First Name, Last Name, Title

- 1 -

Declaration of honour

by a person nominated as a member of the statutory body of...... 1) (hereinafter 'the bank') with responsibility for investment business in accordance with Articles 7(15) and 25 of Act No 483/2001 Coll. on banks (and amending certain laws) as amended (hereinafter 'the Banking Act'), and with Article 8(b) of Act No 566/2001 Coll. on securities and investment services (and amending certain laws) as amended (hereinafter 'the Securities Act').

First name, last name, title: ………......

Date of birth and/or personal identification number:......

Nationality:………………......

Permanent address: …......

I, the undersigned, being nominated as a member of the statutory body with responsibility for investment business, hereby certify the following:

I am not / am2 an employee of the bank.

2a)I have not / have2 within the past ten years held the position of member of the statutory body, authorised representative, supervisory board member, senior employee reporting directly to the statutory body, head of internal control and internal audit at a bank, a foreign bank or other financial institution, or the position of head or senior employee of a foreign bank branch, at any / some2 time within one year before the banking authorisation or other operational authorisation of that entity was revoked; if yes, the position held and the name and registered office address of the respective bank, foreign bank, financial institution or foreign bank branch are to be stated below:

......

b)Ihave not / have2 within the past ten years held the position of member of the statutory body, authorised representative, supervisory board member, senior employee reporting directly to the statutory body, head of internal control and internal audit at a bank, a foreign bank, or other financial institution at any / some2 time within one year before that entity was placed into receivership or made subject to a foreign reorganisation order pursuant to Article 53(9) of the Banking Act; if yes, the position held and the name and registered office address of the respective bank, foreign bank or financial institution are to be stated below:

......

c)I have not / have2 within the past ten years held the position of member of the statutory body, authorised representative, supervisory board member, senior employee reporting directly to the statutory body, head of internal control and internal audit at a bank, a foreign bank, or other financial institution at any / some2 time within one year before that entity entered into liquidation or was declared insolvent,before a bankruptcy order was made against it,before it was admittedto restructuring proceedings, before a compulsory arrangement with its creditors was approved or it entered into a voluntary arrangement, before a petition for a bankruptcy order against it was refused on grounds of insufficient assets, or before bankruptcy proceedings against it were suspended or discontinued on grounds of insufficient assets; if yes, the position held and the name and registered office address of the respective bank, foreign bank, financial institution or foreign bank branch are to be stated below:

......

d)I have not / have2 within the past ten years been subject to a fine exceeding 50% of the amount of the fine that may be imposed under Article 50(2) of the Banking Act.

e)I am not / am2deemed to be a person who fails to meet fit and proper criteria underseparate regulations concerning the financial market.

f)I have during the previous ten years performed my duties and conducted my business reliably,honestly and without breaching any generally binding legal regulations and, these facts being taken into account, I guarantee that Iwill exercise the office for which I have been nominated in a reliable and honest manner, without breaching any generally binding legal regulations, and in fulfilment of my obligations under generally binding legal regulations, under the articles of association of the bank or foreign bank, and under that institution's internal regulations and management directives.

3.a)I have not / have2 held the position ofmanagement board member, senior employee reporting directly to the statutory body, chief compliance officer, chief risk management officer, or chief audit officer at an investment firm or at a bank, a foreign bank branch, an asset management company, an insurance undertaking, a supplementary pension insurance company or supplementary pension management company, a central securities depository or entity established outside Slovakia which performs a similar activity, or a pension fund managementcompany at any / some2 time within one year before the authorisation of that entity was revoked, or held the position of head of a foreign investment firm's branch at any / some2 time within one year before that branch's authorisation to perform the activities of foreign investment firm in Slovakia was revoked; if yes, the position held and the name and registered office address of the respective entity are to be stated below:

......

b)I have not / have2 held the position ofmanagement board member, senior employee reporting directly to the statutory body, chief compliance officer, chief risk management officer, or chief audit officer at an investment firm or at a bank, a foreign bank branch, an asset management company, an insurance undertaking, a supplementary pension insurance company or supplementary pension management company, a central securities depository or entity established outside Slovakia which performs a similar activity, or a pension fund managementcompany at any / some2 time within one year before that entity was placed into receivership; if yes, the position held and the name and registered office address of the respective entity are to be stated below:

......

c)I have not / have2 held the position ofmanagement board member, senior employee reporting directly to the statutory body, chief compliance officer, chief risk management officer, or chief audit officer at an investment firm or at a bank, a foreign bank branch, an asset management company, an insurance undertaking, a supplementary pension insurance company or supplementary pension management company, a central securities depository or entity established outside Slovakia which performs a similar activity, or a pension fund managementcompany at any / some2 time within one year before that entity entered into liquidation or before a bankruptcy order was made against it; if yes, the position held and the name and registered office address of the respective entity are to be stated below:

......

d)I have not / have2 held the position ofmanagement board member, senior employee reporting directly to the statutory body, or head of internal control at an investment firm or at a bank, a foreign bank branch, an asset management company, an insurance undertaking, a supplementary pension insurance company or supplementary pension management company, a central securities depository or entity established outside Slovakia which performs a similar activity, or a pension fund managementcompany at any / some2 time within one year before that entity was placed into receivership; if yes, the position held and the name and registered office address of the respective entity are to be stated below:

......

e)I have not / have2 been subject to a fine exceeding 50% of the amount of the fine that may be imposed under Article 144(7) of the Securities Act;

4.While or after serving as a member of the statutory body of the bank, I will not perform any duties which, under Slovak law, are incompatible with that position. If at any time during my term as a member of the statutory body of the bank there is any change in facts that, under Slovak law, constitute a precondition for serving as a member of the statutory body, or a change in any other facts stated in this declaration,I will in writing notify the bank of that change without undue delay and take all possible legal steps to remedy any non-compliance with Slovak law (by, for example, resigning as a member of the statutory body of the bank).

