QUESTIONNAIRE TO BE COMPLETED IN RESPECT OF A DIRECTOR AND KEY EMPLOYEE WHO IS LEAVING / HAS LEFT THE EMPLOY OF THE CREDIT RATING AGENCY

1.        Specific information to be provided:

1.1        Title, full name(s) and surname of director or key employee,

.............................................................................................................................................................................

1.2        Position held (e.g. director or managing director),

...........................................................................................................................................................................

1.3        Reason(s) for the termination or resignation of the director or key employee,

...........................................................................................................................................................................

1.4        Effective date of the termination or resignation,

...........................................................................................................................................................................

2.        Is there any information that you wish to bring to the attention of the registrar in relation to your termination or resignation?

YES:        (              )

NO:        (              )

If the answer is "Yes" specify the information or documents referred to. A separate schedule may be completed and attached to this document with proper referencing.

DECLARATION

(to be completed by directors and key employees who are leaving / have left a credit rating agency and by the managing director on behalf of a credit rating agency.)

I, the undersigned, (insert full first name(s) and surname) hereby certify that, to the best of my knowledge, the information given in the answers to the above questions are true, complete and accurate and not misleading in any respect.

Full name(s) and surname: ......................................................................................................

Position held: .........................................................................................................................

SIGNATURE: COMPANY DIRECTOR, duly authorised as signatory

SIGNATURE: ....................................................................................                        DATE ...........................................................

SIGNATURE: DIRECTOR ...................................................................                         DATE ............................................................

SIGNATURE: KEY EMPLOYEE ....................................................................              DATE .............................................................

Documents to be submitted