BURSA MALAYSIA DEPOSITORY SDN BHD (165570W)

SECURITIES WITHDRAWAL REQUEST

PARTICULARS OF SECURITY

PARTICULARS OF DEPOSITOR PARTICULARS OF WITNESS

PARTICULARS OF THIRD PARTY

FOR OFFICE USE ONLY

DATE:

SECURITIES CODE:

QUANTITY:

YES NO

REGISTERED INTO NAME OF THIRD PARTY:

CDS ACCOUNT NO.:

NRIC/PASSPORT NO./REG. NO.:

NAME :

:

:

:

:

:

NRIC/PASSPORT

ADDRESS

OCCUPATION

SIGNATURE

DATE

NAME OF DEPOSITOR:

NATIONALITY:

CERTIFICATE OPTION:

(1 Single 2 Marketable)

(Tick whichever applicable)

(Tick whichever applicable)

(Delete whichever inapplicable)

(Tick whichever applicable)

SECURITIES NAME:

MALAYSIAN

SIGNATURE OF DEPOSITOR/AUTHORISED SIGNATORIES

COMPLETE THIS PART IF THE SECURITY IS TO BE REGISTERED INTO THE NAME OF A THIRD PARTY

NAME OF THIRD PARTY:

To be completed by ADA / ADM To be completed by Bursa Depository

DATE RECEIVED RECEIVED ON: :TIME

(Sign and affix company’s rubber stamp)

(Authorised Signatory)

NRIC/PASSPORT NO./REG NO.:

ADDRESS:

NATIONALITY:

FOREIGNER

MALAYSIAN FOREIGNER

NF/11FWT 010

QUANTITY IN WORDS:

VERIFIED BY :

DATA ENTRY BY

WITHDRAWAL REFERENCE NO.:

DATE

:

:

:

CHECKED BY :

APPROVED BY

SENT TO REGISTRAR ON

:

:

DEPOSITORY

Page 1 of 3

ADA/ADM

Page 2 of 3

DEPOSITOR

Page 3 of 3

1. This form must be completed in triplicate.

2. Please write using BLOCK LETTERS.

3.

4.

5.

INSTRUCTIONS FOR COMPLETION OF SECURITY WITHDRAWAL REQUEST FORM

Each box should contain only one letter. Leave one box between words.

Each form must contain only one counter.

Each completed SecurityWithdrawal Request Form must be accompanied by the Form 32A.

6. Signature of the Depositor must be witnessed.

7. A husband must not witness the signature of his wife or vice versa.

8. A Corporate account holder must affix its rubber stamp where the board resolution does notauthorise the use of common seal.

9.

a) Singly quoted shares.

i)

ii)

Withdrawal by a foreigner in favour of himself or another foreigner.

Withdrawal by a Malaysian in favour of a foreigner.

b) Separately quoted shares.

i)

ii)

Withdrawal of local shares by a foreigner in favour of himself or another foreigner.

Withdrawal of local shares by a Malaysian in favour of a foreigner.

For counter with foreign limitation, please ensure that a valid Acceptance Letter from the ShareRegistrar/Issuer is attached together with the Withdrawal Request Form/Form 32A for the following situations:

10. Form defaced by erasure or any kind of correcting fluid may result in the request being rejected.Every amendment must be counter signed by both the investor and the authorised signatories of theADA.

11. The Bursa Malaysia Depository Sdn Bhd (“Bursa Depository”) reserves the right to reject anywithdrawal request which does not conform to the Rules of The Bursa Malaysia Depository SdnBhd, procedures, guidelines or instructions issued by Bursa Depository.

12. Please contact your ADA if you do not receive the Successful Withdrawal Advice within 7 daysafter the ADA has effected your withdrawal request.

A depositor intending to withdraw the said security is advised to lodge his application at hisauthorised depository agent by 12 noon for value same day.

BURSA MALAYSIA DEPOSITORY SDN BHD (165570W)

SECURITIES WITHDRAWAL REQUEST

PARTICULARS OF SECURITY

PARTICULARS OF DEPOSITOR PARTICULARS OF WITNESS

PARTICULARS OF THIRD PARTY

FOR OFFICE USE ONLY

DATE:

SECURITIES CODE:

QUANTITY:

YES NO

REGISTERED INTO NAME OF THIRD PARTY:

CDS ACCOUNT NO.:

NRIC/PASSPORT NO./REG. NO.:

NAME :

:

:

:

:

:

NRIC/PASSPORT

ADDRESS

OCCUPATION

SIGNATURE

DATE

NAME OF DEPOSITOR:

NATIONALITY:

CERTIFICATE OPTION:

(1 Single 2 Marketable)

(Tick whichever applicable)

(Tick whichever applicable)

(Delete whichever inapplicable)

(Tick whichever applicable)

SECURITIES NAME:

MALAYSIAN

SIGNATURE OF DEPOSITOR/AUTHORISED SIGNATORIES

COMPLETE THIS PART IF THE SECURITY IS TO BE REGISTERED INTO THE NAME OF A THIRD PARTY

NAME OF THIRD PARTY:

