Date For the Pledgor Messrs Securities Depository Center Please pledge the following securities owned by me for benefit of Issuer's Name No. of Securities to be Pledged Security No. All stock dividends arising from the pledged securities are considered: Subject to the pledge Not subject to the pledge Any bonus shares derived from the pledged securities in the future are: Subject to the pledge Not subject to the pledge Refunds arising from reduction the number of the pledged shares as a result of reduction the company's capital are considered as: Subject to the pledge Not subject to the pledge For the Pledgor Name of the Securities' Owner SDC No. Name of Authorized Signatory for Judicial Entities Signature Official Stamp for Judicial Entities: Agency Information Agency Type Agent أخرى Agent's Name SDC No. Nationality Signature Address Information Country City P.O.Box Postal Code Phone no. Fax no Email Signature انا الراهن الموقع اعلاه اقر بصحة واكتمال البيانات والمعلومات المذكوره اعلاه ، واتحمل كامل المسؤولية المترتبه على ذلك دون تحمل مركز ايداع الاوراق المالية اي مسؤولية عن صحة ودقة واكتمال البيانات والمعلومات For the Pledgee I, the above signatory, acknowledge that the data and information stated above are correct, accurate and complete and I assume the full responsi- bility arising therefrom without holding the Securities Depository Center responsible for the invalidity, inaccuracy and/or incompleteness of the said data and information. Name Pledgee No. SDC No. Name of Authorized Signatory for Judicial Entities Signature Official Stamp for Judicial Entities Agency Information Agency Type Agent أخرى Agent's Name Agent's SDC No. Nationality Signature Address Information Country City P.O.Box Postal Code Phone no. Fax no Email Signature I,the above signatory, acknowledge that the data and information stated above are correct, accurate and complete and I assume the full responsibility arising. For Securities Depository Center's Use For Securities Depository Center's Use Operation Name Signature Date تم التوقيع بحضوري الاسم التوقيع التاريخ Entry Name Signature Date Audit Name Signature Date Approval Name Signature Date Important Notice: Pledge Parties acknowledge that they have read the articles pertaining to pledge in the Instructions issued by the Securities Depository Center.This application is considered a written notification for the Securities Depository Center to pledge the securities of the pledgor referred to in this form for the benefit of the pledgee and they shall be deemed responsible for obtaining the contracts' legal requirements & conditions and thereof ensuring the Pledgor's competence & acceptance without holding the Securities Depository Center responsible thereto.The Securities Depository Center shall register the pledge as stated in this form if it meets the demands and conditions according to the instructions and procedures issued by the Center. The address of Pledge Parties specified in this form is considered a legal address for pledge register and release notification. In the case where the number of securities decreases as a result of decreasing the capital of the company, the number of pledged securities will be decreased in the same percentage and the Securities Depository Center shall inform the pledger and the pledgee to their addresses listed at this form. If the pledged securities are subject to a stock split, the pledge shall be registered on the securities resulting from the stock split. The pledge shall be released only by a written application duly signed by the pledgee submitted to Securities Depository Center. The concerned party shall pay the due fees to the Securities Depository Center. The pledge is subject to the Stamp Duties Law in force. The pledgor and the pledgee acknowledge that the stamp duties due on the pledge contract or deed concluded between them have been paid in accordance with the Stamp Duties Law in force without holding the Securities Depository Center responsible thereto. •The following documents should be attached to this form: 1. The identification documents of the pledgor, pledgee, agent and the person authorized to sign on behalf of the judicial entity. 2. The document that proves that the person authorized to sign on behalf of the judicial entity is authorized to do so. Required Documents Please attach required documents One file only.300 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. CAPTCHA Get new captcha! What code is in the image? Enter the characters shown in the image. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
