entity’s status under the CRS
Please complete this section.
1. ผู้ถือหลักทรัพย์เป็นสถาบันการเงินภายใต้หลักเกณฑ์ของ CRS � ใช่/Yes � ไม่ใช่/No
The securities holder is a Financial Institution under the CRS
(หากตอบว่า “ใช่” โปรดเลือกตอบข้อ 1.1-1.2 ข้อใดข้อหนึ�งเพียงข้อเดียว)
(If “Yes”, please select 1.1-1.2 only one answer)
1.1 เป็นนิติบุคคลที�ดําเนินธุรกิจเกี�ยวกับการลงทุน ซึ�งอยู่ในรัฐคู่สัญญา หรือเป็นนิติบุคคลที�ดําเนินธุรกิจเกี�ยวกับการลงทุน ซึ�งไม่ได้อยู่ในรัฐคู่สัญญา
และไม่ได้บริหารโดยสถาบันการเงินตามหลักเกณฑ์ของ CRS
Is a juristic person which operates business related to investment and is located in a contracting state, or is a juristic person which operates
business related to investment and is not located in a contracting state and is not managed by a financial institution pursuant to the rules
of the CRS.
1.2 เป็นสถาบันการเงิน ประเภทสถาบันรับฝากเงิน สถาบันผู้รับฝากสินทรัพย์ หรือบริษัทประกัน ตามหลักเกณฑ์ของ CRS
Is a financial institution categorized as a depository, custodian or insurance company pursuant to the rules of the CRS.
2. ผู้ถือหลักทรัพย์เป็นนิติบุคคลที�ไม่ใช่สถาบันการเงิน โดยผู้ถือหลักทรัพย์เป็นแอ็คทิฟเอ็นเอฟอี (Active NFE) � ใช่/Yes � ไม่ใช่/No
The securities holder is an Active Non-Financial Entity “Active NFE”
(หากท่านตอบว่า “ใช่” โปรดเลือกตอบข้อ 2.1-2.4 ข้อใดข้อหนึ�งเพียงข้อเดียว)
(If “Yes”, please select 2.1-2.4 only one answer)
2.1 Active NFE – เป็นนิติบุคคลที�หุ้นมีการซื�อขายตามปกติในตลาดหลักทรัพย์ที�จัดตั�ง หรือเป็นนิติบุคคลที�มีความสัมพันธ์กับนิติบุคคลที�หุ้นมีการซื�อ
ขายตามปกติในตลาดหลักทรัพย์ที�จัดตั�ง
Active NFE – is a juristic person the shares of which are ordinarily traded in the established stock exchange or is a juristic person with
relationship with the juristic person the shares of which are ordinarily traded in the established stock exchange .
หากเลือกข้อ 2.1 โปรดระบุชื�อตลาดหลักทรัพย์ที�ซื�อขายหุ้น ………………….……….……….…………………….…………………………………………………
(If select 2.1, please provide the name of the established securities market on which the company is regularly traded)
………………….……….……….………………………………………………………………………………………..………………………………………………..
หากผู้ถือหลักทรัพย์เป็นนิติบุคคลที�มีความสัมพันธ์กับนิติบุคคลที�หุ้นมีการซื�อขายตามปกติในตลาดหลักทรัพย์ที�จัดตั�ง โปรดระบุชื�อนิติบุคคลที�มีความสัมพันธ์ที�หุ้น
มีการซื�อขายตามปกติในตลาดหลักทรัพย์ที�จัดตั�ง…………………………………………….……….……….……….………………………………………………..
In case the securities holder is a juristic person with relationship with the juristic person the shares of which are ordinarily traded in the stock exchange
established, please specify the name of such juristic person the shares of which are ordinarily traded in the established stock exchange
2.2 Active NFE – เป็นหน่วยงานของรัฐบาล หรือธนาคารกลาง (Government Entity or Central Bank)
2.3 Active NFE – เป็นองค์การระหว่างประเทศ (International Organization)
2.4 Active NFE – เป็นหน่วยงานอื�นนอกเหนือจากข้อ 2.1 - 2.3 (Active NFE-other than 2.1-2.3)
เช่น นิติบุคคลใหม่ที�จัดตั�งไม่เกิน 24 เดือน, นิติบุคคลที�อยู่ในกระบวนการขายทรัพย์สินเพื�อชําระบัญชีหรือฟื�นฟูกิจการ โดยมีเจตนาจะดําเนินธุรกิจอย่างอื�น
นอกจากการเป็นสถาบันการเงิน และนิติบุคคลที�สัดส่วนของรายได้และทรัพย์สินไม่เข้าลักษณะเป็นพาสซิฟเอ็นเอฟอี ทั�งนี� นิติบุคคลดังกล่าวต้องมีคุณสมบัติ
ครบถ้วนตามเงื�อนไขที� CRS กําหนด
Such as a juristic person newly established for a period not exceeding 24 months, a juristic person which is in the process of selling its assets for
the purpose of liquidation or rehabilitation with the intention to operate business other than as a financial institution, and a juristic person the
proportion of revenue and assets of which does not fit the characteristics of a passive NFE. In this regard, such juristic person shall possess all
the qualifications pursuant to the conditions prescribed by CRS
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Highly Confidential
Please complete this section.
3. ผู้ถือหลักทรัพย์เป็นนิติบุคคลที�ไม่ใช่สถาบันการเงิน โดยผู้ถือหลักทรัพย์เป็นพาสซิฟเอ็นเอฟอี (Passive NFE) � ใช่/Yes � ไม่ใช่/No
The securities holder is a Passive Non-Financial Entity “Passive NFE”
(หากท่านตอบว่า “ใช่” โปรดเลือกตอบข้อ 3.1 หรือ 3.2 เพียงข้อเดียวและโปรดระบุจํานวนบุคคลผู้มีอํานาจควบคุมทั�งหมดของนิติบุคคลและถิ�นที�อยู่ทางภาษีของผู้มีอํานาจควบคุม ในส่วนที�4 ด้วย)
(If “Yes”, please select 3.1-3.2 only one answer, please also indicate the number of all Controlling Person(s) of the Entity and Tax Residency of Controlling Person(s) in Part 4)
หมายเหตุหากผู้ถือหลักทรัพย์ที�เป็น Active NFE ตามข้อ 2. แล้ว ผู้ถือหลักทรัพย์จะไม่เป็น Passive NFE ตามข้อ 3. อีก
Remark If the securities holders is an Active NFE in 2, then the securities holders is not a Passive NFE in 3
3.1 เป็นนิติบุคคลที�ดําเนินธุรกิจเกี�ยวกับการลงทุน ซึ�งไม่ได้อยู่ในรัฐคู่สัญญา และบริหารโดยสถาบันการเงินตามข้อกําหนดของ CRS
Investment Entity located in a Non-Participating Jurisdiction and managed by Financial Institution under the definition of CRS
3.2 เป็นนิติบุคคลที�มีรายได้ที�ไม่ได้มาจากการประกอบกิจการโดยตรง เช่น เงินปันผล ดอกเบี�ย ค่าเช่า และค่าสิทธิ (Loyalty) (โดยที�ค่าเช่า และค่าสิทธิดังกล่าว
ไม่ได้เกิดจากการประกอบธุรกิจโดยตรง) ตั�งแต่ร้อยละ 50 ขึ�นไปของรายได้ทั�งหมด หรือมีสินทรัพย์ที�ก่อให้เกิดหรือถือไว้เพื�อก่อให้เกิดรายได้ในลักษณะ
ดังกล่าว (เช่น เงินฝาก ทรัพย์สินทางการเงิน และทรัพย์สินที�ก่อให้เกิดค่าเช่า) ตั�งแต่ร้อยละ 50 ขึ�นไปของสินทรัพย์ทั�งหมดในระหว่างปีปฏิทินก่อนหน้า
Is a juristic person with revenue not derived from direct business operation such as dividend, interest, rental and royalty (and such rental and royalty do not arise
from direct business operation) in an amount of at least 50 percent of the total revenue or with assets which generate or which are held to generate revenue of
such characteristics (such as deposit, financial assets and assets which generate rental) in an amount of at least 50 percent of the total assets during the
previous calendar year.
หมายเหตุ: หากผู้ถือหลักทรัพย์ที�เป็น Active NFE แล้ว ผู้ถือหลักทรัพย์จะไม่เป็น Passive NFE ตามข้อ 3.
Remark : If the securities holder is an Active NFE, the securities holder are not a Passive NFE in 3
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ส่วนที� 3
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ข้อมูลถิ�นที�อยู่ทางภาษีในประเทศอื�นนอกจากสหรัฐอเมริกา

CRS: Declaration of Tax Residency (other than the U.S.)

“ถิ�นที�อยู่ทางภาษี” หมายถึง ประเทศที�ผู้ถือหลักทรัพย์มีหน้าที�ต้องเสียภาษีเงินได้ สําหรับเงินได้ที�ผู้ถือหลักทรัพย์ได้รับจากประเทศนั�น และ/หรือประเทศอื�น ๆ เนื�องจากการมีภูมิลําเนาถิ�นที�อยู่ ที�ตั�งอันเป็นศูนย์จัดการและควบคุมนิติบุคคล ที�นิติบุคคลจดทะเบียนจัดตั�ง หรือโดยการพิจารณาจากหลักเกณฑ์อื�น ๆ “ Tax Residence ” means the country in which the securities holders have the duty to pay income tax for the income received by the securities holders in such country and/or other countries as a result of having domicile or location for the management and control of juristic person where the juristic person is incorporated or other criteria

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หากเลือกเหตุผล ข โปรดระบุเหตุผล
หากไม่มีเลขประจําตัวผู้เสียภาษี
ที�ผู้ถือหลักทรัพย์ไม่สามารถขอเลข
โปรดระบุเหตุผล ก, ข หรือ ค
ประเทศถิ�นที�อยู่ทางภาษี เลขประจําตัวผู้เสียภาษี ประจําตัวผู้เสียภาษีได้
If TIN is unavailable, please
Country of Tax Residence (Tax Identification Number: “TIN”) Please explain why you are unable
indicate reason A, B or C
to obtain a TIN
stipulated in the bottom
if you select Reason B
หากผู้ถือหลักทรัพย์ไม่มีเลขประจําตัวผู้เสียภาษี (TIN) กรุณาระบุเหตุผลดังต่อไปนี�
If a TIN is unavailable, indicate which of the following reason is applicable :
เหตุผล (A) – ประเทศที�ผู้ถือหลักทรัพย์มีถิ�นที�อยู่ทางภาษี ไม่ได้ออกเลขประจําตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั�น
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Reason (B) – The securities holder is otherwise unable to obtain a TIN.

เหตุผล (C) – ไม่จําเป็นต้องให้หรือเปิดเผยเลขประจําตัวผู้เสียภาษี (หมายเหตุ : โปรดเลือกเหตุผลนี�เฉพาะในกรณีที�กฎหมายภายในประเทศนั�น ไม่ได้บังคับจัดเก็บเลขประจําตัวผู้เสียภาษี) Reason (C) – TIN is not required. (Remark : Please select this reason only if the domestic law of the relevant jurisdiction does not require the collection of TIN issued by such jurisdiction.) หมายเหตุ : หากผู้ถือหลักทรัพย์เป็นผู้มีถิ�นที�อยู่ที�ต้องชําระภาษีมากกว่าสี�ประเทศ โปรดระบุในเอกสารแยกต่างหาก

Remark : If the securities holder is a tax resident in more than four countries, please use a separate sheet.

Please complete this section.

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Highly Confidential

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ส่วนที� 4
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ข้อมูลถิ�นที�อยู่ทางภาษีและเลขประจําตัวผู้เสียภาษีของผู้มีอํานาจควบคุม

Tax Residency and Taxpayer Identification Number (TIN) of Controlling Person(s) โปรดตอบคําถามในส่วนนี�หากท่านเป็นPassive NFE ตามข้อ �.�หรือ �.� If you are a “Passive NFE”, please complete this section. Please answer in this part, if you are Passive NFE in 4.1 or 4.2 4.1 จํานวนบุคคลผู้มีอํานาจควบคุมของนิติบุคคล (Number of controlling person(s) of the securities holder) _คน (person(s)) “ผู้มีอํานาจควบคุม” หมายถึง (1) บุคคลธรรมดาที�มีอํานาจควบคุมเหนือนิติบุคคล (2) ผู้ก่อตั�งทรัสต์ ทรัสตี ผู้คุ้มครอง ผู้ได้รับผลประโยชน์ที� แท้จริง หรือผู้ได้รับผลประโยชน์ที�แท้จริงที�จําแนกตามประเภท และบุคคลธรรมดาอื�นใดที�มีอํานาจควบคุมสูงสุดเหนือกองทรัสต์ ในกรณีของ กองทรัสต์ หรือ (3) บุคคลที�มีฐานะเทียบเท่าหรือคล้ายกัน ในกรณีของหน่วยที�จัดตั�งขึ�นตามกฎหมายอื�น ๆ นอกเหนือจากกองทรัสต์ ทั�งนี� ตาม รายละเอียดและเงื�อนไขที� CRS กําหนด

“ Controlling Person ” means (1) an individual with control over the juristic person, (2) a founder of the trust, trustee, custodian, true beneficial owner or true beneficiary with specific categorization and any other individuals with the ultimate control over the trust in case of a trust, or (3) a person with equivalent or analogous status in case of a department established under laws other than a trust pursuant to the details and conditions prescribed by CRS .

