ﺔﻌﺟاﺮﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺢﻴﺷﺮﺗ ةرﺎﻤﺘﺳا Board Audit Committee Membership
Candidate Form
I, the undersigned, here by submit my request to run for Arab National Bank (ANB) Audit Committee’s membership for the new term, which begins on April 01, 2023 and ends on March 31, 2026 Attached are all the required documents and information as set out in the Bank’s announcement regarding the candidacy on the Saudi Stock Exchange website (Tadawul). I confirm that I have read the nomination conditions announced and included in the regulations issued by the supervisory and
regulatory, authorities and confirm that all information, data and signatures contained in the documents of this application. and its attachments are complete, valid and
accurate
I authorize Arab National Bank to check my electronic Criminal Record Certificate, and the status of my credit record with Saudi Credit Bureau “SIMAH” , banks and other similar companies licensed by the Saudi Central Bank, and my financial information, whether disclosed or not.
Furthermore, I authorize the Bank to disclose and exchange my information to with SIMAH pursuant to this
document
I acknowledge my knowledge and consent that my candidacy for Audit Committee’s membership is
compliant with and subject to the Board Membership Nomination Criteria Policy and subject to Procedures, which require review and verification of my record and background as mentioned above, and providing any additional information or documents that the Bank or the regulatory authorities may require later. Based on which
this was signed .
