(F 53-4-1)
Report on issuance and allotment of new shares
under ageneral mandate
Name of Company......
Date ......
We______Company Limited hereby report of the resolution of the board of directors no.___, held on ______from _____ to ______in respect of a share allotment under a general mandate as follows:
1. Number of new shares under a general mandate that has been previously issued before this allocation:
The meeting of the ordinary/extraordinary shareholder no._____ , held on ______has passed a resolution approving the capital increase under a general mandate as follows:-
The meeting of the board of directors no.______, held on ______has passed a resolution approving the allotment of capital increase under a general mandate no.______which results for the allocation of share outstanding as follows:-
Allotted to / Type of share / Number(shares) /
Note
ExistingShareholders / Ordinary / ...... / ......Preferred / ...... / ......
For supportingthe exercise of Transferable Subscription Rights / ...... / ......
General Public / Ordinary / ...... / ......
Preferred / ...... / ......
Specific Persons / Ordinary / ...... / ......
Preferred / ...... / ......
2.Issuance and allotment of new sharesunder a general mandate (No……) :
2.1The details of issuance and allotment are as follows:-
Allotted to / Type of share / Number(shares) / Ratio
(old: new) / Sale price
(Baht/share) / Subscription and payment period /
Note
Existingshareholders / Ordinary / ...... / ...... / ...... / ...... / ......Preferred / ...... / ...... / ...... / ...... / ......
To supportingthe exercise of transferable subscription rights / ...... / ...... / ...... / ...... / ......
General public / Ordinary / ...... / ...... / ...... / ...... / ......
Preferred / ...... / ...... / ...... / ...... / ......
Specific persons / Ordinary / ...... / ...... / ...... / ...... / ......
(specify)...... / Preferred / ...... / ...... / ...... / ...... / ......
-When shares are allotted to existing shareholders, specify the date on which the shareholders register is to be closed or recorded for the subscription for new shares.
-When the shares are allotted to any specific person, specify particulars of that person, his relationship with the company and basis for determinating of share price. If such person is a juristic entity, state the type of its business, the manner of its business operation, and the juristic person’s major shareholders, directors and management.
-When the shares are allotted to support the conversion or exercise of subscription rights of a given instrument, such as convertible debentures, share-purchase warrants, transferable subscription right, etc., specify particulars of such instrument, includingits characteristics, amount or value, and conditions and material contents (if any).
2.2 The Company’s plan in case where there is a fraction of shares remaining
______
3.Remaining of new share under a general mandate :
Allotted to / Type of share / Number(shares) /
Note
Existingshareholders / Ordinary / ...... / ......Preferred / ...... / ......
To supportingthe exercise of transferable subscription rights / ...... / ......
General public / Ordinary / ...... / ......
Preferred / ...... / ......
Specific persons / Ordinary / ...... / ......
Preferred / ...... / ......
- Due date for allocation new shares under a general mandate is ______
4.Schedule of the share register to right the capital allotment
The share register will be closed for share transfer in order to determine the right to share-purchase the capital increase from _____ .
Or
The share register will be recorded for share transfer in order to determine the right to share-purchase the capital increase on ______. Also, __(one business day after record date)______will be the book-closing date on which the shareholder list as specified in section 225 of the Security Act shall be complied.
5.The Progress of the capital increase/share allotment by relevant governmental agency and conditions thereto (if any)______
______
6. Objectives of the capital increase and plans for untilizing proceeds received from the capital increase
Specify the details relating to the projects and amount of money expected to be utilized in each project, expected completion date and expected starting date of income or employment.
If there is to be acquisition of properties, specify the type, working condition, value and basis for the valuation, appraised value made by an independent appraiser (if any) and encumbrances to such properties.
If the proceeds will be used for debt repayment, disclose the details of the transactions from which such debts arosesuch capital increase shall be deemed to be made for the use in the operations of such projects.
7.Benefits which the Company will receive from the capital increase/share allotment:
______
______
8.Benefits which the shareholders will receive from the capital increase/share allotment:
8.1 Dividend policy ______
______
8.2 Subscribers of new shares issued for this capital increase will be entitled to receive dividends from the Company’s business operations starting from__
______
______.
8.3 Others ______
______
- Other details necessary for shareholders to approve the capital increase/share allotment:______
______
10.Schedule of action regarding the issuance and allotment the new shares under the general mandate:
No. / Procedures of the capital increase / Date/Month/YearThe Company hereby certifies that the information contained in this report form is true and complete in all respects.
(To be signed by the authorizedSigned______authorized director
directors who are authorized to (______)
sign on behalf of the CompanyPosition______
with the Company’s seal affixed)
Signed______authorized director
(______)
Position______