CW IPO Registration

Investor?*
- Individual
- Institution
Your nationality?*
- Vietnamese
- Foreign

FOR DECLARATION OF INFORMATION ON BUYING COVERED WARRANTS, PLEASE ENTER THE INFORMATION BELOW

*Please fill in your information below within the stipulated time of the IPO registration according to the SSI Disclosure. If your registration time is not in SSI’s stipulated time, we will not be responsible for your registered information. After registering information, please make a payment, complete the application and send it to the nearest SSI branch/transaction office within the specified time for successful registration.

Investor’s information

Trading account number *

Name of Broker *

Full name of Investor *

Date of birth (dd/mm/yyyy)

Nationality *

Tax file number

Country of taxation

Loại giấy tờ *

Issuing date *

Issuing place (Country, Province/City) *

Gender *

Visa number *

Issuing date *

Issuing place *

Securities trading code *

Issuing date *

Permanent address / Head office *

Current address (Post address) *

Temporary residential registration address in Vietnam for a foreigner residing in Vietnam

Email *

Mobile phone (Country code –Area code –Phone number) *

Is investor the founding shareholder of the Company of underlying stock *

Authorized Person

Name of Authorized person

ID / Passport number

Issuing date

Issuing place (Country, Province / City)

Subscription details

Covered Warrant Code *

Covered Warrant Name

Issue Price (VND)

Subscription Volume *

Trading Fee (VND)

Subscription value

Bank account detail for unsuccessful subscription

Bank account name

Account number

At Bank

Form of receiving expected trading results

Investor would like to receive trading results by the following method:

Email (Please specify) *

Quý khách vui lòng lựa chọn CN/ PGD của SSI nơi hỗ trợ thủ tục đăng ký

Chọn văn phòng *

Required documents

Covered Warrant Subscription Form	Certified copy of ID card/passport of Investor
The Bank confirmation on opening the capital contributed account (CCA) or the indirect investment capital account (for foreign Investors only)	Certified copy of confirmation of securities trading code (STC) from Vietnam Securities Depository (VSD) (for foreign Investors only)
Certified copy of Securities Account Opening Form in case the Investor registers securities trading account to deposit Covered Warrant at other Brokers instead of SSI.	Power of Attorney in which Investor gives right to an authorized person to sign required documents (if applicable)
Certified copy of ID card/Passport of authorized person

GENERAL PROVISIONS

1. Any person below the age of 18 could not register to purchase covered warrant.

2. The decision to invest in Covered Warrant is the Investor's own decision after having received, read, and understood the relevant document(s), including but not limited to the Prospectus. Investor accepts the terms and conditions in the above documents, especially the risk factors and the charges applicable to the Covered Warrant. SSI Securities Corporation (SSI), its officers, CEO, and authorized Issuing Agencies shall have no legal liability with respect to the Investor's investment decision.

3. Investor must provide true and exact information in the Covered Warrant Subscription Form and update any changes of institution or personal data as soon as possible. If Investor fails to supply such information to complete these above services, SSI could reject to provide subscription services. The Investor must indemnify SSI or any other entity of SSI or any employees of SSI for any damage, loss or other expenses that may incur in consequence of any wrong or misleading statement or omission.

Investor undertakes that the Investor has fully read, understood and agreed and shall comply with the Prospectus and Covered Warrant Subscription Form. Investor is responsible for all information given in this Covered Warrant Subscription Form and all documents provided to support the Covered Warrant Subscription Form.

To complete the procedure to buy covered warrants, please download, fill out the information here and send it to the nearest SSI branch/Transaction Office within the specified time. Download

Investor’s information

Trading account number*

Name of Broker*

Full name of Investor* ()

Date of birth (dd/mm/yyyy) *

Nationality *

Tax file number

Country of taxation

Loại giấy tờ *

Issuing date *

Issuing place (Country, Province/City) *

Gender *

Permanent address / Head office *

Current address (Post address) *

Email *

Mobile phone (Country code –Area code –Phone number) *

Is investor the founding shareholder of the Company of underlying stock *

Giấy khai sinh số *

Ngày cấp *

Nơi cấp *

Họ và tên cha ()

Số CMND / Hộ Chiếu

Ngày cấp

Nơi cấp

Địa chỉ đăng ký thường trú / trụ sở

Họ và tên mẹ ()

Số CMND / Hộ Chiếu

Ngày cấp

Nơi cấp

Địa chỉ đăng ký thường trú / trụ sở

Authorized Person

Name of Authorized person

ID / Passport number

Issuing date

Issuing place (Country, Province / City)

Subscription details

Covered Warrant Code *

Covered Warrant Name

Issue Price (VND)

Subscription Volume *

Trading Fee (VND)

Subscription value

Bank account detail for unsuccessful subscription

Bank account name

Account number

At Bank

Form of receiving expected trading results

Investor would like to receive trading results by the following method:

