FORM – Corporate Finance
Provision of information in relation to categorisation of clients and eligibility according to Act on Securities Transactions (MiFID) /

Financial undertakings, including Arctica Finance hf. (“Arctica”), are obligated according to Icelandic Act on Securities Transactions (i.a. Articles 16 and 18) to gather information on clients, so that they are better able to evaluate a client’s ability to do business in accordance with his situation and to categorise clients[1] (information on client categorisation and on risks of financial instruments can be found on Arctica’s website). Arctica is obligated to keep strictly confidential in accordance with applicable law all information provided with this form.

In order to ensure a better advice and services it is important that clients answer the questions in this form to their best knowledge. Wrong or insufficient provision of information obstructs Arctica in providing relevant advice on investments and investment services. Clients are responsible for any inconvenience or losses resulting therefrom.

1 Client
Name: / Reg./Id. No.:
Legal residence: / City, Zip Code and Country:
2 Purpose of Business

a What services does the client intend to acquire from Arctica’s Corporate Finance department?

Buy financial instruments Sell (issue) financial instruments Financial reorganization

Loan funding List financial instruments Other

Describe
3 Position Towards Risk

a What is the client’s position towards risk (choose one of the options below)?

Little risk – Protect capital

The objective is to minimize risk of the capital decreasing

Medium risk – Keep a balance between protection of capital and return on capital

The objective is to keep good balance between risk and return on capital

High risk – Increase capital by taking considerable or high risk

The objective is to seek as much of a return on capital as possible, even if it entails high risk

Other (optional)
4 Financial Strength

Provision of information on financial strength (a-d) is not necessary, if I) a legal entity submits its latest annual or semi-annual accounts, or II) an individual provides its latest tax return form. If considerable changes have occurred, then information thereon must be provided.

a AssetsISK million

Deposits and cash

Securities (shares, bonds, funds etc.)

Real estate

Other assets (which?)

TOTAL ASSETS

b DebtISK million

Short term debt(less than 1 year)

Long term debt(more than 1 year)

TOTAL DEBT

c Income

Disposable income per month after taxes (on average)ISK

d Obligations

Monthly payments of obligations (on average)ISK

5 Knowledge and Experience on the Financial Markets

a Knowledge and experience on trades with the followingNone/LittleMediumMuch

Listed shares

Listed bonds

UCITS and investment funds

Unlisted shares

Unlisted bonds

Derivatives (listed/unlisted)

Other (what?)

b The client can here list his expertise, experience and knowledge with regard to finance and securities transactions, i.a. education, job experience, dealings with financial markets etc. The client can submit a curriculum vitae.

6 Confirmations

a With his signature below, the client confirms to have familiarized himself with the following:

  • Arctica’s summary on client categorisation (see )
  • Arctica’s overview on risks related to financial securities (see )

The client confirms with his signature that the information above is correct.

Place / Date / Client signature

Issue: October 20131/2

[1] Three categories, i) retail clients, ii) professional clients, and iii) eligible counterparties. Each category provides different legal protection