Form for Proposing Agenda in Advance for the
Annual General Shareholders' Meeting of the Year 2023
Date .................................................................... | |||
I (Mr./Mrs./Ms./……….) .................................................................... | residing at ......................... | Road | |
..................................... | District ......................................... | Province .......................................... | City |
..................................... | Postal Code ................... | Home/Office Telephone ........................................ | |
Mobile ....................................... | Fax ................................... | E-mail ....................................................... | |
being a shareholder of PTT Global Chemical Public Company Limited, holding ........................... | shares |
I would like to propose the agenda(s) for the Annual General Shareholders' Meeting of the year 2023 as follow:
Subject : …………………………………………………………….....…………….…………………….…........
.............…………………………………………………………….………..…………………………….……........
Proposal / reason for consideration: .……………………..….………………….…..…………………………
……………………………………………………………………………………..……………………………...…..
Other supporting documents (if any) have been enclosed and certified true copy at every page, totaling
..................... page(s).
[In case of combined shareholders propose the agenda, according to 5.3 (1)]
I hereby assign (Mr./Mrs./Ms./…….) ................................................................... | , being a shareholder | |
of PTT Global Chemical Public Company Limited residing at . . . . . . . . . ........................ | . . . . . . Road | |
...................................... District .......................................... | Province ........................................... | City |
............................................ Postal Code ...................... | Home/Office Telephone .......................... | Mobile |
............................................ Fax ....................................... | E-mail .................................................. |
appointed as my attorney-in-fact to contact with PTT Global Chemical Public Company Limited
I hereby certify that all the information written in this form and other supporting documents are true and correct to the best of my knowledge.
................................................................... | Shareholder's Signature |
(................................................................... | ) |
Form for Proposing Director Nominee for the
Annual General Shareholders' Meeting of the Year 2023
Date .................................................................... | |||
I (Mr./Mrs./Ms./……….) .................................................................... | residing at ......................... | Road | |
..................................... | District ......................................... | Province .......................................... | City |
..................................... | Postal Code ................... | Home/Office Telephone ........................................ | |
Mobile ....................................... | Fax ................................... | E-mail ....................................................... | |
being a shareholder of PTT Global Chemical Public Company Limited, holding ........................... | shares | ||
I would like to nominate (Mr./Mrs./Ms./……….) ............................................................................. | , |
who is fully qualified in accordance to the criteria of the Company to be nominated as director for the
AGM of the year 2023. The nominee has signed below as evidence of consent and the curriculum vitae
of the nominee along with other supporting documents have been enclosed and certified true copy at
every page, totaling ..................... page(s).
Reason for consideration:
.……………………………………………………….........................................................................................
.……………………………………………………….........................................................................................
.……………………………………………………….........................................................................................
[In case of combined shareholders propose the agenda, according to 5.4 (1)]
I hereby assign (Mr./Mrs./Ms./…….) ................................................................... | , being a shareholder | |
of PTT Global Chemical Public Company Limited residing at . . . . . . . . . ........................ | . . . . . . Road | |
...................................... District .......................................... | Province ........................................... | City |
............................................ Postal Code ...................... | Home/Office Telephone .......................... | Mobile |
............................................ Fax ....................................... | E-mail .................................................. |
appointed as my attorney-in-fact to contact with PTT Global Chemical Public Company Limited
I hereby certify that all the information written in this form and other supporting documents are true and correct to the best of my knowledge.
................................................................... | Shareholder's Signature |
(................................................................... | ) |
Information of Proposed Candidate for Director Position | PHOTO | ||||
PTT Global Chemical Public Company Limited | |||||
Name/Surname | (Thai) ...................................................................................................... | ||||
(English) ....................................................................................................................... | |||||
Date of Birth (DD/MM/YYYY) ........................... | Age ............ | Gender ............ | Nationality .......................... | ||
Residing at .................... | Road ...................... | District ................................ | Province ................................ | ||
City ..................................... | Postal Code ................... | Home/Office Telephone ........................................ | |||
Mobile ....................................... | Fax ................................... | E-mail ............................................................ | |||
being a shareholder of PTT Global Chemical Public Company Limited, holding ...................... | shares | ||||
as of (date) ……………………..… | |||||
Marriage status | |||||
Spouse's name ..................................................................... | holding ............................................ | shares | |||
Number of children ......................... | |||||
1 ……………………………………………… Age .….. | Number of share holding ................... | shares | |||
2 ……………………………………………… Age .….. Number of share | ................... | shares | |||
holding | |||||
3 ……………………………………………… Age .….. | Number of share | ................... | shares | ||
holding |
Education Background (please enclosed copy of academic qualifications/certificates)
Institution | Degree and major subject | Year of graduation |
………………………………………. ……………..………………………… | …………………….… | |
………………………………………. ……………..………………………… | …………………….… | |
………………………………………. ……………..………………………… | …………………….… | |
Director Training Program | ||
Course | Institution | Year attended |
………………………………………. | ……………..………………………… | …………………….… |
………………………………………. | ……………..………………………… | …………………….… |
………………………………………. | ……………..………………………… | …………………….… |
Page 1/2
Work Experience | |||
Institution/Company | Type of business | Position | Period (from - to) |
……………………………………. | …………………………………… | …………..…………. | …………………. |
……………………………………. | …………………………………… | …………..…………. | …………………. |
……………………………………. | …………………………………… | …………..…………. | …………………. |
……………………………………. | …………………………………… | …………..…………. | …………………. |
Having direct or indirect connected transaction with the Company, subsidiaries, affiliates or joint/
associated companies such as shareholding, being a partner to a partnership or a director in a company
which is engaged in a business of the same nature as and which is significantly competitive to that of
the Company. (please describe in details)
.....................................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
.....................................................................................................................................................................
Consent | |
I (Mr./Mrs./Ms./…….) | ............................................................................, who has been nominated for |
appointment as director of PTT Global Chemical Public Company Limited, certify that all the information provided along with supporting documents submitted herewith are true and correct to the best of my knowledge.
................................................................... Candidate's Signature | |
( | ...................................................................) |
Date ......................................................... |
Page 2/2
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PTT Global Chemical pcl published this content on 09 September 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 14 September 2022 07:49:05 UTC.