4.2 ข้อมูลของผู้มีอํานาจควบคุม (Details of Controlling Person(s))

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ผู้มีอํานาจควบคุมที� 1 ผู้มีอํานาจควบคุมที� 2 ผู้มีอํานาจควบคุมที� 3 ผู้มีอํานาจควบคุมที� 4
Controlling Person 1 Controlling Person 2 Controlling Person 3 Controlling Person 4
ชื�อ – นามสกุล
Full Name (First and last name)
ประเภทของผู้มีอํานาจควบคุม (Type of Controlling Person)
1) โดยการถือหุ้น (Control by Ownership) (1) (1) (1) (1)
2) โดยการเป็นผู้บริหารระดับสูง (Through Senior (2) (2) (2) (2)
Management Position) (3) ระบุ_ (3) ระบุ_ (3) ระบุ_ (3) ระบุ_
3) ควบคุมด้วยทางอื�น (Control by other means)
วันเดือนปีเกิด
Date of Birth (DD/MM/YYYY)
สัญชาติ
Nationality
สถานที�เกิด(เมืองและประเทศ)
Place of Birth (City and Country)
ที�อยู่ปัจจุบัน
Current Address
Full Address (House No., Street, City, Country, Post Code )
(1) ประเทศของถิ�นที�อยู่เพื�อวัตถุประสงค์ในการเก็บภาษี
Country of Tax Residence
…………………………………………………………..
เลขประจําผู้เสียภาษี ………………………….. ………………………….. ………………………….. …………………………..
TIN
………………………………………………………….. ………………………….. ………………………….. ………………………….. …………………………..
หากไม่มีเลขประจําตัวผู้เสียภาษีโปรดระบุเหตุผล (A) (B) (C) (A) (B) (C) (A) (B) (C) (A) (B) (C)
If no TIN available, please enter reason
................................................................................. ………………………….. ………………………….. ………………………….. …………………………..
หากเลือกเหตุผลข้อ (B) โปรดระบุเหตุผลที�ท่านไม่สามารถรับ
เลขประจําตัวผู้เสียภาษี
If select reason (B), please explain why you are unable to
obtain a TIN
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ผมอานาจควบคมท 1 Controlling Person 1 ผมอานาจควบคมท 2 Controlling Person 2 ผมอานาจควบคมท 3 Controlling Person 3 ผมอานาจควบคมท 4 Controlling Person 4 (2) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. (3) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. (4) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. หากผมอานาจควบคมไมมเลขประจาตวผเสยภาษ(TIN) กรณาระบเหตผลดงตอไปน If a TIN is unavailable, indicate which of the following reason is applicable : เหตผล (A) – ประเทศทผมอานาจควบคมมถนทอยทางภาษไมไดออกเลขประจาตวผเสยภาษใหกบผอาศยอยในประเทศนน Reason (A) – The jurisdiction where the controlling person is a tax resident does not issue TINs to its residents. เหตผล (B) – ผมอานาจควบคมไมสามารถขอเลขประจาตวผเสยภาษทออกโดยประเทศนนได Reason (B) – The controlling person is otherwise unable to obtain a TIN. เหตผล (C) – ไมจาเปนตองใหหรอเปดเผยเลขประจาตวผเสยภาษ(หมายเหต: โปรดเลอกเหตผลนเฉพาะในกรณทกฎหมายภายในประเทศนนไมไดบงคบจดเกบเลขประจาตวผเสยภ Reason (C) – TIN is not required. (Remark : Please select this reason only if the domestic law of the relevant jurisdiction does not require the collection of TIN issued by such jurisdiction.) หมายเหต : หากผมอานาจควบคมเปนผมถนทอยทตองชาระภาษมากกวาสประเทศ โปรดระบในเอกสารแยกตางหาก Remark : If the controlling person is a tax resident in more than four countries, please use a separate sheet. If you are a “Passive NFE”, please complete this section.			If you are a “Passive NFE”, please		ผมอานาจควบคมท 4 Controlling Person 4 ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. ………………………….. ………………………….. (A) (B) (C) ………………………….. complete this section.
		ผมอานาจควบคมท 1 Controlling Person 1	ผมอานาจควบคมท 2 Controlling Person 2	ผมอานาจควบคมท 3 Controlling Person 3	ผมอานาจควบคมท 4 Controlling Person 4
	(2) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C)	………………………….. ………………………….. (A) (B) (C) …………………………..
				…………………………..

	(3) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. A B C	………………………….. ………………………….. (A) (B) (C) …………………………..
				() () () …………………………..

	(4) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจาผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจาตวผเสยภาษโปรดระบเหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจาตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. A B C	………………………….. ………………………….. (A) (B) (C) …………………………..
				() () () …………………………..

หากผู้มีอํานาจควบคุมไม่มีเลขประจําตัวผู้เสียภาษี(TIN) กรุณาระบุเหตุผลดังต่อไปนี�

If a TIN is unavailable, indicate which of the following reason is applicable : เหตุผล (A) – ประเทศที�ผู้มีอํานาจควบคุมมีถิ�นที�อยู่ทางภาษีไม่ได้ออกเลขประจําตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั�น

Reason (A) – The jurisdiction where the controlling person is a tax resident does not issue TINs to its residents. เหตุผล (B) – ผู้มีอํานาจควบคุมไม่สามารถขอเลขประจําตัวผู้เสียภาษีที�ออกโดยประเทศนั�นได้

Reason (B) – The controlling person is otherwise unable to obtain a TIN. เหตุผล (C) – ไม่จําเป็นต้องให้หรือเปิดเผยเลขประจําตัวผู้เสียภาษี(หมายเหตุ: โปรดเลือกเหตุผลนี�เฉพาะในกรณีที�กฎหมายภายในประเทศนั�นไม่ได้บังคับจัดเก็บเลขประจําตัวผู้เสียภาษี) Reason (C) – TIN is not required. (Remark : Please select this reason only if the domestic law of the relevant jurisdiction does not require the collection of TIN issued by such jurisdiction.) หมายเหตุ : หากผู้มีอํานาจควบคุมเป็นผู้มีถิ�นที�อยู่ที�ต้องชําระภาษีมากกว่าสี�ประเทศ โปรดระบุในเอกสารแยกต่างหาก Remark : If the controlling person is a tax resident in more than four countries, please use a separate sheet.

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APPENDIX

Highly Confidential

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ส่วนที� 5 การยืนยันและการเปลี�ยนแปลงสถานะ Confirmation and Change of Status 1. ผู้ถือหลักทรัพย์รับรองว่า ข้อมูลที�ผู้ถือหลักทรัพย์ได้ให้ไว้แก่บริษัท ศูนย์รับฝากหลักทรัพย์ (ประเทศไทย) จํากัด(“ ศูนย์รับฝากฯ ”) ตามแบบแจ้งสถานะฯ ฉบับนี� เป็นข้อมูล ของผู้ถือหลักทรัพย์เอง และเป็นข้อมูลที�ถูกต้องครบถ้วนตามความเป็นจริงและเป็นปัจจุบันทุกประการ The securities holders represent that the information provided by the securities holders to Thailand Securities Depository Co., Ltd. (“ TSD ”) pursuant to this status declaration form belongs to the securities holders and is correct, complete, conforms to the truth and up-to-date in all respects. 2. ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากศูนย์รับฝากฯ ตรวจพบหรือมีเหตุอันควรสงสัยว่า ข้อมูลของผู้ถือหลักทรัพย์ตามแบบแจ้งสถานะฯ ฉบับนี�, ในแบบฟอร์ม W-9 หรือใน แบบฟอร์มอื�นใดที�เกี�ยวข้อง ซึ�งผู้ถือหลักทรัพย์ได้ให้ไว้แก่ศูนย์รับฝากฯ ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติ ความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วนตามที�ศูนย์รับฝากฯ เห็นสมควร The securities holders acknowledge and agree that in an event the TSD discovers or has reasonable cause to suspect that the information of the securities holders pursuant to this status declaration form, W-9 or other relevant forms provided by the securities holders to the TSD is not true, correct or complete, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate. 3. ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที�มีเหตุการณ์เปลี�ยนแปลงอันทําให้ข้อมูลของผู้ถือหลักทรัพย์ที�ระบุในแบบแจ้งสถานะฯ ฉบับนี�, ในแบบฟอร์ม W-9 หรือในแบบฟอร์ม อื�นใดที�เกี�ยวข้องไม่ถูกต้อง ไม่ครบถ้วน หรือไม่เป็นปัจจุบัน ผู้ถือหลักทรัพย์มีหน้าที�ในการแจ้งให้ศูนย์รับฝากฯ ทราบถึงรายละเอียดการเปลี�ยนแปลงดังกล่าว พร้อมทั�งนําส่งเอกสาร ประกอบตามที�ศูนย์รับฝากฯ กําหนด ภายใน 30 วันนับแต่วันที�มีการเปลี�ยนแปลงนั�น The securities holders acknowledge and agree that in case of an event of change such that the information of the securities holders specified in this status declaration form, W-9 or other relevant forms becomes incorrect, incomplete or not up-to-date, the securities holders shall have the duty to inform the TSD of the details of such change and to submit any supporting documents as prescribed by the TSD within 30 days from the date of such change. 4. ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที�ผู้ถือหลักทรัพย์ไม่ได้ดําเนินการตามข้อ 3. หรือผู้ถือหลักทรัพย์นําส่งข้อมูลเกี�ยวกับสถานะของผู้ถือหลักทรัพย์ที�ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วน ตามที�ศูนย์รับฝากฯ เห็นสมควร The securities holders acknowledge and agree that in case the securities holders fail to proceed in accordance with 3. or submit information on their status which is untrue, incorrect or incomplete, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate.

ส่วนที� 6

การเปิดเผยข้อมูลและความยินยอมในการหักเงินในบัญชี

Disclosure of information and authorization for debiting funds in account

ผู้ถือหลักทรัพย์รับทราบและตกลงผูกพันตามการดําเนินการดังต่อไปนี� โดยจะไม่เพิกถอนความตกลงยินยอมดังกล่าวไม่ว่าในเวลาใด ๆ

The securities holders acknowledge and agree to be bound by the following and will not revoke any consent to such agreement at any time:

ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ เปิดเผยข้อมูลต่าง ๆ ของผู้ถือหลักทรัพย์ให้แก่ตลาดหลักทรัพย์แห่งประเทศไทย และบริษัทย่อยของตลาดหลักทรัพย์ แห่งประเทศไทย (รวมเรียกว่า “ กลุ่มตลาดหลักทรัพย์ฯ ”) เพื�อประโยชน์ในการปฏิบัติตามหลักเกณฑ์การแลกเปลี�ยนข้อมูลภาษีตามข้อตกลงระหว่างรัฐบาลไทยกับรัฐบาล สหรัฐอเมริกา (The Foreign Account Tax Compliance Act: “FATCA” ), มาตรฐานการแลกเปลี�ยนข้อมูลทางการเงินแบบอัตโนมัติ (The Common Reporting Standard: “ CRS ”) ตลอดจนกฎเกณฑ์ขององค์การเพื�อความร่วมมือทางเศรษฐกิจและการพัฒนา (The Organization for Economic Co-operation and Development: “ OECD ”) หน่วยงานจัดเก็บภาษีอากรในประเทศ หน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ�งรวมถึงหน่วยงานจัดเก็บภาษีอากรของสหรัฐอเมริกา(Internal Revenue Service: “IRS” ) โดยข้อมูลที�อาจมีการเปิดเผยเพื�อวัตถุประสงค์ดังกล่าวรวมถึงข้อมูลชื�อ ที�อยู่ เลขประจําตัวผู้เสียภาษี หมายเลขบัญชี สถานะตามหลักเกณฑ์ของ FATCA (เป็นผู้ปฏิบัติตาม หรือผู้ไม่ให้ความร่วมมือ) จํานวนเงินหรือมูลค่าคงเหลือในบัญชี

การจ่ายเงินเข้า-ออกจากบัญชี รายการเคลื�อนไหวทางบัญชี จํานวนเงิน ประเภทและมูลค่าของผลิตภัณฑ์ทางการเงิน และ/หรือทรัพย์สินอื�น ๆ ที�อยู่ในความครอบครองของ ศูนย์รับฝากฯ ตลอดจนจํานวนรายได้ และข้อมูลอื�น ๆ ที�เกี�ยวกับความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจของผู้ถือหลักทรัพย์ที�อาจถูกร้องขอโดยกลุ่มตลาด หลักทรัพย์แห่งประเทศไทย หน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ�งรวมถึง IRS ด้วย

The securities holders acknowledge and agree for the TSD to disclose any information of the securities holders to the Stock Exchange of Thailand and its subsidiaries (collectively as “ SET Group ”) for the purpose of complying with the The Foreign Account Tax Compliance Act ( FATCA) , Common Reporting Standards ( CRS ) as well as regulations of the Organization for Economic Co-operation and Development ( OECD ), and domestic and oversea taxation authorities which including Internal Revenue Service ( IRS ). In this regard, the information that may be disclosed for such purpose includes name, address, taxpayer identification number, account number, FATCA status, outstanding amount or value in the account, payment to-and-from the account, account movement statement, amount, type and value of financial products and/or other assets in the possession of the TSD as well as amount of income and other information on

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Highly Confidential

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the financial or business relationship of the securities holders which may be requested by the SET Group, the domestic taxation authorities and/or oversea taxation authorities which including IRS.

ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ หักเงินจากบัญชีของผู้ถือหลักทรัพย์ และ/หรือเงินได้ที�ผู้ถือหลักทรัพย์ได้รับจากหรือผ่านศูนย์รับฝากฯ ในจํานวนที� กําหนดโดยหน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศซึ�งรวมถึง IRS ภายใต้บังคับของกฎหมาย กฎเกณฑ์ รวมถึง ข้อตกลงใด ๆ ระหว่างศูนย์รับฝากฯ กับหน่วยงานจัดเก็บภาษีอากรดังกล่าว

The securities holders acknowledge and agree for the TSD to deduct money from the account of the securities holders and/or income received by the securities holders from or via the TSD in an amount prescribed by the domestic taxation authorities and/or oversea taxation authorities which including IRS pursuant to the laws, rules and agreements between the TSD and such taxation authorities.

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากผู้ถือหลักทรัพย์ไม่ให้หรือไม่ได้แจ้งให้ศูนย์รับฝากฯ ทราบถึงข้อมูลที�จําเป็นต่อการพิจารณาสถานะความเป็นบุคคลอเมริกัน (U.S. Person) สถานะบัญชีที�ต้องรายงาน หรือสถานะผู้ถือบัญชีที�ต้องถูกรายงาน, หรือไม่ได้ให้ข้อมูลที�จําเป็นต้องใช้ในการรายงานข้อมูลต่อหน่วยงานจัดเก็บภาษีอากรที�เกี�ยวข้อง, หรือผู้ถือหลักทรัพย์ไม่สามารถขอยกเว้นการบังคับใช้กฎหมายที�ห้ามการรายงานข้อมูลได้ ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือ ความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั�งหมดหรือบางส่วน ตามที�ศูนย์รับฝากฯ เห็นสมควร

ผู้ถือหลักทรัพย์รับทราบและตกลงปฏิบัติตามข้อกําหนดและเงื�อนไขต่างๆ ในแบบแจ้งสถานะฯ ฉบับนี� ซึ�งรวมถึงรับทราบและตกลงผูกพันตามเงื�อนไขการ เปิดเผยข้อมูลและตกลงให้ศูนย์รับฝากฯ หักเงินในบัญชีตามรายละเอียดที�กําหนดไว้ตามข้างต้นทุกประการ และได้ลงลายมือชื�อไว้เป็นสําคัญ The securities holders acknowledge and agree to comply with the terms and conditions in this status declaration form and to be bound by the conditions on the disclosure of information, and agree for the TSD to deduct money in the account pursuant to the details prescribed above in all respects, and hereby affix signatures as evidence thereof.

Please sign here. ลงชื�อ ผู้ถือหลักทรัพย์ / ผู้มีอํานาจลงนามแทนผู้ถือบัญชี

Signature Securities holders / Person authorized to sign on behalf of the account holder

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ี�
สาหรบเจาหนาท Please leave this blank. ตรวจสอบหลักฐานแสดงตนฉบับจริงของผู้ถือหลักทรัพย์แล้ว
For official use only I have already checked all original identification documents.
วันที�_______ ผู้ตรวจรับ____ ลงชื�อ_________เจ้าหน้าที�
Date Checker Signature Officer
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– 40 –

TSD-404

Application for Securities Transfer to/from the Issuer Account

Highly Confidential

Page 1/3

Dear registrar of securities Please register the following securities transfer :

Transferor

ransferor
Name of securities transferor (“Transferor”)
phone no. email address
Intend to transfer the securities :
The total amount of securities transferred is ___ items, the details of which appear in the document showing the
details of the securities transferred attached to this application form, to be transferred to the transferee pursuant to the
information of the securities transferee.
The transferor must be able to show the intention to transfer the securities to the registrar. If the transferor cannot express such
intention, the registrar may ask the transferor to provide additional documents to confirm his or her ability to show intent, such as a
medical certificate. It is to ensure that the transferor is fully conscious. (The medical certificate must not be more than 1 month from
the date of issue.)