.
.
ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺢﺷﺮﺘﻟا ﻲﻓ ﻲﺘﺒﻏﺮﺑ مﺪﻘﺗأ هﺎﻧدأ ﻊﻗﻮﻤﻟا ﺎﻧأ ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟا ةرادإ ﺲﻠﺠﻣ ﻦﻣ ﺔﻘﺜﺒﻨﻤﻟا ﺔﻌﺟاﺮﻤﻟا ﻲﻓ ﻲﻬﺘﻨﺗو م2023 ﻞﻳﺮﺑأ 01 ﺦﻳرﺎﺘﺑ أﺪﺒﺗ ﻲﺘﻟا ﺔﻣدﺎﻘﻟا ةروﺪﻠﻟ ”ﻚﻨﺒﻟا“
تﺎﻧﺎﻴﺒﻟاو ﻖﺋﺎﺛﻮﻟا ﺔﻓﺎﻛ ﻪﻴﻄﺑ ﻢﻜﻟ ﻖﻓﺮﻣ .م2026 سرﺎﻣ 31 صﺎﺨﻟا ﻚﻨﺒﻟا نﻼﻋإ ﻲﻓ ﺎﻬﻴﻟإ ةرﺎﺷا ﻢﺗ ﻲﺘﻟاو ،ﺔﺑﻮﻠﻄﻤﻟا ﻰﻠﻋ ﻲﻨﻧأ ﻰﻠﻋ ﺪﻛؤأ ﺎﻤﻛ .ﺔﻳدﻮﻌﺴﻟا لواﺪﺗ ﻊﻗﻮﻣ ﻰﻠﻋ ﺢﺷﺮﺘﻟﺎﺑ ﺢﺋاﻮﻠﻟا ﻲﻓ ﺔﻨﻤﻀﻤﻟاو ،ﺎﻬﻨﻋ ﻦﻠﻌﻤﻟا ﺢﻴﺷﺮﺘﻟا طوﺮﺸﺑ مﺎﺗ عﻼﻃإ ﺪﻛؤأ ﺎﻤﻛ .ﺔﻴﺑﺎﻗﺮﻟاو ﺔﻴﻓاﺮﺷا تﺎﻬﺠﻟا ﻦﻋ ةردﺎﺼﻟا ئدﺎﺒﻤﻟاو تﺎﻧﺎﻴﺒﻟاو تﺎﻣﻮﻠﻌﻤﻟا ﻊﻴﻤﺟ ﺔﻗدو ﺔﺤﺻو لﺎﻤﺘﻛا ﻰﻠﻋ .ﻪﺗﺎﻘﺤﻠﻣو ﺐﻠﻄﻟا اﺬﻫ ﻖﺋﺎﺛو ﻲﻓ ةدراﻮﻟا ﻊﻴﻗاﻮﺘﻟاو ﻰﻠﻋ عﻼﻃا ﺔﻴﺣﻼﺼﺑ ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟا ضﻮﻓأ ﻲﻨﻧأ ﺎﻤﻛ ﺔﻟﺎﺣ ﻦﻋ يﺮﺤﺘﻟاو ،ﻲﺑ ﺔﺻﺎﺨﻟا ﺔﻴﻧوﺮﺘﻜﻟﻻا ﻖﺑاﻮﺴﻟا ﻮﻠﺧ ةدﺎﻬﺷ ﺔﻴﻧﺎﻤﺘﺋا تﺎﻣﻮﻠﻌﻤﻠﻟ ﺔﻳدﻮﻌﺴﻟا ﺔﻛﺮﺸﻟا ىﺪﻟ ﻲﻧﺎﻤﺘﺋا ﻲﻠﺠﺳ ﻚﻨﺒﻟا ﻦﻣ ﺔﺼﺧﺮﻤﻟا ﺔﻠﺛﺎﻤﻤﻟا ىﺮﺧ¶ا تﺎﻛﺮﺸﻟاو كﻮﻨﺒﻟاو (ﺔﻤﺳ) ﺔﻨﻠﻌﻤﻟا ﺔﻴﻟﺎﻤﻟا تﺎﻣﻮﻠﻌﻤﻟا ﻚﻟذ ﻲﻓ ﺎﻤﺑو ،يدﻮﻌﺴﻟا يﺰﻛﺮﻤﻟا لدﺎﺒﺗو حﺎﺼﻓﺎﺑ ﻚﻨﺒﻟا ضﻮﻓأ ﺎﻤﻛ .ﻲﺑ ﺔﺻﺎﺨﻟا ﺔﻨﻠﻌﻤﻟا ﺮﻴﻏو .ﺪﻨﺘﺴﻤﻟا اﺬﻫ ﺐﺟﻮﻤﺑ ﺔﻤﺳ ﻰﻟإو ﻦﻣ ﻲﺑ ﺔﺻﺎﺨﻟا تﺎﻣﻮﻠﻌﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﻲﺤﺷﺮﺗ نﺄﺑ ﻲﺘﻘﻓاﻮﻣو ﻲﻤﻠﻌﺑ ﺮﻗأ ﺎﻤﻛ تاءاﺮﺟإو ﺮﻴﻳﺎﻌﻣو ﺔﺳﺎﻴﺴﻟ ﻊﺿﺎﺧو ﻰﻓﻮﺘﺴﻣ ﺔﻌﺟاﺮﻤﻟا ﺔﻌﺟاﺮﻤﻟا ﺐﻠﻄﺘﺗ ﻲﺘﻟاو ةرادا ﺲﻠﺠﻣ ﺔﻳﻮﻀﻌﻟ ﺢﻴﺷﺮﺘﻟا تﺎﻣﻮﻠﻌﻣ يأ ﺮﻴﻓﻮﺗو ،هﻼﻋأ درو ﺎﻤﻛ ﻲﺗﺮﻴﺳو ﻲﻠﺠﺳ ﻦﻋ يﺮﺤﺘﻟاو ﺔﻴﻓاﺮﺷا تﺎﻬﺠﻟا وأ ﻚﻨﺒﻟا ﺎﻬﺒﻠﻄﻳ ﺪﻗ ﺔﻴﻓﺎﺿإ تاﺪﻨﺘﺴﻣ وأ .ﻖﻴﻓﻮﺘﻟا ﻲﻟو ¾او ،ﻊﻴﻗﻮﺘﻟا ىﺮﺟ اﺬﻫ ﻰﻠﻋو .¿ﻘﺣﻻ ﺔﻴﺑﺎﻗﺮﻟاو
[À9ÀHÀ VÀp [À9ÀHÀ VÀp
ﻲﻋﺎﺑﺮﻟا ﻢﺳﻻا ﺔﻴﺴﻨﺠﻟا دﻼﻴﻤﻟا ﺦﻳرﺎﺗ ﻢﻴﻘﻣ ﺔﻳﻮﻫ / ﺔﻳﻮﻬﻟا ﻢﻗر ناﻮﻨﻌﻟا لاﻮﺠﻟا ﻢﻗر ﻲﻧوﺮﺘﻜﻟﻻا ﺪﻳﺮﺒﻟا ﻊﻴﻗﻮﺘﻟا ﺦﻳرﺎﺘﻟا Full Name
Nationality Birth Date
National ID / Residence ID Address
Mobile Number E-Mail
Signiture Date
page1 of4 .
page2 of4 ﺔﻌﺟاﺮﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺢﻴﺷﺮﺗ ةرﺎﻤﺘﺳا Board Audit Committee Membership Candidate Form
ﺔﻴﺗاﺬﻟا ةﺮﻴﺴﻟا Curriculum vitae
Candidate's Personal Data
Candidate’s Academic
ﺢﺷﺮﻤﻟا ﻮﻀﻌﻠﻟ ﺔﻴﺼﺨﺸﻟا تﺎﻧﺎﻴﺒﻟا
ﺢﺷﺮﻤﻟا ﻮﻀﻌﻠﻟ ﺔﻴﻤﻠﻌﻟا تﻼﻫﺆﻤﻟا
Candidate’s Academic Qualifications ﺢﺷﺮﻤﻟا ﻮﻀﻌﻠﻟ ﺔﻴﻠﻤﻌﻟا تاﺮﺒﺨﻟا
تﺎﻛﺮﺷ تارادإ ﺲﻟﺎﺠﻣ ﻲﻓ ﺔﻘﺑﺎﺴﻟاو ﺔﻴﻟﺎﺤﻟا تﺎﻳﻮﻀﻌﻟا ىﺮﺧأ ﺔﻛﺮﺷ يأ وأ (ﺔﺟرﺪﻣ ﺮﻴﻏ وأ ﺔﺟرﺪﻣ)ىﺮﺧأ ﺔﻤﻫﺎﺴﻣ ﺎﻬﻨﻣ ﺔﻘﺜﺒﻨﻤﻟا نﺎﺠﻠﻟا وأ ﻲﻧﻮﻧﺎﻘﻟا ﺎﻬﻠﻜﺷ نﺎﻛ ﺎﻳأ Current and previous memberships on the Board of Directors of other joint
stock companies (listed or unlisted) or any other company, regardless of legal form, or its committees
ﻲﻋﺎﺑﺮﻟا ﻢﺳ¶ا ﺔﻴﺴﻨﺠﻟا دﻼﻴﻤﻟا ﺦﻳرﺎﺗ
ﻞﻫﺆﻤﻟا Qualification
(ﻰﻟا / ﻦﻣ) ةﺮﺘﻔﻟا Duration - (from/to
ﺔﻛﺮﺸﻟا ﻢﺳا Company name ﻲﺴﻴﺋﺮﻟا طﺎﺸﻨﻟا
Main Activity نﺎﺠﻠﻟا ﺔﻳﻮﻀﻋ
Committee Membership ﻲﻧﻮﻧﺎﻘﻟا ﻞﻜﺸﻟا
ﺔﻛﺮﺸﻠﻟ Company Legal
Form ﺔﻳﻮﻀﻌﻟا أﺪﺑ ﺦﻳرﺎﺗ
Membership Start Date ءﺎﻬﺘﻧا ﺦﻳرﺎﺗ
ﺔﻳﻮﻀﻌﻟا Membership End
Date
ﺔﻳﻮﻀﻌﻟا ﺔﻔﺻ (ﻞﻘﺘﺴﻣ ،يﺬﻴﻔﻨﺗ ﺮﻴﻏ ،يﺬﻴﻔﻨﺗ) ,Membership type Executive Non-executive, Independent
ةﺮﺒﺨﻟا تﻻﺎﺠﻣ Area of Expertise
ﺺﺼﺨﺘﻟا Major ﻞﻫﺆﻤﻟا ﻰﻠﻋ لﻮﺼﺤﻟا ﺦﻳرﺎﺗ
Date Awarded ﺔﺤﻧﺎﻤﻟا ﺔﻬﺠﻟا ﻢﺳا
Academic Institution Name Full Name
Nationally Birth Date
ﺐﻠﻄﻟا مﺪﻘﻣ ﻢﺳا ﻊﻴﻗﻮﺘﻟا Applicant’s Name
Signature Date
)
) )
ﺦﻳرﺎﺘﻟا
Independence Assessment Form for Board Audit Committee Membership Candidate