5.I do not have / have2 a close relative (parent, grandparent, child, grandchild, sibling, spouse or other person under Article 116 of the Civil Code) who is at the present time in an employment or similar relationship with the bank, or with another bank, a foreign bank branch, a foreign bank, a financial institution or a business legal entity (established in Slovakia or abroad) which is part of the bank's parent group; if yes, that person's first and last names,employment position and relationship with the undersigned, as well as the name and registered office address of the respective bank, foreign bank branch, foreign bank, financial institution or legal entity, are to be stated below:

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6.I am not/ am2 the statutory body, a member of the statutory body, an authorised representative, or a supervisory board member of another business legal entity (established in Slovakia or abroad); if yes, the position held and the name, registered office address and company registration number (IČO) of the legal entity are to be stated below:

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(If the conditions laid down in Article 25(1) of the Banking Act,in conjunction with Article 25(14) and (15) of the same,are not met, the undersigned must also submit a written document certifying that they have ceased to hold that position and stating the exact date on which they ceased to do so. Alternatively, the undersigned may submit a declaration of honour stating that they will cease holding that position as of the date of their appointment as a member of the statutory body of the bank.)

7.a)I do not have / have2 an interest of more than 5% in the share capital or voting rights of a legal entity; if yes, the name, registered office address and company registration number (IČO) of the legal entity are to be stated below, along with the amount of the share capital and the percentage interest in the share capital:

......

b)I am not / am2 a member of the statutory body,supervisory body or management of a legal entity; if yes, the position held in the legal entity is to be stated below, along with the name, registered office address and company registration number (IČO) of the legal entity:

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c)I do not guarantee / guarantee2 the liabilities of a legal entity with a significant proportion of my own assets; if yes,the legal entity's name, registered office address and company registration number (IČO) are to be stated below, along with the extent of the guarantee:

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8.I will / will not2 be devoting an appropriate amount of time to performing the duties of a member of the statutory body of the bank:

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(If holding more than one position pursuant toArticle 25(1) of the Banking Act,in conjunction with Article 25(14) and (15)of the same, the undersigned must state how they will meet the requirement to devote an appropriate amount of time to performing the duties of a member of the statutory body of the bank and state how much time on average they will devote to each position held.)

9.I am not / am2 party to a commercial or similar relationship (as a sole proprietor or by acting on behalf of a legal entity) with the bank or with the parent institution or any subsidiary of the bank; if yes, the name, registered office address and company registration number (IČO) of the entity concerned are to be stated below, along with a description of the commercial or similar relationship and its duration:

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10. I am not/ am2 party to court proceedings brought against the bank or against the parent institution or any subsidiary of the bank; if yes, the name, registered office address and company registration number (IČO) of the entity concerned are to be stated below, along with the subject matter and current status of the court proceedings:

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11. I have not / have2 within the past two years been in an employment or business relationship with the bank, with the parent institution or any subsidiary of the bank, with a company that is a competitor of the bank or with the parent institution or any subsidiary of such a company; if yes, the position held and the legal entity's name, registered office address and company registration number (IČO) are to be stated below:

......

12.I do not have / have2 a significant financial liability3 towards the bank or towards the parent institution or any subsidiary of the bank; if yes, the type, amount and duration of the liability are to be stated below:

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13. I have not / have2 within the past two years held any position of significant political influence; if yes, the position and the powers and responsibilities attached to it are to be stated below:

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14. I do not have / have2any significant financial interests (such as, for example, a shareholding) in the bank, in the parent institution or any subsidiary of the bank, in a company that is a competitor of the bank or in the parent institution or any subsidiary of such a company; if yes, the name, registered office address and company registration number (IČO) of the entity concerned are to be stated below, along with the main business activities of the company, the relationship between the company and the bank, the relevant period of the relationship between the company and the bank, and the amount of the financial interest (the amount of any interest in the share capital or voting rights and the amount of any other investment):

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15.I do not represent in any way / represent in some way2 a shareholder of the bank or a shareholder of the parent institution orany subsidiary of the bank; if yes, details of the entity (the first and last names, if a natural person, or the name, registered office address and company registration number (IČO), if a legal entity) are to be stated below, along with the size of the shareholder's interest in the share capital and voting rights, and details of how the undersigned represents the shareholder:

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16.I do not have / have2 another relationship that could affect my independence; if yes, a description of the relationship and any relevant details about it are to be stated below:

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17.I, the undersigned, declare that all the information stated herein and the documents submitted are complete, accurate, true, fair and up to date.

Date ______

Signature

______

1)State the full name of the bank as recorded in the Commercial Register.

2)Delete as appropriate.

3)Loans of less than €100,000 agreed under market conditions and mortgages agreed under normal market conditions are not deemed to be significant financial liabilities.