Transferee

 Name of securities transferee (“Transferee”) national I.D. card/passport/company registration no. nationality occupation *mailing address postal code home phone office phone mobile phone email address

*If you are the first time securities holder, the above mailing address will be the main and only address for sending proxy form, the meeting invitation and related document

 Please fill FATCA/CRS Self-Certification Form.

whatsoever, I shall accept any liabilities and agree to pay any damages to the TSD in full. Moreover, I acknowledge that the TSD may disclose the information in the Documents to the Revenue Department or other authorities with power under the law or which have an agreement with the TSD with regard to the request of such information.

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TSD404_5/2023_EN : 1/9/2023

TSD-404

Application for Securities Transfer to/from the Issuer Account

Page 2/3

Highly Confidential

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Signature Transferor Signature Transferee
( ) ( )
If the transferor and/or the transferee a proxy has been assigned, please sign as channel the transferor and the transferee
and the grantor
Stamp Duty
THB 10/person
I/We hereby authorize as my/our representative,
with full authority to file this application.
Signature Transferor/Grantor Signature Transferee/Grantor
( ) ( )
Signature Grantee
( ) Phone no.
For official use only I have already checked all original identification documents
Date Transaction no. Checker Signature Officer
TSD404_5/2023_EN : 1/9/2023
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Application for Securities Transfer to/from the Issuer Account

Details of the securities transferred

TSD-404

Highly Confidential

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Page 3/…....

Attachment

No.	Details of the securities transferred	Details of the securities transferred	For official use only Transaction no.
	Securities name (Please specify the securities name or securities symbol)	…………………………………………………………………………………… ……………………………………………………………………………………
	Number of transferred securities	shares/units
	Amount in letters	shares/units
	Securities name (Please specify the securities name or securities symbol)	…………………………………………………………………………………… ……………………………………………………………………………………
	Number of transferred securities	shares/units
	Amount in letters	shares/units
	Securities name (Please specify the securities name or securities symbol	…………………………………………………………………………………… ……………………………………………………………………………………
	Number of transferred securities	shares/units
	Amount in letters	shares/units
	Securities name (Please specify the securities name or securities symbol	…………………………………………………………………………………… ……………………………………………………………………………………
	Number of transferred securities	shares/units
	Amount in letters	shares/units

Remark: The TSD reserves the rights to proceed in accordance only with the application forms containing complete and correct information.

Signatur	e Transferor Signature ( )		Transferee ( ) TSD404_5/2023_EN : 1/9/2023	Transferee ( ) TSD404_5/2023_EN : 1/9/2023

				TSD404_5/2023_EN : 1/9/2023

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1. Application for the Securities Transfer to/from the Issuer Account with the details filled in and signed by the securities holder correctly and completely.

2. Identification documents of securities holder and authorized person (if any) pursuant to the type of person with the details as per the table below.

In case of other types of person, please ask for additional information at SET Contact Center accordingly to the contact channels further below in the application form or https://media.set.or.th/rulebook/form/SupportingDocumentsforIndividuals-JuristicPersons.pdf

3. In case of the death of the securities holder please attach additional documents signed to certify true and correct copy by the executor or administrator of the deceased’s estate as follows:

 A copy of the court order appointing the administrator/executor of the estate and a copy of certificate confirming the finality of the
case (issued no more than 1 year from the date of the certification by court) certified true and correct copy by the administrator/executor of the estate (on every page).  Copy of the deceased’s death certificate
 Original and copy of the identification card of the executor or administrator of the deceased’s estate.
Letter of Confirmation of Investor’s Qualification in Securities Transfer Restriction. (for securities subject to transfer restriction as
specified in the stipulations of rights or prospectus of the securities issuers), which may be downloaded at

ี่ https://media.set.or.th/rulebook/form/หนงสอรบรองคณสมบตการเปนผลงทู้ นในหลกทรพยทมขอจากดการโอน.pdf

Copy of identification documents submitted to TSD may contain sensitive personal data which is not necessary for the provision of TSD service, and TSD has no intention of collecting such sensitive personal data. As a result, the document owners may

Type of person	Identification Documents
Individual Person - Thai Nationality	1. In case the transferor and the transferee are carrying out the procedures themselves, they must present the original identification cards or digital identification cards and the certification form for the civil history register via digital system (Tor.Ror. 12/2). 2. In case the transferor does not contact TSD personally, the transferor appointed contact person must present the original Thai ID Card of the transferor and its copywhich has been certified as true and correct copy of the original document by the document owner. 3. In case the transferee does not contact TSD personally, the transferee must authorize a person to act on his/her behalf, and such person must presentthe original Thai ID Cards of the transferee and its copywhich has been certified as true and correct copy of the original document by the document owner. 4. In case the documents are sent via post,please attach: 1) a copy of the identification card certified true and correct copy by the card owner 2) the original certification form for the identification card taken from the identification card register database (Bor.Por.4) (issued no more than 90 days from the date of issuance) or the certification form for the civil history register via digital system (Tor.Ror. 12/2) (issued no more than 90 days from the date of issuance) of the transferor and the transfere. which has been certified as true and correct copy of the original document by the document owner. - Unless the transferor proceeds to make a record in the daily report to express their intention to transfer the securities before the inquiry officer in lieu of attaching the identification card, the copy of which is taken from the identification card register database or the certification form for the civil history register via digital system (Tor.Ror. 12/2) of the transferor and the transferee.
Individual Person - Other Nationalities	1. In case the transferor and the transferee contact TSD personally, the original alien identification card or passport of the transferor and the transferee must be presented. 2. In case the transferor does not contact TSD personally, the transferor appointed contact person must present the original alien identification card or passport and its copy which has been certified as true and correct copy of the original document by the document owner.

Type of person

Identification Documents

Individual Person
- Thai Nationality

1. In case the transferor and the transferee are carrying out the procedures themselves, they must present the original
identification cards or digital identification cards and the certification form for the civil history register via digital system
(Tor.Ror. 12/2).
2. In case the transferor does not contact TSD personally, the transferor appointed contact person must present
the original Thai ID Card of the transferor and its copywhich has been certified as true and correct copy of the
original document by the document owner.
3. In case the transferee does not contact TSD personally, the transferee must authorize a person to act on his/her behalf,
and such person must presentthe original Thai ID Cards of the transferee and its copywhich has been certified as true
and correct copy of the original document by the document owner.
4. In case the documents are sent via post,please attach:
1) a copy of the identification card certified true and correct copy by the card owner
2) the original certification form for the identification card taken from the identification card register database (Bor.Por.4)
(issued no more than 90 days from the date of issuance) or the certification form for the civil history register via digital
system (Tor.Ror. 12/2) (issued no more than 90 days from the date of issuance) of the transferor and the transfere.
which has been certified as true and correct copy of the original document by the document owner.
- Unless the transferor proceeds to make a record in the daily report to express their intention to transfer the securities
before the inquiry officer in lieu of attaching the identification card, the copy of which is taken from the identification
card register database or the certification form for the civil history register via digital system (Tor.Ror. 12/2) of the
transferor and the transferee.

Individual Person
- Other Nationalities

1. In case the transferor and the transferee contact TSD personally, the original alien identification card or
passport of the transferor and the transferee must be presented.
2. In case the transferor does not contact TSD personally, the transferor appointed contact person must present
the original alien identification card or passport and its copy which has been certified as true and correct copy
of the original document by the document owner.

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TSD-404

Highly Confidential

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Supporting Documents for the Application for the Securities Transfer to/from the Issuer Account

Type of person		Identification Documents
Individual Person - Other Nationalities		* If the original passport cannot be presented or this application is being submitted by registered mail, - The copy of the passport must be notarized by a notary public, and such notarization must be certified by the Thai embassy or consulate. Such certification must be issued not more than 1 year before the date of submission as part of this application. * If the original signatory’s alien identity card cannot be presented or this application is being submitted by registered mail, - Certificate of civil registration (issued not more than 90 days before the date of submission as part of this application)
Juristic Person - Thai Nationality		1. A copy of an affidavit issued by the Ministry of Commerce (issued no more than 1 year from the date of issuance) certified by the authorized director(s) of such juristic person. 2. A copy of the Thai ID Card/alien identity card/passport of each authorized director who signs on behalf of the juristic person which has been certified as true and correct copy of the original document by the document owner.
Juristic Person - Other Nationalities		1. A copy of the juristic person registration certificate issued by the regulating government agency in the country where such juristic person is domiciled. 2. A copy of the company’s affidavit enumerating its directors authorized to bind the company and conditions relating thereto, showing the juristic person’s headquarters location and authority of the signatory. This affidavit must be issued by an authorized official of the juristic person or the governmental agency in the country where such juristic person is domiciled. 3. A copy of the Thai ID Card/alien identity card/passport of each authorized director who signs on behalf of the juristic person which has been certified as true and correct copy of the original document by the document owner. All documents for“Other Nationalities”above, must have been: (1) notarized by the notary public or certified by any competent authority in the country where such documents were prepared or certified for the certification of the signature of the person who prepared or certified such documents. (The certification must be issued not more than 1 year before the date of submission as part of this application) (2) certified by the Thai Embassy or Thai Consulate in the country where such documents were prepared or certified for the notarization or certification performed by the public notary or such competent authority under (1). (The certification must be issued not more than 1 year before the date of submission as part of this application) The documents prepared in any other foreign languages other than English must be translated into English.

Remark : 1. Sensitive Data means the information which can be considered as the personal data as prescribed in section 26 of the PDPA, for instance,

religious belief, blood type, etc.

TSD will consider the above documents when receiving the complete documents and clear information such as the copy of identification documents or signature.

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TSD404_5/2023_EN : 1/9/2023

Highly Confidential

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สาหรบลกคาประเภทบคคลธรรมดา แบบแจ้งสถานะความเป็นบุคคลอเมริกันและผู้มีถิ่นที่อยู่ทางภาษีในประเทศอื่น FATCA/CRS Self-Certification Form for Individual Customer

วันที่ เลขทะเบียนผู้ถือหุ้น Date Account ID

ผู้ถือหลักทรัพย์ (ค าน าหน้า/ชื่อ/สกุล) Shareholder (Title / Name / Surname)

เลขประจ าตัวประชาชน/เลขหนังสือเดินทาง วัน/เดือน/ปีเกิด Identification No. / Passport No. Birth Date

สถานที่เกิด (ประเทศ) _____ สัญชาติ_______ Place of Birth (Country) Nationality

สถานะความเป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของ FATCA FATCA : Self-Certification

(หากตอบ “ใช่” ในข้อใดข้อหนึ่ง แสดงว่าผู้ถือหลักทรัพย์เป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของ FATCA โปรดกรอกแบบฟอร์ม W-9)

(If you answer “Yes” for any of the questions, you are an American person pursuant to FATCA law, thus please fill in W-9)

เป็นพลเมืองอเมริกันหรือเกิดในสหรัฐอเมริกา  ใช่/YES  ไม่ใช่/No Being a American citizen or born in the United States of America 2. มีถิ่นที่อยู่ถาวรในประเทศสหรัฐอเมริกา  ใช่/Yes  ไม่ใช่/No

Having permanent residence in the United States of America

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Highly Confidential

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ส่วนที่ 2

ข้อมูลถิ่นที่อยู่ทางภาษีในประเทศอื่นนอกจากสหรัฐอเมริกา

CRS: Declaration of Tax Residency (other than the U.S.)

“ถิ่นที่อยู่ทางภาษี” หมายถึง ประเทศที่ผู้ถือหลักทรัพย์มีหน้าที่ต้องเสียภาษีเงินได้ ส าหรับเงินได้ที่ผู้ถือหลักทรัพย์ได้รับจากประเทศนั้น และ/หรือประเทศอื่น ๆ เนื่องจากการมีภูมิล าเนาถิ่นที่อยู่ โดยพิจารณาจากจ านวนวันที่ผู้ถือหลักทรัพย์อยู่ในประเทศนั้นในแต่ละปี หรือโดยพิจารณาจากหลักเกณฑ์อื่น ๆ

ประเทศถนทอยทางภาษ Country of Tax Residence	เลขประจ าตวผเสยภาษ (Tax Identification Number “TIN”)	หากไมมเลขประจ าตวผเสยภาษ โปรดระบเหตผล ก, ข หรอ ค If no TIN is unavailable, please indicate reason A, B or C stipulated in the bottom	หากเลอกเหตผล ข โปรดระบเหตผล ทผถอหลกทรพยไมสามารถขอเลข ประจ าตวผเสยภาษได Please explain why you are unable to obtain a TIN if you select Reason B

หากผู้ถือหลักทรัพย์ไม่มีเลขประจ าตัวผู้เสียภาษี (TIN) กรุณาระบุเหตุผลดังต่อไปนี้ :

If a TIN is unavailable, indicate which of the following reason is applicable :

เหตุผล (A) – ประเทศที่ผู้ถือหลักทรัพย์มีถิ่นที่อยู่ทางภาษี ไม่ได้ออกเลขประจ าตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั้น

Reason (A) – The jurisdiction where the securities holder is a tax resident does not issue TINs to its residents.

เหตุผล (B) – ผู้ถือหลักทรัพย์ไม่สามารถขอเลขประจ าตัวผู้เสียภาษีที่ออกโดยประเทศนั้นได้

Reason (B) – The securities holder is otherwise unable to obtain a TIN.

ส่วนที่ 3 การยืนยันและการเปลี่ยนแปลงสถานะ Confirmation and Change of Status 1. ผู้ถือหลักทรัพย์รับรองว่า ข้อมูลที่ผู้ถือหลักทรัพย์ได้ให้ไว้แก่บริษัท ศูนย์รับฝากหลักทรัพย์ (ประเทศไทย) จ ากัด (“ ศูนย์รับฝากฯ ”) ตามแบบแจ้งสถานะฯ ฉบับนี้ เป็นข้อมูลของผู้ถือ หลักทรัพย์เอง และเป็นข้อมูลที่ถูกต้องครบถ้วนตามความเป็นจริงและเป็นปัจจุบันทุกประการ

The securities holders represent that the information provided by the securities holders to Thailand Securities Depository Co., Ltd. (“ TSD ”) pursuant to this status declaration form belongs to the securities holders and is correct, complete, conforms to the truth and up-to-date in all respects.

