Board of Director Nomination Form

INSTRUCTIONS TO COMPLETE THIS FORM

  1. Please complete all of the requested information in this application. The Company may ask applicants to furnish the Company with any missing information.

  2. This application together with the supporting documents must be sent for the attention of Mr. Hamish Jooste via registered mail to the following address: National Central Cooling Company PJSC, P.O. Box: 29478, Abu Dhabi, United Arab Emirates or by email to: hjooste@tabreed.ae from 15 February 2017 to 26 February 2017.

  1. PERSONAL DETAILS OF THE CANDIDATE

    First Name:

    Second Name:

    Third Name:

    Family Name:

    Nationality:

    Place and Date of Birth:

    Full Residential Address (actual address not PO Box address only)

    Current Job:

    Work Address:

    Office Number:

    Mobile Number:

    Identity Card no:

    Family ID Book No. for UAE Nationals:

    No. of shares owned in the Company:

    No. of Investor at Abu Dhabi Securities Market:

  2. TYPE OF MEMBERSHIP FOR NOMINATION ( TICK APPLICABLE)

    • Executive Member Non-Executive Member Independent Member

  3. UNIVERSITY DEGREES OF THE CANDIDATE

    DEGREE

    MAJOR

    UNIVERSITY

    GRADUATION DATE

    1

    2

    3

  4. LANGUAGES

    Do you speak, write, and read Arabic fluently? Yes No Do you speak, write, and read English fluently? Yes No

  5. PRACTICAL EXPERIENCE

    Practical Experience ( Including Place of Work)

    Years of Experience

    1

    2

    3

    4

    5

  6. INTERESTS RELATED TO THE COMPANY ( TICK APPLICABLE)

  7. Are there any direct or indirect interests of the candidate with the Company?

    • Yes No If yes, please provide full details:

  8. Is the candidate involved in any business directly or indirectly which competes or may compete with the Company? Yes No If yes, please provide full details:

  10. CURRENT MEMBERSHIPS OF THE CANDIDATE IN THE BOARDS OF OTHER COMPANIES (WHETHER OR NOT LISTED) OR IN COMMITTEES OF THESE BOARDS

    Company

    Main Activity

    Type of Membership (Executive, Non- Executive, Committees Independent)

    Membership of Committees

    1

    2

    3

    4

    5

  11. REASONS FOR NOMINATION

    (Please provide summary of your reasons for nomination and give details of your ability to contribute to the development of the Company's business and activities)

  12. ENCLOSURES ( TICK APPLICABLE)

    The following documents are enclosed:

    • Copy of the passport or the identity card.

    • Copy of the family ID book for UAE nationals.

    • Copy of the candidate's university degrees duly certified.

    • Copy of the candidate's curriculum vitae.

  13. CHARACTER CONFIRMATIONS ( TICK APPLICABLE)

    • The candidate has not been previously sentenced to a criminal penalty or for an offense that involves a breach of honor or integrity.

    • The candidate has not been subject to a court judgment of discharge or dismissal from the board of directors of any listed company in the 1 year period prior to the date of nomination

    • The candidate's civil record issued by the Securities and Commodities Authority is clear of administrative penalties.

    • The candidate is not subject to any lawsuits, reports or police investigations concerning any offense that involves a breach of honesty or integrity.

    • The candidate undertakes to comply with the provisions of Federal Law No. (2) of 2015 concerning Commercial Companies, its implementing resolutions and regulations and the Company's articles of association.

    • The candidate undertakes to exercise his or her duties as expected by a prudent person.

  14. RATIFICATION OF INFORMATION AND SIGNATURE

  15. I confirm the accuracy of the information contained in this application and grant the Company's Nomination and Remuneration Committee full authority to exclude this application if:

    1. any of the information contained in this application is inaccurate or incomplete and I fail to furnish the Company with information reasonably requested for this purpose; or

    2. my nomination to membership to the board of directors of the Company violates the provisions of the law or the Company's Articles of Association.

      3. The Candidate:

      Name:

      Signature:

      Date:

    Tabreed PJSC published this content on 15 February 2017 and is solely responsible for the information contained herein.
    Distributed by Public, unedited and unaltered, on 15 February 2017 07:03:14 UTC.

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