Email (Please specify) *

Quý khách vui lòng lựa chọn CN/ PGD của SSI nơi hỗ trợ thủ tục đăng ký

Chọn văn phòng *

Required documents

Covered Warrant Subscription Form	Certified copy of ID card/passport of Investor
The Bank confirmation on opening the capital contributed account (CCA) or the indirect investment capital account (for foreign Investors only)	Certified copy of confirmation of securities trading code (STC) from Vietnam Securities Depository (VSD) (for foreign Investors only)
Certified copy of Securities Account Opening Form in case the Investor registers securities trading account to deposit Covered Warrant at other Brokers instead of SSI.	Power of Attorney in which Investor gives right to an authorized person to sign required documents (if applicable)
Certified copy of ID card/Passport of authorized person

GENERAL PROVISIONS

1. Any person below the age of 18 could not register to purchase covered warrant.

To complete the procedure to buy covered warrants, please download, fill out the information here and send it to the nearest SSI branch/Transaction Office within the specified time. Download

Investor’s information

Trading account number *

Name of Broker *

Full name of Investor *

Tax file number *

Country of taxation *

Loại giấy tờ *

Issuing date *

Issuing place (Country, Province/City) *

Visa number

Issuing date

Issuing place

Securities trading code *

Issuing date *

Permanent address / Head office *

Current address (Post address) *

Temporary residential registration address in Vietnam for a foreigner residing in Vietnam

Email *

Mobile phone (Country code –Area code –Phone number) *

Is investor the founding shareholder of the Company of underlying stock *

Authorized Person

Name of Authorized person

ID / Passport number

Issuing date

Issuing place (Country, Province / City)

Legal representative

Full name *

Date of birth (dd/mm/yyyy) *

Gender *

ID / Passport number *

Issuing date *

Issuing place (Country, Province/City) *

Nationality *

Mobile phone (Country code – Area code – Phone number)

Job title

Subscription details

Covered Warrant Code *

Covered Warrant Name

Issue Price (VND)

Subscription Volume *

Trading Fee (VND)

Subscription value

Bank account detail for unsuccessful subscription

Bank account name

Account number

At Bank

Form of receiving expected trading results

Investor would like to receive trading results by the following method:

Email (Please specify) *

Quý khách vui lòng lựa chọn CN/ PGD của SSI nơi hỗ trợ thủ tục đăng ký

Chọn văn phòng *

Required documents

Covered Warrant Subscription Form	Certified copy of certificates of company registration
Certified copy of related documents on changing company register information (if applicable)	Certified copy of ID card/passport of legal representative
The Bank confirmation on opening the capital contributed account (CCA) or the indirect investment capital account (for foreign Investors only)	Certified copy of confirmation of securities trading code (STC) from Vietnam Securities Depository (VSD) (for foreign Investors only)
Certified copy of Securities Account Opening Form in case the Investor registers securities trading account to deposit Covered Warrant at other Brokers instead of SSI.	Power of Attorney in which the Legal Representative gives right to an authorized person to sign required documents (if applicable) Certified copy of ID card/Passport of authorized person

GENERAL PROVISIONS

1. Any person below the age of 18 could not register to purchase covered warrant.

To complete the procedure to buy covered warrants, please download, fill out the information here and send it to the nearest SSI branch/Transaction Office within the specified time. Download

Investor’s information

Trading account number *

Name of Broker *

Full name of Investor *

Tax file number *

Country of taxation *

Loại giấy tờ *

Issuing date *

Issuing place (Country, Province/City) *

Permanent address / Head office *

Current address (Post address) *

Email *

Mobile phone (Country code –Area code –Phone number) *

Is investor the founding shareholder of the Company of underlying stock *

Authorized Person

Name of Authorized person

ID / Passport number

Issuing date

Issuing place (Country, Province / City)

Legal representative

Full name *

Date of birth (dd/mm/yyyy) *

Gender *

ID / Passport number *

Issuing date *

Issuing place (Country, Province/City) *

Nationality *

Mobile phone (Country code – Area code – Phone number)

Job title

Subscription details

Covered Warrant Code *

Covered Warrant Name

Issue Price (VND)

Subscription Volume *

Trading Fee (VND)

Subscription value

Bank account detail for unsuccessful subscription

Bank account name

Account number

At Bank

Form of receiving expected trading results

Investor would like to receive trading results by the following method:

Email (Please specify) *

Quý khách vui lòng lựa chọn CN/ PGD của SSI nơi hỗ trợ thủ tục đăng ký

Chọn văn phòng *

Required documents

Covered Warrant Subscription Form	Certified copy of certificates of company registration
Certified copy of related documents on changing company register information (if applicable)	Certified copy of ID card/passport of legal representative
The Bank confirmation on opening the capital contributed account (CCA) or the indirect investment capital account (for foreign Investors only)	Certified copy of confirmation of securities trading code (STC) from Vietnam Securities Depository (VSD) (for foreign Investors only)
Certified copy of Securities Account Opening Form in case the Investor registers securities trading account to deposit Covered Warrant at other Brokers instead of SSI.	Power of Attorney in which the Legal Representative gives right to an authorized person to sign required documents (if applicable) Certified copy of ID card/Passport of authorized person

GENERAL PROVISIONS

1. Any person below the age of 18 could not register to purchase covered warrant.

To complete the procedure to buy covered warrants, please download, fill out the information here and send it to the nearest SSI branch/Transaction Office within the specified time. Download