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากศูนย์รับฝากฯ ตรวจพบหรือมีเหตุอันควรสงสัยว่า ข้อมูลของผู้ถือหลักทรัพย์ตามแบบแจ้งสถานะฯ ฉบับนี้, ในแบบฟอร์ม W-9 หรือในแบบฟอร์มอื่น ใดที่เกี่ยวข้อง ซึ่งผู้ถือหลักทรัพย์ได้ให้ไว้แก่ศูนย์รับฝากฯ ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือ ความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที่มีเหตุการณ์เปลี่ยนแปลงอันท าให้ข้อมูลของผู้ถือหลักทรัพย์ที่ระบุในแบบแจ้งสถานะฯ ฉบับนี้, ในแบบฟอร์ม W-9 หรือในแบบฟอร์มอื่นใดที่ เกี่ยวข้อง ไม่ถูกต้อง ไม่ครบถ้วน หรือไม่เป็นปัจจุบัน ผู้ถือหลักทรัพย์มีหน้าที่ในการแจ้งให้ศูนย์รับฝากฯ ทราบถึงรายละเอียดการเปลี่ยนแปลงดังกล่าว พร้อมทั้งน าส่งเอกสารประกอบตามที่ศูนย์ รับฝากฯ ก าหนด ภายใน 30 วันนับแต่วันที่มีการเปลี่ยนแปลงนั้น

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Highly Confidential

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ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที่ผู้ถือหลักทรัพย์ไม่ได้ด าเนินการตามข้อ 3. หรือผู้ถือหลักทรัพย์น าส่งข้อมูลเกี่ยวกับสถานะของผู้ถือหลักทรัพย์ที่ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร

Foreign Account Tax Compliance Act: “FATCA” ), มาตรฐานการแลกเปลี่ยนข้อมูลทางการเงินแบบอัตโนมัติ (The Common Reporting Standard: “ CRS ”) ตลอดจนกฎเกณฑ์ของ ส่วนที่ 4 การเปิดเผยข้อมูลและความยินยอมในการหักเงินในบัญชี

Disclosure of information and authorization for debiting funds in account

ผู้ถือหลักทรัพย์รับทราบและตกลงผูกพันตามการด าเนินการดังต่อไปนี้ โดยจะไม่เพิกถอนความตกลงยินยอมดังกล่าวไม่ว่าในเวลาใด ๆ The securities holders acknowledge and agree to be bound by the following and will not revoke any consent to such agreement at any time: 1. ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ เปิดเผยข้อมูลต่าง ๆ ของผู้ถือหลักทรัพย์ให้แก่ตลาดหลักทรัพย์แห่งประเทศไทย และบริษัทย่อยของตลาดหลักทรัพย์แห่งประเทศ ไทย (รวมเรียกว่า “ กลุ่มตลาดหลักทรัพย์ฯ ”) เพื่อประโยชน์ในการปฏิบัติตามหลักเกณฑ์การแลกเปลี่ยนข้อมูลภาษีตามข้อตกลงระหว่างรัฐบาลไทยกับรัฐบาลสหรัฐอเมริกา (The Foreign Account Tax Compliance Act: “FATCA” ), มาตรฐานการแลกเปลี่ยนข้อมูลทางการเงินแบบอัตโนมัติ (The Common Reporting Standard: “ CRS ”) ตลอดจนกฎเกณฑ์ของ องค์การเพื่อความร่วมมือทางเศรษฐกิจและการพัฒนา (The Organization for Economic Co-operation and Development: “ OECD ”) หน่วยงานจัดเก็บภาษีอากรในประเทศ หน่วยงาน จัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึงหน่วยงานจัดเก็บภาษีอากรของสหรัฐอเมริกา (Internal Revenue Service: “IRS” ) โดยข้อมูลที่อาจมีการเปิดเผยเพื่อวัตถุประสงค์ดังกล่าว รวมถึงข้อมูลชื่อ ที่อยู่ เลขประจ าตัวผู้เสียภาษี หมายเลขบัญชี สถานะตามหลักเกณฑ์ของ FATCA (เป็นผู้ปฏิบัติตาม หรือผู้ไม่ให้ความร่วมมือ) จ านวนเงินหรือมูลค่าคงเหลือในบัญชี การจ่ายเงินเข้า-ออกจากบัญชี รายการเคลื่อนไหวทางบัญชี จ านวนเงิน ประเภทและมูลค่าของผลิตภัณฑ์ทางการเงิน และ/หรือทรัพย์สินอื่น ๆ ที่อยู่ในความครอบครองของศูนย์รับฝากฯ ตลอดจนจ านวนรายได้ และข้อมูลอื่น ๆ ที่เกี่ยวกับความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจของผู้ถือหลักทรัพย์ ที่อาจถูกร้องขอโดยกลุ่มตลาดหลักทรัพย์แห่งประเทศไทย หน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึง IRS ด้วย The securities holders acknowledge and agree for the TSD to disclose any information of the securities holders to the Stock Exchange of Thailand and its subsidiaries (collectively as “ SET Group ”) for the purpose of complying with the The Foreign Account Tax Compliance Act ( FATCA) , Common Reporting Standards ( CRS ) as well as regulations of the Organization for Economic Co-operation and Development ( OECD ), and domestic and oversea taxation authorities which including Internal Revenue Service ( IRS ). In this regard, the information that may be disclosed for such purpose includes name, address, taxpayer identification number, account number, FATCA status, outstanding amount or value in the account, payment to-and-from the account, account movement statement, amount, type and value of financial products and/or other assets in the possession of the TSD as well as amount of income and other information on the financial or business relationship of the securities holders which may be requested by the SET Group, the domestic taxation authorities and/or oversea taxation authorities which including IRS. 2. ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ หักเงินจากบัญชีของผู้ถือหลักทรัพย์ และ/หรือเงินได้ที่ผู้ถือหลักทรัพย์ได้รับจากหรือผ่านศูนย์รับฝากฯ ในจ านวนที่ก าหนดโดย หน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึง IRS ภายใต้บังคับของกฎหมาย กฎเกณฑ์ รวมถึงข้อตกลงใด ๆ ระหว่างศูนย์รับ ฝากฯ กับหน่วยงานจัดเก็บภาษีอากรดังกล่าว The securities holders acknowledge and agree for the TSD to deduct money from the account of the securities holders and/or income received by the securities holders from or via the TSD in an amount prescribed by the domestic taxation authorities and/or oversea taxation authorities which including IRS pursuant to the laws, rules and agreements between the TSD and such taxation authorities. 3. ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากผู้ถือหลักทรัพย์ไม่ให้หรือไม่ได้แจ้งให้ศูนย์รับฝากฯ ทราบถึงข้อมูลที่จ าเป็นต่อการพิจารณาสถานะความเป็นบุคคลอเมริกัน (U.S. Person) สถานะบัญชีที่ต้องรายงาน หรือสถานะผู้ถือบัญชีที่ต้องถูกรายงาน, หรือไม่ได้ให้ข้อมูลที่จ าเป็นต้องใช้ในการรายงานข้อมูลต่อหน่วยงานจัดเก็บภาษีอากรที่เกี่ยวข้อง, หรือผู้ถือหลักทรัพย์ ไม่สามารถขอยกเว้นการบังคับใช้กฎหมายที่ห้ามการรายงานข้อมูลได้ ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือ หลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร The securities holders acknowledge and agree that in case the securities holders fail to provide or notify the TSD about the information required for the consideration of U.S. Person Status, the status of account or account holder which must be reported, or fail to provide information required to be reported to the relevant taxation authorities, or the securities holders are unable to apply for exemption from compliance with the laws prohibiting the reporting of information, the TSD has the sole discretion to terminate any financial or business relationship with the securities holders, whether in whole or in part, as the TSD deems appropriate.

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Highly Confidential

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The securities holders acknowledge and agree to comply with the terms and conditions in this status declaration form and to be bound by the conditions on

the disclosure of information, and agree for the TSD to deduct money in the account pursuant to the details prescribed above in all respects, and hereby affix signatures as evidence thereof.

	ลงชอ ผถอหลกทรพย / ผมอ านาจลงนามแทนผถอบญช Signature Securities holders / Person authorized to sign on behalf of the account holder	ลงชอ ผถอหลกทรพย / ผมอ านาจลงนามแทนผถอบญช Signature Securities holders / Person authorized to sign on behalf of the account holder
	ส าหรบเจาหนาท For official use only วนท_______ ผตรวจรบ____ Date Checker	ตรวจสอบหลกฐานแสดงตนฉบบจรงของผถอหลกทรพยแลว I have already checked all original identification documents. ลงชอ_________เจาหนาท Signature Officer

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Highly Confidential

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สาหรบลกคาประเภทนตบคคล แบบแจ้งสถานะความเป็นบุคคลอเมริกันและผู้มีถิ่นที่อยู่ทางภาษีในประเทศอื่น FATCA/CRS Self-Certification Form for Entity/Juristic Person

วันที่

Date

เลขทะเบียนผู้ถือหุ้น Account ID

ชื่อองค์กร/นิติบุคคล/บริษัท

Name of Organization/Entity/Company

ประเทศที่จดทะเบียน หรือจัดตั้ง เลขทะเบียนนิติบุคคล Country of Incorporation/Registration or Organization Entity Registration Number

เลขประจ าตัวผู้เสียภาษีในประเทศไทย

Thai Tax Identification Number

เลขประจ าตัวผู้เสียภาษีในประเทศอื่น (โปรดระบุทุกประเทศ ถ้ามี)

Foreign Tax Identification Number(s) (Please provide a list of countries, if any)

ประเทศ/Country เลขประจ าตัวผู้เสียภาษี/Tax Identification____ ประเทศ/Country เลขประจ าตัวผู้เสียภาษี/Tax Identification____ ประเทศ/Country เลขประจ าตัวผู้เสียภาษี/Tax Identification_______

ส่วนที่ 1

สถานะความเป็นบุคคลอเมริกันภายใต้หลักเกณฑ์ของ FATCA FATCA : Self-Certification

เป็นบริษัทที่จดทะเบียนในประเทศสหรัฐฯ (หากตอบ“ใช่”โปรดกรอก W-9)
เป็นบริษัทที่จดทะเบียนในประเทศสหรัฐฯ (หากตอบ“ใช่”โปรดกรอก W-9)  ใช่/Yes  ไม่ใช่/No Being a juristic person registered in the United States of America (If answer “Yes”, please fill in W-9) 2. เป็นสถาบันการเงิน ภายใต้หลักเกณฑ์ของ FATCA (หากตอบ “ใช่” โปรดระบุประเภท  PFFI  RDCFFI)  ใช่/Yes  ไม่ใช่/No Being a financial institution under FATCA requirements (If answer “Yes”, please specify  PFFI  RDCFFI) (หาก“ใช่”กรุณากรอกหมายเลขGIIN  .  .  . ) (If “Yes”, please fill in GIIN ...) 3. เป็นนิติบุคคลที่มีรายได้จากการลงทุน หรือรายได้ทางอ้อมตั้งแต่ร้อยละ 50 ขึ้นไปของรายได้รวม  ใช่/Yes  ไม่ใช่/No หรือมีทรัพย์สินที่ก่อให้เกิดรายได้ดังกล่าวได้ตั้งแต่ร้อยละ 50 ขึ้นไปของสินทรัพย์รวม ในรอบบัญชีปีล่าสุด (หาก “ใช่” โปรดกรอก W-8BEN-E)

Being a juristic person with income from investment or indirect income of at least 50 percent of the total income or having income

generating asset of at least 50 percent of the total asset within the latest financial year (If “Yes”, please fill in W-8BEN-E)

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Highly Confidential

สถานะของนิติบุคคลภายใต้หลักเกณฑ์ของ CRS

ส่วนที่ 2 สถานะของนิติบุคคลภายใต้หลักเกณฑ์ของ CRS Entity’s status under the CRS
1. ผู้ถือหลักทรัพย์เป็นสถาบันการเงินภายใต้หลักเกณฑ์ของ CRS  ใช่/Yes  ไม่ใช่/No The securities holder is a Financial Institution under the CRS (หากตอบว่า “ใช่” โปรดเลือกตอบข้อ 1.1-1.2 ข้อใดข้อหนึ่งเพียงข้อเดียว) (If “Yes”, please select 1.1-1.2 only one answer) 1.1 เป็นนิติบุคคลที่ด าเนินธุรกิจเกี่ยวกับการลงทุน ซึ่งอยู่ในรัฐคู่สัญญา หรือเป็นนิติบุคคลที่ด าเนินธุรกิจเกี่ยวกับการลงทุน ซึ่งไม่ได้อยู่ในรัฐคู่สัญญา และไม่ได้บริหารโดยสถาบันการเงินตามหลักเกณฑ์ของ CRS Is a juristic person which operates business related to investment and is located in a contracting state, or is a juristic person which operates business related to investment and is not located in a contracting state and is not managed by a financial institution pursuant to the rules
of the CRS.
1.2 เป็นสถาบันการเงิน ประเภทสถาบันรับฝากเงิน สถาบันผู้รับฝากสินทรัพย์ หรือบริษัทประกัน ตามหลักเกณฑ์ของ CRS Is a financial institution categorized as a depository, custodian or insurance company pursuant to the rules of the CRS.
2. ผู้ถือหลักทรัพย์เป็นนิติบุคคลที่ไม่ใช่สถาบันการเงิน โดยผู้ถือหลักทรัพย์เป็นแอ็คทิฟเอ็นเอฟอี (Active NFE)  ใช่/Yes  ไม่ใช่/No The securities holder is an Active Non-Financial Entity “Active NFE” (หากท่านตอบว่า “ใช่” โปรดเลือกตอบข้อ 2.1-2.4 ข้อใดข้อหนึ่งเพียงข้อเดียว) (If “Yes”, please select 2.1-2.4 only one answer) 2.1 Active NFE – เป็นนิติบุคคลที่หุ้นมีการซื้อขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง หรือเป็นนิติบุคคลที่มีความสัมพันธ์กับนิติบุคคลที่หุ้นมีการซื้อ ขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง
Active NFE – is a juristic person the shares of which are ordinarily traded in the established stock exchange or is a juristic person with relationship with the juristic person the shares of which are ordinarily traded in the established stock exchange .
หากเลือกข้อ 2.1 โปรดระบุชื่อตลาดหลักทรัพย์ที่ซื้อขายหุ้น ………………….……….……….…………………….………………………………………………… (If select 2.1, please provide the name of the established securities market on which the company is regularly traded) ………………….……….……….………………………………………………………………………………………..……………………………………………….. หากผู้ถือหลักทรัพย์เป็นนิติบุคคลที่มีความสัมพันธ์กับนิติบุคคลที่หุ้นมีการซื้อขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง โปรดระบุชื่อนิติบุคคลที่มีความสัมพันธ์ที่หุ้น มีการซื้อขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง…………………………………………….……….……….……….……………………………………………….. In case the securities holder is a juristic person with relationship with the juristic person the shares of which are ordinarily traded in the stock exchange established, please specify the name of such juristic person the shares of which are ordinarily traded in the established stock exchange
2.2 Active NFE – เป็นหน่วยงานของรัฐบาล หรือธนาคารกลาง (Government Entity or Central Bank) 2.3 Active NFE – เป็นองค์การระหว่างประเทศ (International Organization) 2.4 Active NFE – เป็นหน่วยงานอื่นนอกเหนือจากข้อ 2.1 - 2.3 (Active NFE-other than 2.1-2.3) เช่น นิติบุคคลใหม่ที่จัดตั้งไม่เกิน 24 เดือน, นิติบุคคลที่อยู่ในกระบวนการขายทรัพย์สินเพื่อช าระบัญชีหรือฟื้นฟูกิจการ โดยมีเจตนาจะด าเนินธุรกิจอย่างอื่น นอกจากการเป็นสถาบันการเงิน และนิติบุคคลที่สัดส่วนของรายได้และทรัพย์สินไม่เข้าลักษณะเป็นพาสซิฟเอ็นเอฟอี ทั้งนี้ นิติบุคคลดังกล่าวต้องมีคุณสมบัติ ครบถ้วนตามเงื่อนไขที่ CRS ก าหนด

Active NFE – is a juristic person the shares of which are ordinarily traded in the established stock exchange or is a juristic person with relationship with the juristic person the shares of which are ordinarily traded in the established stock exchange .