To be completed by ADA / ADM To be completed by Bursa Depository

DATE RECEIVED RECEIVED ON: :TIME

(Sign and affix company’s rubber stamp)

(Authorised Signatory)

NRIC/PASSPORT NO./REG NO.:

ADDRESS:

NATIONALITY:

FOREIGNER

MALAYSIAN FOREIGNER

NF/11FWT 010

QUANTITY IN WORDS:

VERIFIED BY :

DATA ENTRY BY

WITHDRAWAL REFERENCE NO.:

DATE

:

:

:

CHECKED BY :

APPROVED BY

SENT TO REGISTRAR ON

:

:

DEPOSITORY

Page 1 of 3

ADA/ADM

Page 2 of 3

DEPOSITOR

Page 3 of 3

1. This form must be completed in triplicate.

2. Please write using BLOCK LETTERS.

3.

4.

5.

INSTRUCTIONS FOR COMPLETION OF SECURITY WITHDRAWAL REQUEST FORM

Each box should contain only one letter. Leave one box between words.

Each form must contain only one counter.

Each completed SecurityWithdrawal Request Form must be accompanied by the Form 32A.

6. Signature of the Depositor must be witnessed.

7. A husband must not witness the signature of his wife or vice versa.

8. A Corporate account holder must affix its rubber stamp where the board resolution does notauthorise the use of common seal.

9.

a) Singly quoted shares.

i)

ii)

Withdrawal by a foreigner in favour of himself or another foreigner.

Withdrawal by a Malaysian in favour of a foreigner.

b) Separately quoted shares.

i)

ii)

Withdrawal of local shares by a foreigner in favour of himself or another foreigner.

Withdrawal of local shares by a Malaysian in favour of a foreigner.

For counter with foreign limitation, please ensure that a valid Acceptance Letter from the ShareRegistrar/Issuer is attached together with the Withdrawal Request Form/Form 32A for the following situations:

10. Form defaced by erasure or any kind of correcting fluid may result in the request being rejected.Every amendment must be counter signed by both the investor and the authorised signatories of theADA.

11. The Bursa Malaysia Depository Sdn Bhd (“Bursa Depository”) reserves the right to reject anywithdrawal request which does not conform to the Rules of The Bursa Malaysia Depository SdnBhd, procedures, guidelines or instructions issued by Bursa Depository.

12. Please contact your ADA if you do not receive the Successful Withdrawal Advice within 7 daysafter the ADA has effected your withdrawal request.

A depositor intending to withdraw the said security is advised to lodge his application at hisauthorised depository agent by 12 noon for value same day.

BURSA MALAYSIA DEPOSITORY SDN BHD (165570W)

SECURITIES WITHDRAWAL REQUEST

PARTICULARS OF SECURITY

PARTICULARS OF DEPOSITOR PARTICULARS OF WITNESS

PARTICULARS OF THIRD PARTY

FOR OFFICE USE ONLY

DATE:

SECURITIES CODE:

QUANTITY:

YES NO

REGISTERED INTO NAME OF THIRD PARTY:

CDS ACCOUNT NO.:

NRIC/PASSPORT NO./REG. NO.:

NAME :

:

:

:

:

:

NRIC/PASSPORT

ADDRESS

OCCUPATION

SIGNATURE

DATE

NAME OF DEPOSITOR:

NATIONALITY:

CERTIFICATE OPTION:

(1 Single 2 Marketable)

(Tick whichever applicable)

(Tick whichever applicable)

(Delete whichever inapplicable)

(Tick whichever applicable)

SECURITIES NAME:

MALAYSIAN

SIGNATURE OF DEPOSITOR/AUTHORISED SIGNATORIES

COMPLETE THIS PART IF THE SECURITY IS TO BE REGISTERED INTO THE NAME OF A THIRD PARTY

NAME OF THIRD PARTY:

To be completed by ADA / ADM To be completed by Bursa Depository

DATE RECEIVED RECEIVED ON: :TIME

(Sign and affix company’s rubber stamp)

(Authorised Signatory)

NRIC/PASSPORT NO./REG NO.:

ADDRESS:

NATIONALITY:

FOREIGNER

MALAYSIAN FOREIGNER

NF/11FWT 010

QUANTITY IN WORDS:

VERIFIED BY :

DATA ENTRY BY

WITHDRAWAL REFERENCE NO.:

DATE

:

:

:

CHECKED BY :

APPROVED BY

SENT TO REGISTRAR ON

:

:

DEPOSITORY

Page 1 of 3

ADA/ADM

Page 2 of 3

DEPOSITOR

Page 3 of 3

1. This form must be completed in triplicate.

2. Please write using BLOCK LETTERS.

3.

4.

5.

INSTRUCTIONS FOR COMPLETION OF SECURITY WITHDRAWAL REQUEST FORM

Each box should contain only one letter. Leave one box between words.

Each form must contain only one counter.

Each completed SecurityWithdrawal Request Form must be accompanied by the Form 32A.

6. Signature of the Depositor must be witnessed.

7. A husband must not witness the signature of his wife or vice versa.

8. A Corporate account holder must affix its rubber stamp where the board resolution does notauthorise the use of common seal.

