Supalai : Bio-data of the Candidate for Directorship of Supalai Public Company Limited in the 2024 Annual General Shareholders’ Meeting Form

Bio-data of the Candidate for Directorship of Supalai Public Company Limited in the 2024 Annual General Shareholders' Meeting Form

1. General Information of the Candidate
(1)	Name-Surname (in English)						(Maiden name
(2)	Identification Card No / Passport No
(3)	Date of Birth				Age		Year
(4)	Nationality
(5)	Marital Status	( ) Single	( ) Married (	) Divorced
(6) Spouse's Name-Surname					(Maiden name

1/3

Color Photo

2"

)

)

2. Current Address

(1)

Business Address

Name

#

Trok/Soi

Road

Subdistrict

District

Province

Tel.

(2)

Home Address

#

Trok/Soi

Road

Subdistrict

District

Province

Tel.

(3)

Overseas Address :

(only for a non-resident, please specify overseas contact address)

3. Professional Background

1. Education

Institution		Degree and Major Subject			Year of Graduation

(2) Training / Seminar Course related to Directorship of Listed Company
Course	Organizer	Year of Attendance

2/3

4. Working Experiences (Past-Present)
Form year to year	Organization	Type of Business	Position

5. Duties and Responsibilities under Present Positions

6. Shareholding in Supalai Public Company Limited as of		(the proposal date)
Common Shares			shares
Spouse's Common Shares				shares
Minor children and adopted child (1) Name		holds common shares	shares
		(2) Name			holds common shares	shares

7. Juristic persons in item 6. together hold shares exceeding 30 percent. This includes a case that the aforementioned persons hold more than 10 percent of shares in other juristic persons, which is considered being major shareholders of such juristic persons.

Name of Business

Type of

Related

Number of

Position in

Since

Business

Persons

Shares

Related Business

(Year)

8. Litigation Records (Except petty mistakes)

Court

Status

Type of Suit

Charge of

Litigated

Case

Judgment

(Plaintiff/Defendant

(Civil/Criminal

Accusation

Sum

No.

/Interpleader)

/Bankruptcy)

3/3

1. Relationship with executive directors, major shareholders and controlling persons of the Company (if any)
2. Required Documents Certified by the Candidate (Please specify reasons for unavailable items)
3. 1. Educational records / certificates
   2. A certified true copy of valid National ID card*
   3. A certified true copy of immigration documents / Copy of valid passport (in case of non-residents)
   4. If a director nominee has his/her title, name or surname changed, a copy of evidence of those changes must be enclosed and certified true copy.
   5. A certified true copy of house registration
   6. Reference letter from a present or latest company
   7. Evidence of shareholding such as the certificate of shares held issued by securities companies or any other certificates from Thailand Securities Depository Co., Ltd. or the Stock Exchange of Thailand or custodian, Securities Paper and certified true copies by such shareholders. (If any)

*Please conceal your religion on the certified true copy of the identification card. In case that the religion on the copy of your identification card isn't concealed, the Company will strikethrough it since such data is not required to be processed.

I (Mr./Mrs./Miss)	__________		, a nominee to be elected as a directors of
Supalai Public Company Limited, consent and acknowledge the	aforementioned nomination, and certify that my

information is correct and complete. The additional documents attached herewith are also true and correct. I give consent to the Company to collect, use and disclose my data and document.

		Director Nominee
(		)

Date