………………….……….……….………………………………………………………………………………………..……………………………………………….. หากผู้ถือหลักทรัพย์เป็นนิติบุคคลที่มีความสัมพันธ์กับนิติบุคคลที่หุ้นมีการซื้อขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง โปรดระบุชื่อนิติบุคคลที่มีความสัมพันธ์ที่หุ้น มีการซื้อขายตามปกติในตลาดหลักทรัพย์ที่จัดตั้ง…………………………………………….……….……….……….………………………………………………..

Such as a juristic person newly established for a period not exceeding 24 months, a juristic person which is in the process of selling its assets for the purpose of liquidation or rehabilitation with the intention to operate business other than as a financial institution, and a juristic person the proportion of revenue and assets of which does not fit the characteristics of a passive NFE. In this regard, such juristic person shall possess all the qualifications pursuant to the conditions prescribed by CRS

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Highly Confidential

3. ผู้ถือหลักทรัพย์เป็นนิติบุคคลที่ไม่ใช่สถาบันการเงิน โดยผู้ถือหลักทรัพย์เป็นพาสซิฟเอ็นเอฟอี (Passive NFE)

  - **ใช่/Yes**  **ไม่ใช่/No**

The securities holder is a Passive Non-Financial Entity “Passive NFE”
(หากท่านตอบว่า “ใช่” โปรดเลือกตอบข้อ 3.1 หรือ 3.2 เพียงข้อเดียว และโปรดระบุจ านวนบุคคลผู้มีอ านาจควบคุมทั้งหมดของนิติบุคคล และถิ่นที่อยู่ทางภาษีของผู้มีอ านาจควบคุม ในส่วนที่ 4 ด้วย)
(If “Yes”, please select 3.1-3.2 only one answer, please also indicate the number of all Controlling Person(s) of the Entity and Tax Residency of Controlling Person(s) in Part 4) หมายเหต หากผู้ถือหลักทรัพย์ที่เป็น Active NFE ตามข้อ 2. แล้ว ผู้ถือหลักทรัพย์จะไม่เป็น Passive NFE ตามข้อ 3. อีก Remark If the securities holders is an Active NFE in 2, then the securities holders is not a Passive NFE in 3
3.1 เป็นนิติบุคคลที่ด าเนินธุรกิจเกี่ยวกับการลงทุน ซึ่งไม่ได้อยู่ในรัฐคู่สัญญา และบริหารโดยสถาบันการเงินตามข้อก าหนดของ CRS
Investment Entity located in a Non-Participating Jurisdiction and managed by Financial Institution under the definition of CRS 3.2 เป็นนิติบุคคลที่มีรายได้ที่ไม่ได้มาจากการประกอบกิจการโดยตรง เช่น เงินปันผล ดอกเบี้ย ค่าเช่า และค่าสิทธิ (Loyalty) (โดยที่ค่าเช่า และค่าสิทธิดังกล่าว ไม่ได้เกิดจากการประกอบธุรกิจโดยตรง) ตั้งแต่ร้อยละ 50 ขึ้นไปของรายได้ทั้งหมด หรือมีสินทรัพย์ที่ก่อให้เกิดหรือถือไว้เพื่อก่อให้เกิดรายได้ในลักษณะ
ดังกล่าว (เช่น เงินฝาก ทรัพย์สินทางการเงิน และทรัพย์สินที่ก่อให้เกิดค่าเช่า) ตั้งแต่ร้อยละ 50 ขึ้นไปของสินทรัพย์ทั้งหมดในระหว่างปีปฏิทินก่อนหน้า
Is a juristic person with revenue not derived from direct business operation such as dividend, interest, rental and royalty (and such rental and royalty do not arise from direct business operation) in an amount of at least 50 percent of the total revenue or with assets which generate or which are held to generate revenue of such characteristics (such as deposit, financial assets and assets which generate rental) in an amount of at least 50 percent of the total assets during the previous calendar year.

หมายเหต : หากผู้ถือหลักทรัพย์ที่เป็น Active NFE แล้ว ผู้ถือหลักทรัพย์จะไม่เป็น Passive NFE ตามข้อ 3.

Remark : If the securities holder is an Active NFE, the securities holder are not a Passive NFE in 3

ส่วนที่

3 ข้อมูลถิ่นที่อยู่ทางภาษีในประเทศอื่นนอกจากสหรัฐอเมริกา

CRS: Declaration of Tax Residency (other than the U.S.)

“ถิ่นที่อยู่ทางภาษี” หมายถึง ประเทศที่ผู้ถือหลักทรัพย์มีหน้าที่ต้องเสียภาษีเงินได้ ส าหรับเงินได้ที่ผู้ถือหลักทรัพย์ได้รับจากประเทศนั้น และ/หรือประเทศอื่น ๆ เนื่องจากการมีภูมิล าเนาถิ่นที่อยู่ ที่ตั้งอันเป็นศูนย์จัดการและควบคุมนิติบุคคล ที่นิติบุคคลจดทะเบียนจัดตั้ง หรือโดยการพิจารณาจากหลักเกณฑ์อื่น ๆ “ Tax Residence ” means the country in which the securities holders have the duty to pay income tax for the income received by the securities

holders in such country and/or other countries as a result of having domicile or location for the management and control of juristic person where the juristic person is incorporated or other criteria

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หากเลือกเหตุผล ข โปรดระบุเหตุผล
หากไม่มีเลขประจ าตัวผู้เสียภาษี
ที่ผู้ถือหลักทรัพย์ไม่สามารถขอเลข
โปรดระบุเหตุผล ก, ข หรือ ค
ประเทศถิ่นที่อยู่ทางภาษี เลขประจ าตัวผู้เสียภาษี ประจ าตัวผู้เสียภาษีได้
If TIN is unavailable, please
Country of Tax Residence (Tax Identification Number: “TIN”) Please explain why you are unable
indicate reason A, B or C
to obtain a TIN
stipulated in the bottom
if you select Reason B
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หากผู้ถือหลักทรัพย์ไม่มีเลขประจ าตัวผู้เสียภาษี (TIN) กรุณาระบุเหตุผลดังต่อไปนี้

If a TIN is unavailable, indicate which of the following reason is applicable : เหตุผล (A) – ประเทศที่ผู้ถือหลักทรัพย์มีถิ่นที่อยู่ทางภาษี ไม่ได้ออกเลขประจ าตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั้น

Reason (A) – The jurisdiction where the securities holder is a tax resident does not issue TINs to its residents. เหตุผล (B) – ผู้ถือหลักทรัพย์ไม่สามารถขอเลขประจ าตัวผู้เสียภาษีที่ออกโดยประเทศนั้นได้ Reason (B) – The securities holder is otherwise unable to obtain a TIN. เหตุผล (C) – ไม่จ าเป็นต้องให้หรือเปิดเผยเลขประจ าตัวผู้เสียภาษี (หมายเหตุ : โปรดเลือกเหตุผลนี้เฉพาะในกรณีที่กฎหมายภายในประเทศนั้น ไม่ได้บังคับจัดเก็บเลขประจ าตัวผู้เสียภาษี) Reason (C) – TIN is not required. (Remark : Please select this reason only if the domestic law of the relevant jurisdiction does not require the collection of TIN issued by such jurisdiction.) หมายเหตุ : หากผู้ถือหลักทรัพย์เป็นผู้มีถิ่นที่อยู่ที่ต้องช าระภาษีมากกว่าสี่ประเทศ โปรดระบุในเอกสารแยกต่างหาก

Remark : If the securities holder is a tax resident in more than four countries, please use a separate sheet.

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ส่วนที่ 4

ข้อมูลถิ่นที่อยู่ทางภาษีและเลขประจ าตัวผู้เสียภาษีของผู้มีอ านาจควบคุม

Tax Residency and Taxpayer Identification Number (TIN) of Controlling Person(s)

โปรดตอบค าถามในส่วนนี้ หากท่านเป็น Passive NFE ตามข้อ 4.1 หรือ 4.2

Please answer in this part, if you are Passive NFE in 4.1 or 4.2

4.1 จ านวนบุคคลผู้มีอ านาจควบคุมของนิติบุคคล (Number of controlling person(s) of the securities holder) _คน (person(s)) “ผู้มีอ านาจควบคุม” หมายถึง (1) บุคคลธรรมดาที่มีอ านาจควบคุมเหนือนิติบุคคล (2) ผู้ก่อตั้งทรัสต์ ทรัสตี ผู้คุ้มครอง ผู้ได้รับผลประโยชน์ที่ แท้จริง หรือผู้ได้รับผลประโยชน์ที่แท้จริงที่จ าแนกตามประเภท และบุคคลธรรมดาอื่นใดที่มีอ านาจควบคุมสูงสุดเหนือกองทรัสต์ ในกรณีของ กองทรัสต์ หรือ (3) บุคคลที่มีฐานะเทียบเท่าหรือคล้ายกัน ในกรณีของหน่วยที่จัดตั้งขึ้นตามกฎหมายอื่น ๆ นอกเหนือจากกองทรัสต์ ทั้งนี้ ตาม รายละเอียดและเงื่อนไขที่ CRS ก าหนด
“ Controlling Person ” means (1) an individual with control over the juristic person, (2) a founder of the trust, trustee, custodian, true beneficial owner or true beneficiary with specific categorization and any other individuals with the ultimate control over the trust in case of a trust, or (3) a person with equivalent or analogous status in case of a department established under laws other than a trust pursuant to the details and conditions prescribed by CRS .
4.2 ข้อมูลของผู้มีอ านาจควบคุม (Details of Controlling Person(s))

	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 4 Controlling Person 4	ผมอ านาจควบคมท 4 Controlling Person 4	ผมอ านาจควบคมท 4 Controlling Person 4
ชอ – นามสกล Full Name (First and last name)
ประเภทของผมอ านาจควบคม(Type of Controlling Person) 1) โดยการถอหน(Control by Ownership) 2) โดยการเปนผบรหารระดบสง(Through Senior Management Position) 3) ควบคมดวยทางอน(Control by other means)	(1) (2) (3) ระบ__															(1) (2) (3) ระบ__
						(1)					(1)					(1)

						(2)					(2)					(2)

			ระบ			(3)		ระบ			(3)		ระบ			(3)
						__					__
วนเดอนปเกด Date of Birth (DD/MM/YYYY)
สญชาต Nationality
สถานทเกด (เมองและประเทศ) Place of Birth (City and Country)
ทอยปจจบน Current Address Full Address (House No., Street, City, Country, Post Code)
(1) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจ าผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจ าตวผเสยภาษ โปรดระบ เหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจ าตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..					………………………….. …………………………..					………………………….. …………………………..					………………………….. ………………………….. (A) (B) (C) …………………………..
		(A)		(B)	(C)		(A)		(B)	(C)		(A)		(B)	(C)		(A)	(B)
						…………………………..					…………………………..

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	ผมอ านาจควบคมท 1 Controlling Person 1	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 2 Controlling Person 2	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 3 Controlling Person 3	ผมอ านาจควบคมท 4 Controlling Person 4	ผมอ านาจควบคมท 4 Controlling Person 4	ผมอ านาจควบคมท 4 Controlling Person 4
(2) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจ าผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจ าตวผเสยภาษ โปรดระบ เหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจ าตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..				………………………….. …………………………..				………………………….. ………………………….. (A) (B) (C) …………………………..
			(A)	(B)	(C)		(A)	(B)	(C)		(A)	(B)
						…………………………..
(3) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจ าผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจ าตวผเสยภาษ โปรดระบ เหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจ าตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..				………………………….. ………………………….. (A) (B) (C)				………………………….. ………………………….. (A) (B) (C) …………………………..
						…………………………..
(4) ประเทศของถนทอยเพอวตถประสงคในการเกบภาษ Country of Tax Residence ………………………………………………………….. เลขประจ าผเสยภาษ TIN ………………………………………………………….. หากไมมเลขประจ าตวผเสยภาษ โปรดระบ เหตผล If no TIN available, please enter reason ................................................................................. หากเลอกเหตผลขอ (B) โปรดระบเหตผลททานไมสามารถรบ เลขประจ าตวผเสยภาษ If select reason (B), please explain why you are unable to obtain a TIN	………………………….. ………………………….. (A) (B) (C) …………………………..	………………………….. ………………………….. (A) (B) (C) …………………………..				………………………….. …………………………..				………………………….. ………………………….. (A) (B) (C) …………………………..
			(A)	(B)	(C)		(A)	(B)	(C)		(A)	(B)
						…………………………..

หากผู้มีอ านาจควบคุมไม่มีเลขประจ าตัวผู้เสียภาษี (TIN) กรุณาระบุเหตุผลดังต่อไปนี้

If a TIN is unavailable, indicate which of the following reason is applicable :

เหตุผล (A) – ประเทศที่ผู้มีอ านาจควบคุมมีถิ่นที่อยู่ทางภาษี ไม่ได้ออกเลขประจ าตัวผู้เสียภาษีให้กับผู้อาศัยอยู่ในประเทศนั้น

Reason (A) – The jurisdiction where the controlling person is a tax resident does not issue TINs to its residents. เหตุผล (B) – ผู้มีอ านาจควบคุมไม่สามารถขอเลขประจ าตัวผู้เสียภาษีที่ออกโดยประเทศนั้นได้

Reason (B) – The controlling person is otherwise unable to obtain a TIN.

เหตุผล (C) – ไม่จ าเป็นต้องให้หรือเปิดเผยเลขประจ าตัวผู้เสียภาษี (หมายเหตุ : โปรดเลือกเหตุผลนี้เฉพาะในกรณีที่กฎหมายภายในประเทศนั้น ไม่ได้บังคับจัดเก็บเลขประจ าตัวผู้เสียภาษี) Reason (C) – TIN is not required. (Remark : Please select this reason only if the domestic law of the relevant jurisdiction does not require the collection of TIN issued by such jurisdiction.) หมายเหตุ : หากผู้มีอ านาจควบคุมเป็นผู้มีถิ่นที่อยู่ที่ต้องช าระภาษีมากกว่าสี่ประเทศ โปรดระบุในเอกสารแยกต่างหาก

Remark : If the controlling person is a tax resident in more than four countries, please use a separate sheet.

