Cross-referenced from Rule 720(1) and Appendix 7F
To: Singapore Exchange Securities Trading Limited
c/o........(Insert the name of the Issuer)
In consideration of the listing and quotation of the securities of__________ (insert the name of the Issuer) (the "Issuer") on the Official List of the SGX Catalist:—
(a) In the exercise of my powers and duties as a director or executive officer of .............
(Insert the name of the issuer) I, the undersigned, shall:— (i) comply to the best of my ability with the requirements Singapore Exchange Securities Trading Limited (the "Exchange") pursuant to or in connection with the SGX-ST Listing Manual from time to time in force;
(ii) use my best endeavours to procure that the Issuer shall so comply; and
(iii) use my best endeavours to procure that any of my alternate (where applicable) shall so comply;
(b) I shall, in the exercise of my powers and duties as a director or executive officer of the Issuer, comply to the best of my ability with the Securities and Futures Act, Chapter 289 of Singapore and applicable regulations issued thereunder, The Singapore Code on Take-Overs and Mergers, Companies Act, Chapter 50 of Singapore (where applicable) and all other applicable securities laws and regulations from time to time in force in Singapore, and I shall use my best endeavours to procure that the Issuer shall so comply;
(c) I shall:— (i) provide to the Exchange as soon as possible, or otherwise in accordance with time limits imposed by the Exchange: (1) any information and documents that the Exchange reasonably considers appropriate to protect investors or ensure a fair, orderly and transparent market; and
(2) any other information and documents or explanation that the Exchange may reasonably require for the purpose of verifying compliance with the SGX-ST Listing Manual; and
(ii) cooperate in any investigation conducted by the Exchange, including answering promptly and openly any questions addressed to me, promptly producing the originals or copies of any relevant documents and attending any meeting or hearing at which I am requested to appear; and
(d) I hereby irrevocably appoint the Issuer as my agent, for so long as I remain a director of the issuer or executive officer of the Issuer/REIT manager/trustee-manager, for receiving on my behalf any correspondence from and/or service of notices and other documents by the Exchange.
I, ............... [full name (including non-English characters as reflected in identification documents]:
(i) solemnly and sincerely declare that all particulars about me that appear in this Form are true, complete and accurate, that I accept responsibility for the truthfulness, accuracy and completeness of the foregoing particulars, that I have not made any statements or omissions which would render such particulars untrue or misleading, that I understand the possible consequences of giving information which is false or misleading including those as set forth in Note (1) hereto, and that I understand that the Exchange may rely upon the foregoing particulars in assessing my suitability to act as a director or executive officer of the Issuer/REIT manager/trustee-manager; and
(ii) undertake to the Exchange in the terms set out in this Form.
Signature: ___________________________________________
Name of director/executive officer: ____________________________________
Nationality:___________________________________________
Singapore NRIC Number:___________________________________________
In case of a non-Singapore NRIC cardholder, state the passport number or any identification number and name of issuing authority:
________________________________________ Date: ________________________________________________
Note:
(1) Every director or executive officer of the Issuer supplying information sought or referred to in this Form, should note that such information constitutes information which is provided to the Exchange in purported compliance with the requirement to provide information. In relation to this, you should be aware that giving to the Exchange any information which is false or misleading will render the relevant person to be in contravention of section 330 of the Securities and Futures Act, Chapter 289 of Singapore. If you have any queries you should consult the Exchange or your professional adviser immediately.
Added on 7 October 20157 October 2015.