Referring to the Corporate Governance Regulations issued by the Capital Market Authority, and the Corporate Governance Principles for Banks Operating in Saudi Arabia issued by the Saudi Central Bank, you are kindly requested to fill out the Independence Assessment Form and Membership statues Indication (Independent - Non-executive), according to
definition of the independent member below
Kindly ensure the accuracy of the information. If any issues affecting independence occur in the future, please inform the Secretariat of the Board of Directors of the Arab National Bank
immediately
Independent Director: a non-executive member of the Board who enjoys complete independence in their position and decisions. These include, but are not limited to the following
independence affecting issues
ﻦﻴﺤﺷﺮﻤﻟا صﺎﺨﺷﻟ ﺔﻴﻟﻼﻘﺘﺳﻻا ﻢﻴﻴﻘﺗ جذﻮﻤﻧ ةرادا ﺲﻠﺠﻣ ﻦﻣ ﺔﻘﺜﺒﻨﻤﻟا ﺔﻌﺟاﺮﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺔﺌﻴﻫ ﻦﻋ ةردﺎﺼﻟا تﺎﻛﺮﺸﻟا ﺔﻤﻛﻮﺣ ﺔﺤﺋﻻ ﻰﻟإ ةرﺎﺷإ تﺎﺴﺳﺆﻤﻟا ﻲﻓ ﺔﻤﻛﻮﺤﻠﻟ ﺔﺴﻴﺋﺮﻟا ئدﺎﺒﻤﻟاو ﺔﻴﻟﺎﻤﻟا قﻮﺴﻟا ﻦﻣ ﻮﺟﺮﻧ ،يدﻮﻌﺴﻟا يﺰﻛﺮﻤﻟا ﻚﻨﺒﻟا ﻦﻋ ةردﺎﺼﻟا ﺔﻴﻟﺎﻤﻟا ﻢﻴﻴﻘﺘﺑ صﺎﺨﻟاو جذﻮﻤﻨﻟا ﺔﺌﺒﻌﺘﺑ مﺮﻜﺘﻟا ﻢﻜﺗدﺎﻌﺳ ﺮﻴﻏ-ﻞﻘﺘﺴﻣ) ﺔﻳﻮﻀﻌﻟا ﺔﻔﺻ نﺎﻴﺑو ءﺎﻀﻋÇﻟ ﺔﻴﻟﻼﻘﺘﺳﻻا .هﺎﻧدأ ﻞﻘﺘﺴﻤﻟا ﻮﻀﻌﻟا ﻒﻳﺮﻌﺗ ﻖﻓو (يﺬﻴﻔﻨﺗ ضراﻮﻋ ﻦﻣ يأ ثوﺪﺣ ﺔﻟﺎﺣ ﻲﻓو ،ﺔﻗﺪﻟا يﺮﺤﺗ ﻞﻣﺄﻧ ةرادا ﺲﻠﺠﻣ ﺮﺳ ﺔﻧﺎﻣأ غﻼﺑإ ﻮﺟﺮﻧ ،ًﻼﺒﻘﺘﺴﻣ ﺔﻴﻟﻼﻘﺘﺳﻻا .ﻚﻟﺬﺑ Ìرﻮﻓ ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟﺎﺑ ﻊﺘﻤﺘﻳ يﺬﻟا ةرادا ﺲﻠﺠﻣ ﻮﻀﻋ ﻮﻫ :ﻞﻘﺘﺴﻤﻟا ﻮﻀﻌﻟا ﻰﻠﻋ - ﻪﻴﻠﻋ ﻖﺒﻄﻨﺗ ﻻو ،ﻪﺗاراﺮﻗو هﺰﻛﺮﻣ ﻲﻓ مﺎﺘﻟا لﻼﻘﺘﺳﻻﺎﺑ :ﺔﻴﻟﺎﺘﻟا ﺔﻴﻟﻼﻘﺘﺳﻻا ضراﻮﻋ ﻦﻣ يأ - ﺮﺼﺤﻟا ﻻ لﺎﺜﻤﻟا ﻞﻴﺒﺳ
Situations Affecting Independency ﺔﻴﻟﻼﻘﺘﺳﻻا ضراﻮﻋ
يأ ﻢﻬﺳأ وأ ﻚﻨﺒﻟا ﻢﻬﺳأ ﻦﻣ ﺮﺜﻛأ وأ 5% ﻪﺘﺒﺴﻧ ﺎﻤﻟ ¿ﻜﻟﺎﻣ نﻮﻜﻳ نأ .ﺔﺒﺴﻨﻟا هﺬﻫ ﻚﻠﻤﻳ ﻦﻣ ﻊﻣ ﺔﺑاﺮﻗ ﺔﻠﺻ ﻪﻟ وأ ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻦﻣ ﺔﻛﺮﺷ Owns five percent or more of the shares in the Bank or any