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Highly Confidential

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ส่วนที่ 5

การยืนยันและการเปลี่ยนแปลงสถานะ

Confirmation and Change of Status

ผู้ถือหลักทรัพย์รับรองว่า ข้อมูลที่ผู้ถือหลักทรัพย์ได้ให้ไว้แก่บริษัท ศูนย์รับฝากหลักทรัพย์ (ประเทศไทย) จ ากัด (“ ศูนย์รับฝากฯ ”) ตามแบบแจ้งสถานะฯ ฉบับนี้ เป็นข้อมูล ของผู้ถือหลักทรัพย์เอง และเป็นข้อมูลที่ถูกต้องครบถ้วนตามความเป็นจริงและเป็นปัจจุบันทุกประการ

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากศูนย์รับฝากฯ ตรวจพบหรือมีเหตุอันควรสงสัยว่า ข้อมูลของผู้ถือหลักทรัพย์ตามแบบแจ้งสถานะฯ ฉบับนี้, ในแบบฟอร์ม W-9 หรือใน แบบฟอร์มอื่นใดที่เกี่ยวข้อง ซึ่งผู้ถือหลักทรัพย์ได้ให้ไว้แก่ศูนย์รับฝากฯ ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติ ความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที่มีเหตุการณ์เปลี่ยนแปลงอันท าให้ข้อมูลของผู้ถือหลักทรัพย์ที่ระบุในแบบแจ้งสถานะฯ ฉบับนี้, ในแบบฟอร์ม W-9 หรือในแบบฟอร์ม อื่นใดที่เกี่ยวข้อง ไม่ถูกต้อง ไม่ครบถ้วน หรือไม่เป็นปัจจุบัน ผู้ถือหลักทรัพย์มีหน้าที่ในการแจ้งให้ศูนย์รับฝากฯ ทราบถึงรายละเอียดการเปลี่ยนแปลงดังกล่าว พร้อมทั้งน าส่งเอกสาร ประกอบตามที่ศูนย์รับฝากฯ ก าหนด ภายใน 30 วันนับแต่วันที่มีการเปลี่ยนแปลงนั้น

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า ในกรณีที่ผู้ถือหลักทรัพย์ไม่ได้ด าเนินการตามข้อ 3. หรือผู้ถือหลักทรัพย์น าส่งข้อมูลเกี่ยวกับสถานะของผู้ถือหลักทรัพย์ที่ไม่เป็นความจริง ไม่ถูกต้อง หรือไม่ครบถ้วน ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร

ส่วนที่ 6 การเปิดเผยข้อมูลและความยินยอมในการหักเงินในบัญชี

Disclosure of information and authorization for debiting funds in account

ผู้ถือหลักทรัพย์รับทราบและตกลงผูกพันตามการด าเนินการดังต่อไปนี้ โดยจะไม่เพิกถอนความตกลงยินยอมดังกล่าวไม่ว่าในเวลาใด ๆ

The securities holders acknowledge and agree to be bound by the following and will not revoke any consent to such agreement at any time: 1. ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ เปิดเผยข้อมูลต่าง ๆ ของผู้ถือหลักทรัพย์ให้แก่ตลาดหลักทรัพย์แห่งประเทศไทย และบริษัทย่อยของตลาดหลักทรัพย์ แห่งประเทศไทย (รวมเรียกว่า “ กลุ่มตลาดหลักทรัพย์ฯ ”) เพื่อประโยชน์ในการปฏิบัติตามหลักเกณฑ์การแลกเปลี่ยนข้อมูลภาษีตามข้อตกลงระหว่างรัฐบาลไทยกับรัฐบาล สหรัฐอเมริกา (The Foreign Account Tax Compliance Act: “FATCA” ), มาตรฐานการแลกเปลี่ยนข้อมูลทางการเงินแบบอัตโนมัติ (The Common Reporting Standard: “ CRS ”) ตลอดจนกฎเกณฑ์ขององค์การเพื่อความร่วมมือทางเศรษฐกิจและการพัฒนา (The Organization for Economic Co-operation and Development: “ OECD ”) หน่วยงานจัดเก็บภาษีอากรในประเทศ หน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึงหน่วยงานจัดเก็บภาษีอากรของสหรัฐอเมริกา (Internal Revenue Service: “IRS” ) โดยข้อมูลที่อาจมีการเปิดเผยเพื่อวัตถุประสงค์ดังกล่าวรวมถึงข้อมูลชื่อ ที่อยู่ เลขประจ าตัวผู้เสียภาษี หมายเลขบัญชี สถานะตามหลักเกณฑ์ของ FATCA (เป็นผู้ปฏิบัติตาม หรือผู้ไม่ให้ความร่วมมือ) จ านวนเงินหรือมูลค่าคงเหลือในบัญชี

การจ่ายเงินเข้า-ออกจากบัญชี รายการเคลื่อนไหวทางบัญชี จ านวนเงิน ประเภทและมูลค่าของผลิตภัณฑ์ทางการเงิน และ/หรือทรัพย์สินอื่น ๆ ที่อยู่ในความครอบครองของ ศูนย์รับฝากฯ ตลอดจนจ านวนรายได้ และข้อมูลอื่น ๆ ที่เกี่ยวกับความสัมพันธ์ทางการเงินหรือความสัมพันธ์ทางธุรกิจของผู้ถือหลักทรัพย์ ที่อาจถูกร้องขอโดยกลุ่มตลาด หลักทรัพย์แห่งประเทศไทย หน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึง IRS ด้วย

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Highly Confidential

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the financial or business relationship of the securities holders which may be requested by the SET Group, the domestic taxation authorities and/or oversea taxation authorities which including IRS.

ผู้ถือหลักทรัพย์รับทราบและตกลงให้ศูนย์รับฝากฯ หักเงินจากบัญชีของผู้ถือหลักทรัพย์ และ/หรือเงินได้ที่ผู้ถือหลักทรัพย์ได้รับจากหรือผ่านศูนย์รับฝากฯ ในจ านวนที่ ก าหนดโดยหน่วยงานจัดเก็บภาษีอากรในประเทศ และ/หรือหรือหน่วยงานจัดเก็บภาษีอากรในต่างประเทศ ซึ่งรวมถึง IRS ภายใต้บังคับของกฎหมาย กฎเกณฑ์ รวมถึง ข้อตกลงใด ๆ ระหว่างศูนย์รับฝากฯ กับหน่วยงานจัดเก็บภาษีอากรดังกล่าว

ผู้ถือหลักทรัพย์รับทราบและตกลงว่า หากผู้ถือหลักทรัพย์ไม่ให้หรือไม่ได้แจ้งให้ศูนย์รับฝากฯ ทราบถึงข้อมูลที่จ าเป็นต่อการพิจารณาสถานะความเป็นบุคคลอเมริกัน (U.S. Person) สถานะบัญชีที่ต้องรายงาน หรือสถานะผู้ถือบัญชีที่ต้องถูกรายงาน, หรือไม่ได้ให้ข้อมูลที่จ าเป็นต้องใช้ในการรายงานข้อมูลต่อหน่วยงานจัดเก็บภาษีอากรที่เกี่ยวข้อง, หรือผู้ถือหลักทรัพย์ไม่สามารถขอยกเว้นการบังคับใช้กฎหมายที่ห้ามการรายงานข้อมูลได้ ศูนย์รับฝากฯ มีดุลยพินิจแต่เพียงฝ่ายเดียวในการยุติความสัมพันธ์ทางการเงินหรือ ความสัมพันธ์ทางธุรกิจกับผู้ถือหลักทรัพย์ ไม่ว่าทั้งหมดหรือบางส่วน ตามที่ศูนย์รับฝากฯ เห็นสมควร

ผู้ถือหลักทรัพย์รับทราบและตกลงปฏิบัติตามข้อก าหนดและเงื่อนไขต่างๆ ในแบบแจ้งสถานะฯ ฉบับนี้ ซึ่งรวมถึงรับทราบและตกลงผูกพันตามเงื่อนไขการ เปิดเผยข้อมูล และตกลงให้ศูนย์รับฝากฯ หักเงินในบัญชีตามรายละเอียดที่ก าหนดไว้ตามข้างต้นทุกประการ และได้ลงลายมือชื่อไว้เป็นส าคัญ The securities holders acknowledge and agree to comply with the terms and conditions in this status declaration form and to be bound by the conditions on the disclosure of information, and agree for the TSD to deduct money in the account pursuant to the details prescribed above in all respects, and hereby affix signatures as evidence thereof.

	ลงชอ ผถอหลกทรพย / ผมอ านาจลงนามแทนผถอบญช Signature Securities holders / Person authorized to sign on behalf of the account holder	ลงชอ ผถอหลกทรพย / ผมอ านาจลงนามแทนผถอบญช Signature Securities holders / Person authorized to sign on behalf of the account holder
	ส าหรบเจาหนาท For official use only วนท_______ ผตรวจรบ____ Date Checker	ตรวจสอบหลกฐานแสดงตนฉบบจรงของผถอหลกทรพยแลว I have already checked all original identification documents. ลงชอ_________เจาหนาท Signature Officer

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Form W-9 Request for Taxpayer Give Form to the
(Rev. October 2018) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service � Go to www.irs.gov/FormW9 for instructions and the latest information.
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
2 Business name/disregarded entity name, if different from above
3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to
following seven boxes. certain entities, not individuals; see
instructions on page 3):
Individual/sole proprietor or C Corporation S Corporation Partnership Trust/estate
single-member LLC Exempt payee code (if any)
Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) [�]
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that code (if any)
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) [�] (Applies to accounts maintained outside the U.S.)
5 Address (number, street, and apt. or suite no.) See instructions. Requester’s name and address (optional)
6 City, state, and ZIP code
7 List account number(s) here (optional)
on page 3.
Print or type. Specific Instructions
See
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Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Social security number

– – or Employer identification number –

Part II Certification

Under penalties of perjury, I certify that:

The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
I am a U.S. citizen or other U.S. person (defined below); and
The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Sign Signature of Here U.S. person[�] Date[�]

General Instructions

Section references are to the Internal Revenue Code unless otherwise noted.

Future developments . For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following.

Form 1099-INT (interest earned or paid)
Form 1099-DIV (dividends, including those from stocks or mutual funds)
Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)
Form 1099-S (proceeds from real estate transactions)
Form 1099-K (merchant card and third party network transactions)
Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)
Form 1099-C (canceled debt)
Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later.

Form W-9 (Rev. 10-2018)

Cat. No. 10231X

Page 2

Form W-9 (Rev. 10-2018)

By signing the filled-out form, you:

Certify that the TIN you are giving is correct (or you are waiting for a

number to be issued),

Certify that you are not subject to backup withholding, or
Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and
Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information.

Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States.

In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and

In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items.

The treaty country. Generally, this must be the same treaty under

which you claimed exemption from tax as a nonresident alien.

The treaty article addressing the income.
The article number (or location) in the tax treaty that contains the

saving clause and its exceptions.

The type and amount of income that qualifies for the exemption

from tax.

Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup Withholding

What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

You do not furnish your TIN to the requester,
You do not certify your TIN when required (see the instructions for

Part II for details),

The IRS tells the requester that you furnished an incorrect TIN,
The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or
You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships, earlier.

What is FATCA Reporting?

The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information.

Updating Your Information

You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

Penalties

Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

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Form W-9 (Rev. 10-2018)

Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific Instructions

Line 1

You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9.

a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.

c. Partnership, LLC that is not a single-member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.

d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.

e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

Line 2

If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3

Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3.

IF the entity/person on line 1 is a(n) . . .	THEN check the box for . . .
• Corporation	Corporation
• Individual • Sole proprietorship, or • Single-member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes.	Individual/sole proprietor or single- member LLC
• LLC treated as a partnership for U.S. federal tax purposes, • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes.	Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation)
• Partnership	Partnership
• Trust/estate	Trust/estate

Line 4, Exemptions

If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you.

Exempt payee code.

• Generally, individuals (including sole proprietors) are not exempt from backup withholding.

• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

• Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.

• Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)

2—The United States or any of its agencies or instrumentalities

3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

4—A foreign government or any of its political subdivisions, agencies, or instrumentalities

5—A corporation

6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

7—A futures commission merchant registered with the Commodity Futures Trading Commission

8—A real estate investment trust

9—An entity registered at all times during the tax year under the Investment Company Act of 1940

10—A common trust fund operated by a bank under section 584(a)

11—A financial institution

12—A middleman known in the investment community as a nominee or custodian

13—A trust exempt from tax under section 664 or described in section 4947

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Form W-9 (Rev. 10-2018)

The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

above, 1 through 13.
IF the payment is for . . .	THEN the payment is exempt for . . .
Interest and dividend payments	All exempt payees except for 7
Broker transactions	Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.
Barter exchange transactions and patronage dividends	Exempt payees 1 through 4
Payments over $600 required to be reported and direct sales over $5,0001	Generally, exempt payees 1 through 52
Payments made in settlement of payment card or third party network transactions	Exempt payees 1 through 4

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.

2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

B—The United States or any of its agencies or instrumentalities C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

G—A real estate investment trust

H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

I—A common trust fund as defined in section 584(a)

J—A bank as defined in section 581

K—A broker

L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan

Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5

Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records.

Line 6

Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN.

If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov . You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS-4 mailed to you within 10 business days.

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

Part II. Certification

To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.

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Form W-9 (Rev. 10-2018)

1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during

1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may

cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not

have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the Requester

For this type of account:	Give name and SSN of:
1. Individual 2. Two or more individuals (joint account) other than an account maintained by an FFI 3. Two or more U.S. persons (joint account maintained by an FFI) 4. Custodial account of a minor (Uniform Gift to Minors Act) 5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) (A))	The individual The actual owner of the account or, if combined funds, the first individual on the account 1 Each holder of the account The minor2 The grantor-trustee1 The actual owner1 The owner 3 The grantor*
For this type of account:	Give name and EIN of:
8. Disregarded entity not owned by an individual 9. A valid trust, estate, or pension trust 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 11. Association, club, religious, charitable, educational, or other tax- exempt organization 12. Partnership or multi-member LLC 13. A broker or registered nominee	The owner Legal entity4 The corporation The organization The partnership The broker or nominee

For this type of account:	Give name and EIN of:
14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments 15.Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))	The public entity The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.

2 Circle the minor’s name and furnish the minor’s SSN.

3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.

4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier.

Note:* The grantor also must provide a Form W-9 to trustee of trust. Note:** If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records From Identity Theft

Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

Protect your SSN,
Ensure your employer is protecting your SSN, and
Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Pub. 5027, Identity Theft Information for Taxpayers.

Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

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Form W-9 (Rev. 10-2018)

The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at [email protected] or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027.

Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk.

Privacy Act Notice

Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

Certificate of Status of Beneficial Owner for Form W-8BEN-E (Rev. October 2021) � For use by entities. Individuals must use Form W-8BEN. United States Tax Withholding and Reporting (Entities)� Section references are to the Internal Revenue Code. OMB No. 1545-1621 Department of the Treasury[�] Go to www.irs.gov/FormW8BENE for instructions and the latest information. Internal Revenue Service � Give this form to the withholding agent or payer. Do not send to the IRS. Do NOT use this form for: Instead use Form: • U.S. entity or U.S. citizen or resident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-9 • A foreign individual . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8BEN (Individual) or Form 8233 • A foreign individual or entity claiming that income is effectively connected with the conduct of trade or business within the United States (unless claiming treaty benefits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W-8ECI • A foreign partnership, a foreign simple trust, or a foreign grantor trust (unless claiming treaty benefits) (see instructions for exceptions) . . W-8IMY • A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession claiming that income is effectively connected U.S. income or that is claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (unless claiming treaty benefits) (see instructions for other exceptions) . . . . . . . . . W-8ECI or W-8EXP . . . . . . . . W-8IMY

Any person acting as an intermediary (including a qualified intermediary acting as a qualified derivatives dealer) .