9.

a) Singly quoted shares.

i)

ii)

Withdrawal by a foreigner in favour of himself or another foreigner.

Withdrawal by a Malaysian in favour of a foreigner.

b) Separately quoted shares.

i)

ii)

Withdrawal of local shares by a foreigner in favour of himself or another foreigner.

Withdrawal of local shares by a Malaysian in favour of a foreigner.

For counter with foreign limitation, please ensure that a valid Acceptance Letter from the ShareRegistrar/Issuer is attached together with the Withdrawal Request Form/Form 32A for the following situations:

10. Form defaced by erasure or any kind of correcting fluid may result in the request being rejected.Every amendment must be counter signed by both the investor and the authorised signatories of theADA.

11. The Bursa Malaysia Depository Sdn Bhd (“Bursa Depository”) reserves the right to reject anywithdrawal request which does not conform to the Rules of The Bursa Malaysia Depository SdnBhd, procedures, guidelines or instructions issued by Bursa Depository.

12. Please contact your ADA if you do not receive the Successful Withdrawal Advice within 7 daysafter the ADA has effected your withdrawal request.

A depositor intending to withdraw the said security is advised to lodge his application at hisauthorised depository agent by 12 noon for value same day.

BURSA MALAYSIA DEPOSITORY SDN BHD (165570W)

SECURITIES WITHDRAWAL REQUEST

PARTICULARS OF SECURITY

PARTICULARS OF DEPOSITOR PARTICULARS OF WITNESS

PARTICULARS OF THIRD PARTY

FOR OFFICE USE ONLY

DATE:

SECURITIES CODE:

QUANTITY:

YES NO

REGISTERED INTO NAME OF THIRD PARTY:

CDS ACCOUNT NO.:

NRIC/PASSPORT NO./REG. NO.:

NAME :

:

:

:

:

:

NRIC/PASSPORT

ADDRESS

OCCUPATION

SIGNATURE

DATE

NAME OF DEPOSITOR:

NATIONALITY:

CERTIFICATE OPTION:

(1 Single 2 Marketable)

(Tick whichever applicable)

(Tick whichever applicable)

(Delete whichever inapplicable)

(Tick whichever applicable)

SECURITIES NAME:

MALAYSIAN

SIGNATURE OF DEPOSITOR/AUTHORISED SIGNATORIES

COMPLETE THIS PART IF THE SECURITY IS TO BE REGISTERED INTO THE NAME OF A THIRD PARTY

NAME OF THIRD PARTY:

To be completed by ADA / ADM To be completed by Bursa Depository

DATE RECEIVED RECEIVED ON: :TIME

(Sign and affix company’s rubber stamp)

(Authorised Signatory)

NRIC/PASSPORT NO./REG NO.:

ADDRESS:

NATIONALITY:

FOREIGNER

MALAYSIAN FOREIGNER

NF/11FWT 010

QUANTITY IN WORDS:

VERIFIED BY :

DATA ENTRY BY

WITHDRAWAL REFERENCE NO.:

DATE

:

:

:

CHECKED BY :

APPROVED BY

SENT TO REGISTRAR ON

:

:

DEPOSITORY

Page 1 of 3

ADA/ADM

Page 2 of 3

DEPOSITOR

Page 3 of 3

1. This form must be completed in triplicate.

2. Please write using BLOCK LETTERS.

3.

4.

5.

INSTRUCTIONS FOR COMPLETION OF SECURITY WITHDRAWAL REQUEST FORM

Each box should contain only one letter. Leave one box between words.

Each form must contain only one counter.

Each completed SecurityWithdrawal Request Form must be accompanied by the Form 32A.

6. Signature of the Depositor must be witnessed.

7. A husband must not witness the signature of his wife or vice versa.

8. A Corporate account holder must affix its rubber stamp where the board resolution does notauthorise the use of common seal.

9.

a) Singly quoted shares.

i)

ii)

Withdrawal by a foreigner in favour of himself or another foreigner.

Withdrawal by a Malaysian in favour of a foreigner.

b) Separately quoted shares.

i)

ii)

Withdrawal of local shares by a foreigner in favour of himself or another foreigner.

Withdrawal of local shares by a Malaysian in favour of a foreigner.

For counter with foreign limitation, please ensure that a valid Acceptance Letter from the ShareRegistrar/Issuer is attached together with the Withdrawal Request Form/Form 32A for the following situations:

10. Form defaced by erasure or any kind of correcting fluid may result in the request being rejected.Every amendment must be counter signed by both the investor and the authorised signatories of theADA.

11. The Bursa Malaysia Depository Sdn Bhd (“Bursa Depository”) reserves the right to reject anywithdrawal request which does not conform to the Rules of The Bursa Malaysia Depository SdnBhd, procedures, guidelines or instructions issued by Bursa Depository.

12. Please contact your ADA if you do not receive the Successful Withdrawal Advice within 7 daysafter the ADA has effected your withdrawal request.

A depositor intending to withdraw the said security is advised to lodge his application at hisauthorised depository agent by 12 noon for value same day.