Registration Form

Tell Us more about you

Your job title*:

Your Office Number*:

Mobile (Cell) Number*:

Profile:

Your key Word*:

Please provide a memerable word for your account profile. An operative may request this from you for your added security!

Your Company Name*:

Your Company Address*:

Your Company Website*:

Are you a publicly traded company?
(If yes, On which exchanges)

Yes No

Exchange(Primary)

Exchange(Secondary)

Exchange(Tri Listed)

Provide Company

If European issuer is LEI Required ?

Yes No

PR/IR Agency submitting on behalf of client

Yes

NOMAD Submitting on behalf of client

Yes

Private Company

Yes

Institutional Investors disclosing under takeover panel rules

Yes

Private Individual disclosing under rule 8 of the takeover panel code

Yes