Part I Identification of Beneficial Owner

1 Name of organization that is the beneficial owner

2 Country of incorporation or organization

3 Name of disregarded entity receiving the payment (if applicable, see instructions)

4 Chapter 3 Status (entity type) (Must check one box only): Corporation Partnership Simple trust Tax-exempt organization Complex trust Foreign Government - Controlled Entity Central Bank of Issue Private foundation Estate Foreign Government - Integral Part Grantor trust Disregarded entity International organization

If you entered disregarded entity, partnership, simple trust, or grantor trust above, is the entity a hybrid making a treaty claim? If “Yes,” complete Part III. Yes No 5 Chapter 4 Status (FATCA status) (See instructions for details and complete the certification below for the entity's applicable status.) Nonparticipating FFI (including an FFI related to a Reporting IGA Nonreporting IGA FFI. Complete Part XII. FFI other than a deemed-compliant FFI, participating FFI, or Foreign government, government of a U.S. possession, or foreign exempt beneficial owner). central bank of issue. Complete Part XIII. Participating FFI. International organization. Complete Part XIV. Reporting Model 1 FFI. Exempt retirement plans. Complete Part XV. Reporting Model 2 FFI. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Registered deemed-compliant FFI (other than a reporting Model 1 Territory financial institution. Complete Part XVII. FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XII). Excepted nonfinancial group entity. Complete Part XVIII. See instructions. Excepted nonfinancial start-up company. Complete Part XIX. Sponsored FFI. Complete Part IV. Excepted nonfinancial entity in liquidation or bankruptcy. Certified deemed-compliant nonregistering local bank. Complete Complete Part XX. Part V. 501(c) organization. Complete Part XXI. Certified deemed-compliant FFI with only low-value accounts. Nonprofit organization. Complete Part XXII. Complete Part VI. Publicly traded NFFE or NFFE affiliate of a publicly traded Certified deemed-compliant sponsored, closely held investment corporation. Complete Part XXIII. vehicle. Complete Part VII. Excepted territory NFFE. Complete Part XXIV. Certified deemed-compliant limited life debt investment entity. Active NFFE. Complete Part XXV. Complete Part VIII. Passive NFFE. Complete Part XXVI. Certain investment entities that do not maintain financial accounts. Excepted inter-affiliate FFI. Complete Part XXVII. Complete Part IX. Direct reporting NFFE. Owner-documented FFI. Complete Part X. Sponsored direct reporting NFFE. Complete Part XXVIII. Restricted distributor. Complete Part XI. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address) . City or town, state or province. Include postal code where appropriate. Country 7 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 59689N Form W-8BEN-E (Rev. 10-2021)

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Part I Identification of Beneficial Owner(continued)
8 U.S. taxpayer identification number (TIN), if required
9a GIIN	b Foreign TIN	c Check if FTIN not legally required. . . . . . �
10 Reference number(s) (see instructions)

Note: Please complete remainder of the form including signing the form in Part XXX.

Part II Disregarded Entity or Branch Receiving Payment. (Complete only if a disregarded entity with a GIIN or a branch of an FFI in a country other than the FFI’s country of residence. See instructions.)

11 Chapter 4 Status (FATCA status) of disregarded entity or branch receiving payment Branch treated as nonparticipating FFI. Reporting Model 1 FFI. U.S. Branch. Participating FFI. Reporting Model 2 FFI.
12 Address of disregarded entity or branch (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address) .

City or town, state or province. Include postal code where appropriate.

Country

13 GIIN (if any)

Part III Claim of Tax Treaty Benefits (if applicable). (For chapter 3 purposes only.)

14 I certify that (check all that apply):
a The beneficial owner is a resident of

within the meaning of the income tax

treaty between the United States and that country.

b The beneficial owner derives the item (or items) of income for which the treaty benefits are claimed, and, if applicable, meets the requirements of the treaty provision dealing with limitation on benefits. The following are types of limitation on benefits provisions that may be included in an applicable tax treaty (check only one; see instructions):

Government		Company that meets the ownership and base erosion test
Tax-exempt pension trust or pension fund		Company that meets the derivative benefits test
Other tax-exempt organization		Company with an item of income that meets active trade or business test
Publicly traded corporation		Favorable discretionary determination by the U.S. competent authority received
Subsidiary of a publicly traded corporation		No LOB article in treaty
		Other (specify Article and paragraph):

c The beneficial owner is claiming treaty benefits for U.S. source dividends received from a foreign corporation or interest from a U.S. trade or business of a foreign corporation and meets qualified resident status (see instructions). 15 Special rates and conditions (if applicable—see instructions):

The beneficial owner is claiming the provisions of Article and paragraph

of the treaty identified on line 14a above to claim a % rate of withholding on (specify type of income):

Explain the additional conditions in the Article the beneficial owner meets to be eligible for the rate of withholding:

Part IV Sponsored FFI

16 Name of sponsoring entity:
17 Check whichever box applies. I certify that the entity identified in Part I:
Is an investment entity;
Is not a QI, WP (except to the extent permitted in the withholding foreign partnership agreement), or WT; and
Has agreed with the entity identified above (that is not a nonparticipating FFI) to act as the sponsoring entity for this entity. I certify that the entity identified in Part I:
Is a controlled foreign corporation as defined in section 957(a);
Is not a QI, WP, or WT;
Is wholly owned, directly or indirectly, by the U.S. financial institution identified above that agrees to act as the sponsoring entity for this entity; and
Shares a common electronic account system with the sponsoring entity (identified above) that enables the sponsoring entity to identify all
account holders and payees of the entity and to access all account and customer information maintained by the entity including, but not limited to, customer identification information, customer documentation, account balance, and all payments made to account holders or payees.

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Part V Certified Deemed-Compliant Nonregistering Local Bank
18		I certify that the FFI identified in Part I:
• Operates and is licensed solely as a bank or credit union (or similar cooperative credit organization operated without profit) in its country of incorporation or organization; • Engages primarily in the business of receiving deposits from and making loans to, with respect to a bank, retail customers unrelated to such bank and, with respect to a credit union or similar cooperative credit organization, members, provided that no member has a greater than 5% interest in such credit union or cooperative credit organization; • Does not solicit account holders outside its country of organization; • Has no fixed place of business outside such country (for this purpose, a fixed place of business does not include a location that is not advertised to the public and from which the FFI performs solely administrative support functions); • Has no more than $175 million in assets on its balance sheet and, if it is a member of an expanded affiliated group, the group has no more than $500 million in total assets on its consolidated or combined balance sheets;and • Does not have any member of its expanded affiliated group that is a foreign financial institution, other than a foreign financial institution that is incorporated or organized in the same country as the FFI identified in Part I and that meets the requirements set forth in this part.
Part VI Certified Deemed-Compliant FFI with Only Low-Value Accounts
19		I certify that the FFI identified in Part I:
• Is not engaged primarily in the business of investing, reinvesting, or trading in securities, partnership interests, commodities, notional principal contracts, insurance or annuity contracts, or any interest (including a futures or forward contract or option) in such security, partnership interest, commodity, notional principal contract, insurance contract or annuity contract; • No financial account maintained by the FFI or any member of its expanded affiliated group, if any, has a balance or value in excess of $50,000 (as determined after applying applicable account aggregation rules);and • Neither the FFI nor the entire expanded affiliated group, if any, of the FFI, have more than $50 million in assets on its consolidated or combined balance sheet as of the end of its most recent accounting year.
Part VII Certified Deemed-Compliant Sponsored, Closely Held Investment Vehicle
20 Name of sponsoring entity: 21 I certify that the entity identified in Part I: • Is an FFI solely because it is an investment entity described in Regulations section 1.1471-5(e)(4); • Is not a QI, WP, or WT;

Will have all of its due diligence, withholding, and reporting responsibilities (determined as if the FFI were a participating FFI) fulfilled by the sponsoring entity identified on line 20; and • 20 or fewer individuals own all of the debt and equity interests in the entity (disregarding debt interests owned by U.S. financial institutions, participating FFIs, registered deemed-compliant FFIs, and certified deemed-compliant FFIs and equity interests owned by an entity if that entity owns 100% of the equity interests in the FFI and is itself a sponsored FFI).
Part VIII Certified Deemed-Compliant Limited Life Debt Investment Entity 22 I certify that the entity identified in Part I: • Was in existence as of January 17, 2013; • Issued all classes of its debt or equity interests to investors on or before January 17, 2013, pursuant to a trust indenture or similar agreement; and • Is certified deemed-compliant because it satisfies the requirements to be treated as a limited life debt investment entity (such as the restrictions with respect to its assets and other requirements under Regulations section 1.1471-5(f)(2)(iv)).
Part IX Certain Investment Entities that Do Not Maintain Financial Accounts 23 I certify that the entity identified in Part I: • Is a financial institution solely because it is an investment entity described in Regulations section 1.1471-5(e)(4)(i)(A), and

• Does not maintain financial accounts. Part X Owner-Documented FFI

Note: This status only applies if the U.S. financial institution, participating FFI, or reporting Model 1 FFI to which this form is given has agreed that it will treat the FFI as an owner-documented FFI (see instructions for eligibility requirements). In addition, the FFI must make the certifications below. 24a (All owner-documented FFIs check here) I certify that the FFI identified in Part I: • Does not act as an intermediary;

Does not accept deposits in the ordinary course of a banking or similar business;
Does not hold, as a substantial portion of its business, financial assets for the account of others;
Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respect to a financial account;
Is not owned by or in an expanded affiliated group with an entity that accepts deposits in the ordinary course of a banking or similar business, holds, as a substantial portion of its business, financial assets for the account of others, or is an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respect to a financial account;
Does not maintain a financial account for any nonparticipating FFI; and
Does not have any specified U.S. persons that own an equity interest or debt interest (other than a debt interest that is not a financial account or that has a balance or value not exceeding $50,000) in the FFI other than those identified on the FFI owner reporting statement.

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Part X Owner-Documented FFI (continued)

Check box 24b or 24c, whichever applies.

b I certify that the FFI identified in Part I:
Has provided, or will provide, an FFI owner reporting statement that contains:
- (i) The name, address, TIN (if any), chapter 4 status, and type of documentation provided (if required) of every individual and specified U.S. person that owns a direct or indirect equity interest in the owner-documented FFI (looking through all entities other than specified U.S. persons);
- (ii) The name, address, TIN (if any), and chapter 4 status of every individual and specified U.S. person that owns a debt interest in the owner-documented FFI (including any indirect debt interest, which includes debt interests in any entity that directly or indirectly owns the payee or any direct or indirect equity interest in a debt holder of the payee) that constitutes a financial account in excess of $50,000 (disregarding all such debt interests owned by participating FFIs, registered deemed-compliant FFIs, certified deemedcompliant FFIs, excepted NFFEs, exempt beneficial owners, or U.S. persons other than specified U.S. persons); and
(iii) Any additional information the withholding agent requests in order to fulfill its obligations with respect to the entity.
• Has provided, or will provide, valid documentation meeting the requirements of Regulations section 1.1471-3(d)(6)(iii) for each person identified in the FFI owner reporting statement.
c I certify that the FFI identified in Part I has provided, or will provide, an auditor's letter, signed within 4 years of the date of payment, from an independent accounting firm or legal representative with a location in the United States stating that the firm or representative has reviewed the FFI’s documentation with respect to all of its owners and debt holders identified in Regulations section 1.1471-3(d)(6)(iv)(A)(2), and that the FFI meets all the requirements to be an owner-documented FFI. The FFI identified in Part I has also provided, or will provide, an FFI owner reporting statement of its owners that are specified U.S. persons and Form(s) W-9, with applicable waivers.

Check box 24d if applicable (optional, see instructions).

d I certify that the entity identified on line 1 is a trust that does not have any contingent beneficiaries or designated classes with unidentified beneficiaries.

Part XI Restricted Distributor

25a (All restricted distributors check here) I certify that the entity identified in Part I:
Operates as a distributor with respect to debt or equity interests of the restricted fund with respect to which this form is furnished;
Provides investment services to at least 30 customers unrelated to each other and less than half of its customers are related to each other;
Is required to perform AML due diligence procedures under the anti-money laundering laws of its country of organization (which is an FATFcompliant jurisdiction);
Operates solely in its country of incorporation or organization, has no fixed place of business outside of that country, and has the same country of incorporation or organization as all members of its affiliated group, if any;
Does not solicit customers outside its country of incorporation or organization;
Has no more than $175 million in total assets under management and no more than $7 million in gross revenue on its income statement for the most recent accounting year;
Is not a member of an expanded affiliated group that has more than $500 million in total assets under management or more than $20 million in gross revenue for its most recent accounting year on a combined or consolidated income statement; and
Does not distribute any debt or securities of the restricted fund to specified U.S. persons, passive NFFEs with one or more substantial U.S. owners, or nonparticipating FFIs.

Check box 25b or 25c, whichever applies.

I further certify that with respect to all sales of debt or equity interests in the restricted fund with respect to which this form is furnished that are made after December 31, 2011, the entity identified in Part I:

b Has been bound by a distribution agreement that contained a general prohibition on the sale of debt or securities to U.S. entities and U.S. resident individuals and is currently bound by a distribution agreement that contains a prohibition of the sale of debt or securities to any specified U.S. person, passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI.
c Is currently bound by a distribution agreement that contains a prohibition on the sale of debt or securities to any specified U.S. person, passive NFFE with one or more substantial U.S. owners, or nonparticipating FFI and, for all sales made prior to the time that such a restriction was included in its distribution agreement, has reviewed all accounts related to such sales in accordance with the procedures identified in Regulations section 1.1471-4(c) applicable to preexisting accounts and has redeemed or retired any, or caused the restricted fund to transfer the securities to a distributor that is a participating FFI or reporting Model 1 FFI securities which were sold to specified U.S. persons, passive NFFEs with one or more substantial U.S. owners, or nonparticipating FFIs.

