TÜRK EKONOMİ BANKASI A.Ş. APPLICATION FORM FOR

TÜRK EKONOMİ BANKASI A.Ş.
APPLICATION FORM FOR THE RIGHT TO SELL
I hereby request to sell Türk Ekonomi Bankası A.Ş. (“TEBNK”) shares that I own, details of which are provided below, for a
consideration of TRY 2.437 for one share with a nominal value of TRY 1 (1 lot), in accordance with the Capital Markets
Board Communiqué No. II-27.2 and the disclosures made on Public Disclsoure Platform (“PDP”) on the dates 14.11.2014
and 17.11.2014. Unless I waive my request to sell the sharesuntil the actual transfer of the shares, I hereby accept and
declare having transferred the shares irrevocably and will not reclaim the shares and the consideration thereof shall be paid
as stated herein and within the period set forth under the Communiqué no. II-27.2.
Application Date:
/
/
INVESTOR’S INFORMATION:
Real Persons
Name:
Surname:
Legal Entity
………………………………
………………………………
Turkish ID No:
Address:
Telephone:
E-mail
Intermediary
Institution:
Intermediary
Institution Account
No:
CRA Registration
No:
Title:
Trade Registry
and the Trade
Registry No:
…………………………….
……………………………,
…………….
Tax No:
……………………………….
……………………………….
………………………………….
…………………………...……..
………………………………….
…………………………………
Address:
Telephone:
E-mail
Intermediary
Institution:
Intermediary
InstitutionAccou
nt No:
CRA
Registration No:
…………………..……………
……………………………….
…………………………………
…………………………………
…………………………………
INFORMATION FOR THE SHARES TO BE SOLD:
Number of Shares:
:
………………. TEBNK shares each with a nominal value of TRY 1
ACCOUNT INFORMATION FOR PAYMENT:
Recipient Intermediary/ Bank
Branch
IBAN / Account No
Name Surname / Title of the Recipient
Explanation
:
:
:
:
:
………………………………………..
………………………………………..
………………………………………
……………………………………….
Payment of Consideration for Right to Sell for TEBNK shares
ACCOUNT INFORMATION FOR TEBNK SHARES TO BE TRANSFERRED
Name and Code of the Entity
Account No
CRA Registration No
:
:
.
Türk Ekonomi Bankası A.Ş. Securities Services, TYS
BNP Paribas Fortis Yatırımlar Holding A.Ş account no 22101
36149013…………………………………….
Explanation: The transfer of shares must include information on name surname/title of the investor, Tax No and Turkish ID
No.
I hereby accept and declare that the above information is correct and I will be fully responsible in case of
incorrect information
Signature of the Client:
TRANSACTION AND PROCEDURE
All real persons and legal entities are required to correctly and completely fill this form and sign submit, along with the annexes
and documents evidencing the amount of shares held by such persons or legal entities either by fax to the number (216) 636 52
90 or through e-mail to the address [email protected] or by delivering it to the address at TEB Kampüs, Saray
Mahallesi, Sokullu Cad. No:7/A 34768 Ümraniye İstanbul. Applications can also be forwarded through investment entities.
Real Persons: Copy of the Turkish ID or driver’s license including the Turkish ID No or copy of the passport
Legal Entities in Turkey: Documents in relation to authorized representatives, copy of the tax certificate
Foreign Legal Entities: Document evidencing the tax no and the amount of shares held by such legal entity to be issued by the
custodian
Transfer of Securities: The investors are required to transfer their TEBNK shares within 3 business days until 4:00 PM at latest
following the exercise of their right to sell.
Payment of Consideration: Consideration for the right to sell shall be paid within 2 business days following the transfer of TEBNK
shares.