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Part	XII Nonreporting IGA FFI
26		I certify that the entity identified in Part I:
	• Meets the requirements to be considered a nonreporting financial institution pursuant to an applicable IGA between the United States and . The applicable IGA is a Model 1 IGA or a Model 2 IGA; and is treated as a under the provisions of the applicable IGA or Treasury regulations (if applicable, see instructions); •If you are a trustee documented trust or a sponsored entity, provide the name of the trustee or sponsor . The trustee is: U.S. Foreign
Part XIII Foreign Government, Government of a U.S. Possession, or Foreign Central Bank of Issue
27		I certify that the entity identified in Part I is the beneficial owner of the payment, and is not engaged in commercial financial activities of a
type engaged in by an insurance company, custodial institution, or depository institution with respect to the payments, accounts, or obligations for which this form is submitted (except as permitted in Regulations section 1.1471-6(h)(2)).
Part XIV International Organization
Check box 28a or 28b, whichever applies. 28a I certify that the entity identified in Part I is an international organization described in section 7701(a)(18). b I certify that the entity identified in Part I: • Is comprised primarily of foreign governments; • Is recognized as an intergovernmental or supranational organization under a foreign law similar to the International Organizations Immunities Act or that has in effect a headquarters agreement with a foreign government; • The benefit of the entity’s income does not inure to any private person;and • Is the beneficial owner of the payment and is not engaged in commercial financial activities of a type engaged in by an insurance company, custodial institution, or depository institution with respect to the payments, accounts, or obligations for which this form is submitted (except as permitted in Regulations section 1.1471-6(h)(2)).
Part XV Exempt Retirement Plans
Check box 29a, b, c, d, e, or f, whichever applies. 29a I certify that the entity identified in Part I: • Is established in a country with which the United States has an income tax treaty in force (see Part III if claiming treaty benefits); • Is operated principally to administer or provide pension or retirement benefits;and • Is entitled to treaty benefits on income that the fund derives from U.S. sources (or would be entitled to benefits if it derived any such income) as a resident of the other country which satisfies any applicable limitation on benefits requirement. b I certify that the entity identified in Part I: • Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former employees of one or more employers in consideration for services rendered;

No single beneficiary has a right to more than 5% of the FFI’s assets;
Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the country in which the fund is established or operated; and (i) Is generally exempt from tax on investment income under the laws of the country in which it is established or operates due to its status as a retirement or pension plan;
- (ii) Receives at least 50% of its total contributions from sponsoring employers (disregarding transfers of assets from other plans described in this part, retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, other retirement funds described in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A));
- (iii) Either does not permit or penalizes distributions or withdrawals made before the occurrence of specified events related to retirement, disability, or death (except rollover distributions to accounts described in Regulations section 1.1471-5(b)(2)(i)(A) (referring to retirement and pension accounts), to retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, or to other retirement funds described in this part or in an applicable Model 1 or Model 2 IGA); or
(iv) Limits contributions by employees to the fund by reference to earned income of the employee or may not exceed $50,000 annually.
c I certify that the entity identified in Part I: • Is organized for the provision of retirement, disability, or death benefits (or any combination thereof) to beneficiaries that are former employees of one or more employers in consideration for services rendered;
Has fewer than 50 participants;
Is sponsored by one or more employers each of which is not an investment entity or passive NFFE;
Employee and employer contributions to the fund (disregarding transfers of assets from other plans described in this part, retirement and pension accounts described in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A)) are limited by reference to earned income and compensation of the employee, respectively;
Participants that are not residents of the country in which the fund is established or operated are not entitled to more than 20% of the fund’s assets; and
Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in the country in which the fund is established or operates.

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Part XV Exempt Retirement Plans(continued)
d		I certify that the entity identified in Part I is formed pursuant to a pension plan that would meet the requirements of section 401(a), other
than the requirement that the plan be funded by a trust created or organized in the United States. e I certify that the entity identified in Part I is established exclusively to earn income for the benefit of one or more retirement funds described in this part or in an applicable Model 1 or Model 2 IGA, or accounts described in Regulations section 1.1471-5(b)(2)(i)(A) (referring to retirement and pension accounts), or retirement and pension accounts described in an applicable Model 1 or Model 2 IGA. f I certify that the entity identified in Part I: • Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S. possession (each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model 2 IGA to provide retirement, disability, or death benefits to beneficiaries or participants that are current or former employees of the sponsor (or persons designated by such employees);or • Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U.S. possession (each as defined in Regulations section 1.1471-6) or an exempt beneficial owner described in an applicable Model 1 or Model 2 IGA to provide retirement, disability, or death benefits to beneficiaries or participants that are not current or former employees of such sponsor, but are in consideration of personal services performed for the sponsor.
Part XVI Entity Wholly Owned by Exempt Beneficial Owners
30		I certify that the entity identified in Part I:
• Is an FFI solely because it is an investment entity; • Each direct holder of an equity interest in the investment entity is an exempt beneficial owner described in Regulations section 1.1471-6 or in an applicable Model 1 or Model 2 IGA; • Each direct holder of a debt interest in the investment entity is either a depository institution (with respect to a loan made to such entity) or an exempt beneficial owner described in Regulations section 1.1471-6 or an applicable Model 1 or Model 2 IGA. • Has provided an owner reporting statement that contains the name, address, TIN (if any), chapter 4 status, and a description of the type of documentation provided to the withholding agent for every person that owns a debt interest constituting a financial account or direct equity interest in the entity;and • Has provided documentation establishing that every owner of the entity is an entity described in Regulations section 1.1471-6(b), (c), (d), (e), (f) and/or (g) without regard to whether such owners are beneficial owners.
Part XVII Territory Financial Institution
31		I certify that the entity identified in Part I is a financial institution (other than an investment entity) that is incorporated or organized under
the laws of apossession of the United States.
Part XVIII Excepted Nonfinancial Group Entity
32		I certify that the entity identified in Part I:
• Is a holding company, treasury center, or captive finance company and substantially all of the entity’s activities are functions described in Regulations section 1.1471-5(e)(5)(i)(C) through (E); • Is a member of a nonfinancial group described in Regulations section 1.1471-5(e)(5)(i)(B); • Is not a depository or custodial institution (other than for members of the entity’s expanded affiliated group);and • Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or any investment vehicle with an investment strategy to acquire or fund companies and then hold interests in those companies as capital assets for investment purposes.
Part XIX Excepted Nonfinancial Start-Up Company
33		I certify that the entity identified in Part I:
• Was formed on (or, in the case of a new line of business, the date of board resolution approving the new line of business) (date must be less than 24 months prior to date of payment); • Is not yet operating a business and has no prior operating history or is investing capital in assets with the intent to operate a new line of business other than that of a financial institution or passive NFFE; • Is investing capital into assets with the intent to operate a business other than that of a financial institution;and • Does not function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund, leveraged buyout fund, or any investment vehicle whose purpose is to acquire or fund companies and then hold interests in those companies as capital assets for investment purposes.
Part XX Excepted Nonfinancial Entity in Liquidation or Bankruptcy
34		I certify that the entity identified in Part I:
• Filed a plan of liquidation, filed a plan of reorganization, or filed for bankruptcy on ; • During the past 5 years has not been engaged in business as a financial institution or acted as a passive NFFE; • Is either liquidating or emerging from a reorganization or bankruptcy with the intent to continue or recommence operations as a nonfinancial entity;and • Has, or will provide, documentary evidence such as a bankruptcy filing or other public documentation that supports its claim if it remains in bankruptcy or liquidation for more than 3 years.

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Part XXI 501(c) Organization
35		I certify that the entity identified in Part I is a 501(c) organization that:
• Has been issued a determination letter from the IRS that is currently in effect concluding that the payee is a section 501(c) organization that is dated ;or • Has provided a copy of an opinion from U.S. counsel certifying that the payee is a section 501(c) organization (without regard to whether the payee is a foreign private foundation).
Part XXII Nonprofit Organization
36 I certify that the entity identified in Part I is a nonprofit organization that meets the following requirements. • The entity is established and maintained in its country of residence exclusively for religious, charitable, scientific, artistic, cultural or educational purposes; • The entity is exempt from income tax in its country of residence; • The entity has no shareholders or members who have a proprietary or beneficial interest in its income or assets; • Neither the applicable laws of the entity’s country of residence nor the entity’s formation documents permit any income or assets of the entity to be distributed to, or applied for the benefit of, a private person or noncharitable entity other than pursuant to the conduct of the entity’s charitable activities or as payment of reasonable compensation for services rendered or payment representing the fair market value of property which the entity has purchased;and • The applicable laws of the entity’s country of residence or the entity’s formation documents require that, upon the entity’s liquidation or dissolution, all of its assets be distributed to an entity that is a foreign government, an integral part of a foreign government, a controlled entity of a foreign government, or another organization that is described in this part or escheats to the government of the entity’s country of residence or any political subdivision thereof.

Part XXIII Publicly Traded NFFE or NFFE Affiliate of a Publicly Traded Corporation

Check box 37a or 37b, whichever applies. 37a I certify that: • The entity identified in Part I is a foreign corporation that is not a financial institution; and • The stock of such corporation is regularly traded on one or more established securities markets, including (name one securities exchange upon which the stock is regularly traded).
b I certify that: • The entity identified in Part I is a foreign corporation that is not a financial institution; • The entity identified in Part I is a member of the same expanded affiliated group as an entity the stock of which is regularly traded on an established securities market;
The name of the entity, the stock of which is regularly traded on an established securities market, is ; and • The name of the securities market on which the stock is regularly traded is .

Part XXIV Excepted Territory NFFE

38 I certify that: • The entity identified in Part I is an entity that is organized in a possession of the United States; • The entity identified in Part I:

(i) Does not accept deposits in the ordinary course of a banking or similar business;

(ii) Does not hold, as a substantial portion of its business, financial assets for the account of others; or
(iii) Is not an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respect to a financial account; and
• All of the owners of the entity identified in Part I are bona fide residents of the possession in which the NFFE is organized or incorporated.

Part XXV

Active NFFE

39		I certify that:
• The entity identified in Part I is a foreign entity that is not a financial institution; • Less than 50% of such entity’s gross income for the preceding calendar year is passive income;and • Less than 50% of the assets held by such entity are assets that produce or are held for the production of passive income (calculated as a weighted average of the percentage of passive assets measured quarterly) (see instructions for the definition of passive income).
Part XXVI Passive NFFE
40a I certify that the entity identified in Part I is a foreign entity that is not a financial institution (other than an investment entity organized in a possession of the United States) and is not certifying its status as a publicly traded NFFE (or affiliate), excepted territory NFFE, active NFFE, direct reporting NFFE, or sponsored direct reporting NFFE. Check box 40b or 40c, whichever applies. b I further certify that the entity identified in Part I has no substantial U.S. owners (or, if applicable, no controlling U.S. persons);or c I further certify that the entity identified in Part I has provided the name, address, and TIN of each substantial U.S. owner (or, if applicable, controlling U.S. person) of the NFFE in Part XXIX.
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Form W-8BEN-E (Rev. 10-2021)

Part XXVII

Excepted Inter-Affiliate FFI

41 I certify that the entity identified in Part I:
Is a member of an expanded affiliated group;
Does not maintain financial accounts (other than accounts maintained for members of its expanded affiliated group);
Does not make withholdable payments to any person other than to members of its expanded affiliated group;
Does not hold an account (other than depository accounts in the country in which the entity is operating to pay for expenses) with or receive payments from any withholding agent other than a member of its expanded affiliated group; and
Has not agreed to report under Regulations section 1.1471-4(d)(2)(ii)(C) or otherwise act as an agent for chapter 4 purposes on behalf of any financial institution, including a member of its expanded affiliated group.

Part XXVIII Sponsored Direct Reporting NFFE (see instructions for when this is permitted)

42 Name of sponsoring entity: 43 I certify that the entity identified in Part I is a direct reporting NFFE that is sponsored by the entity identified on line 42. Part XXIX Substantial U.S. Owners of Passive NFFE

As required by Part XXVI, provide the name, address, and TIN of each substantial U.S. owner of the NFFE. Please see the instructions for a definition of substantial U.S. owner. If providing the form to an FFI treated as a reporting Model 1 FFI or reporting Model 2 FFI, an NFFE may also use this part for reporting its controlling U.S. persons under an applicable IGA.

Name Address TIN

Part XXX Certification

Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further certify under penalties of perjury that:

The entity identified on line 1 of this form is the beneficial owner of all the income or proceeds to which this form relates, is using this form to certify its status for chapter 4 purposes, or is submitting this form for purposes of section 6050W or 6050Y;
The entity identified on line 1 of this form is not a U.S. person;
This form relates to: (a) income not effectively connected with the conduct of a trade or business in the United States, (b) income effectively connected with the conduct of a trade or business in the United States but is not subject to tax under an income tax treaty, (c) the partner’s share of a partnership’s effectively connected taxable income, or (d) the partner’s amount realized from the transfer of a partnership interest subject to withholding under section 1446(f); and
For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions.

Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which the entity on line 1 is the beneficial owner or any withholding agent that can disburse or make payments of the income of which the entity on line 1 is the beneficial owner.

I agree that I will submit a new form within 30 days if any certification on this form becomes incorrect.

I certify that I have the capacity to sign for the entity identified on line 1 of this form.

Sign Here

Signature of individual authorized to sign for beneficial owner

Print Name Date (MM-DD-YYYY)

Form W-8BEN-E (Rev. 10-2021)

AI assistant

KLN Logistics Group Limited — Proxy Solicitation & Information Statement 2024

49356_rns_2024-02-26_c7fe67d3-3b2f-4038-bff9-3fc4965b9ad6.pdf

DECLARATION OF SPECIAL INTERIM DIVIDEND BY WAY OF DISTRIBUTION IN SPECIE OF SHARES OF KERRY EXPRESS (THAILAND) PUBLIC COMPANY LIMITED

Sole Financial Adviser to the Company

DEFINITIONS

DEFINITIONS

DEFINITIONS

Stock Code 636

Independent Non-executive Directors:

To the KLN Shareholders

DECLARATION OF SPECIAL INTERIM DIVIDEND BY WAY OF DISTRIBUTION IN SPECIE OF SHARES OF KERRY EXPRESS (THAILAND) PUBLIC COMPANY LIMITED

1. INTRODUCTION

2. THE DISTRIBUTION

2.1. Thai Code implications

2.2. Condition to the Distribution

LETTER FROM THE BOARD

3. KEX OFFER

3.1. Launch of the KEX Offer

LETTER FROM THE BOARD

4. OPTIONS AVAILABLE TO QUALIFYING MINORITY SHAREHOLDERS

4.1. Option 1 (Shares)

Supporting documents for non-Thai individual or body corporate Qualifying Minority Shareholders:

4.2. Brokerage services for trading KEX DIS Shares

MIB Securities (Hong Kong) Limited Contact person: Mr Anson Lui, Sales Manager, Corporate Sales Email: [email protected] Telephone: +852 2268 0369

4.3. Option 2 (Share Sale)

5. NON-QUALIFYING SHAREHOLDERS

5.1. Overseas Shareholders

5.2. Stock Connect Investors

5.3. Arrangements for Non-qualifying Shareholders

6. BENEFICIAL OWNERS WHOSE KLN SHARES ARE DEPOSITED IN CCASS

7. OTHER IMPORTANT NOTES

7.1. Qualifying Minority Shareholders

7.2. Transfer Agent in Hong Kong

Tricor Investor Services Limited

SET Contact Center:

8. REASONS FOR AND BENEFITS OF THE DISTRIBUTION

9. FINANCIAL EFFECTS OF THE DISTRIBUTION

10. INFORMATION ABOUT THE COMPANY AND KLN GROUP

11. INFORMATION ABOUT KEX AND KEX GROUP

12. HONG KONG LISTING RULES IMPLICATIONS

13. FURTHER DETAILS REGARDING THE KEX OFFER

13.1. KEX Offer Price

13.2. Highest and lowest KEX Share prices

13.3. Effect of authorising the Company and/or Kerry Thailand to accept the KEX Offer

13.4. Transaction expenses

13.5. Payment of KEX Offer Price by the Offeror

13.6. Independent financial adviser to KEX

13.7. Information about the Offeror

13.8. Intentions of the Offeror in relation to KEX Group

14. SHAREHOLDING STRUCTURE OF KEX GROUP BEFORE AND AFTER THE CLOSE OF THE KEX OFFER

15. EXPECTED TIMETABLE OF THE DISTRIBUTION AND KEX OFFER

Kerry Logistics Network Limited WANG Wei

Dear registrar of securities Please register the following securities transfer :

Transferee

TSD-404

Application for Securities Transfer to/from the Issuer Account

TSD-404

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Transferor

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KLN Logistics Group Limited Proxy Solicitation & Information Statement 2024

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