company within its group, or is a relative of who owns such percentage
Is a representative of a legal person holding five percent or more of the shares of the Bank or any company within its group
Is a relative of any Member of the Board of the Bank, or any other company within its group
Is a relative of any Senior Executive of the Bank or any Company within its group
Is a Board Member of any company within the Bank’s group
Has a direct or indirect interest in the businesses and contracts executed for the Bank’s account
Engages in a business competing with the Bank or conducting businesses in any of the Bank’s activities Has served for more than nine years, consecutive or inconsecutive, as a Board Member of the Bank
Has a credit relationship either in his/her own name or in the name of a relative with the Bank exceeding SAR 1,000,000 Relatives for this situation are defined as follows fathers and mothers, grandfathers and grandmothers, children and grandchildren, husbands and wives
Receives financial consideration from the Bank in addition to the remuneration for their membership of the Board or any of its committees exceeding an amount of SAR 200,000 - 50% of their remuneration of the last year for the membership of the board or any of its committees whichever is less
Is an employee or used to be an employee, during the preceding two years, of the Bank, or any party dealing with the Bank or any company within its group, such as external auditors or main suppliers, or has held a controlling interest in any such parties in the last two years
ﻦﻣ ﺮﺜﻛأ وأ 5% ﻪﺘﺒﺴﻧ ﺎﻣ ﻚﻠﻤﻳ ﺔﻳرﺎﺒﺘﻋا ﺔﻔﺻ يذ ﺺﺨﺸﻟ ًﻼﺜﻤﻣ نﻮﻜﻳ نأ .ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻦﻣ ﺔﻛﺮﺷ يأ ﻢﻬﺳأ وأ ﻚﻨﺒﻟا ﻢﻬﺳأ ﻲﻓ وأ ﻚﻨﺒﻟا ﻲﻓ ةرادا ﺲﻠﺠﻣ ءﺎﻀﻋأ ﻦﻣ يأ ﻊﻣ ﺔﺑاﺮﻗ ﺔﻠﺻ ﻪﻟ نﻮﻜﺗ نأ .ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻲﻓ ىﺮﺧأ ﺔﻛﺮﺷ ﺔﻛﺮﺷ يأ ﻲﻓ وأ ﻚﻨﺒﻟا ﻲﻓ ﻦﻴﻳﺬﻴﻔﻨﺘﻟا رﺎﺒﻛ ﻦﻣ يأ ﻊﻣ ﺔﺑاﺮﻗ ﺔﻠﺻ ﻪﻟ نﻮﻜﺗ نأ .ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻦﻣ
.ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻦﻣ ىﺮﺧأ ﺔﻛﺮﺷ يأ ﻲﻓ ةرادإ ﺲﻠﺠﻣ ﻮﻀﻋ نﻮﻜﻳ نأ
ﻢﺘﺗ ﻲﺘﻟا دﻮﻘﻌﻟاو لﺎﻤﻋ¶ا ﻲﻓ ةﺮﺷﺎﺒﻣ ﺮﻴﻏ وأ ةﺮﺷﺎﺒﻣ ﺔﺤﻠﺼﻣ ﻪﻟ نﻮﻜﺗ نأ .ﻚﻨﺒﻟا بﺎﺴﺤﻟ
طﺎﺸﻨﻟا عوﺮﻓ ﺪﺣأ ﻲﻓ ﺮﺠﺘﻳ نأ وأ ،ﻚﻨﺒﻟا ﺔﺴﻓﺎﻨﻣ ﻪﻧﺄﺷ ﻦﻣ ﻞﻤﻋ ﻲﻓ كﺮﺘﺸﻳ نأ .ﻚﻨﺒﻟا ﻪﻟواﺰﻳ يﺬﻟا ﺔﻳﻮﻀﻋ ﻲﻓ ﺔﻠﺼﻔﻨﻣ وأ ﺔﻠﺼﺘﻣ تاﻮﻨﺳ ﻊﺴﺗ ﻰﻠﻋ ﺪﻳﺰﻳ ﺎﻣ ﻰﻀﻣأ ﺪﻗ نﻮﻜﻳ نأ .ﻚﻨﺒﻟا ةرادإ ﺲﻠﺠﻣ ةرادا ﺲﻠﺠﻣ ﺔﻳﻮﻀﻋ ةﺄﻓﺎﻜﻣ ﻰﻠﻋ ةوﻼﻋ ﻚﻨﺒﻟا ﻦﻣ ﺔﻴﻟﺎﻣ ﻎﻟﺎﺒﻣ ﻰﺿﺎﻘﺘﻳ نأ مﺎﻌــﻟا ﻲـﻓ ﻪﺗﺄـــﻓﺎﻜـﻣ ﻦـﻣ 50% ﻦـﻋ وا لﺎـﻳر (200,000) ﻦﻋ ﺪـﻳﺰـﺗ ﻪﻧﺎﺠﻟ ﻦﻣ يأ وأ ﻪﻧﺎﺠـﻟ ﻦـﻣ يأ وأ ةرادا ﺲـﻠﺠـﻣ ﺔـﻳﻮﻀـﻋ ﻞــﺑﺎﻘﻣ ﺎﻬﻴﻠﻋ ﻞﺼﺤﺗ ﻲﺘﻟا ﻖﺑﺎﺴﻟا .ﻞﻗأ ﺎﻤﻬﻳأ
ﻦﻋ ﺪﻳﺰﺗ ﻚﻨﺒﻟا ﻊﻣ ﻪﺑرﺎﻗأ ﺪﺣأ ﻢﺳﺎﺑ وأ ﻪﻤﺳﺎﺑ ﺔﻴﻧﺎﻤﺘﺋا ﺔﻗﻼﻋ ﻪﻳﺪﻟ نﻮﻜﺗ نأ .يدﻮﻌﺳ لﺎﻳر (نﻮﻴﻠﻣ) ،تاﺪﺠﻟاو داﺪﺟ¶او تﺎﻬﻣ¶او ءﺎﺑÐا) ﻲﻟﺎﺘﻟﺎﻛ ضرﺎﻌﻟا اﺬﻬﻟ برﺎﻗ¶ا ﻒﻳﺮﻌﺗ .(تﺎﺟوﺰﻟاو جاوز¶ا ،ﻢﻫدﻻوأو دﻻو¶ا فﺮﻃ يأ وأ ﻚﻨﺒﻟا ىﺪﻟ ﻦﻴﻴﺿﺎﻤﻟا ﻦﻴﻣﺎﻌﻟا لﻼﺧ ¿ﻔﻇﻮﻣ ﻞﻤﻌﻳ نﺎﻛ وا ﻞﻤﻌﻳ نأ تﺎﺑﺎﺴﺤﻟا ﻲﻌﺟاﺮﻤﻛ ،ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﻦﻣ ىﺮﺧأ ﺔﻛﺮﺷ وأ ﻚﻨﺒﻟا ﻊﻣ ﻞﻣﺎﻌﺘﻣ فاﺮﻃ¶ا ﻚﻠﺗ ﻦﻣ يأ ىﺪﻟ ةﺮﻄﻴﺳ ﺺﺼﺤﻟ ﺎﻜﻟﺎﻣ نﻮﻜﻳ نأ وأ ﻦﻳدرﻮﻤﻟا رﺎﺒﻛو .ﻦﻴﻴﺿﺎﻤﻟا ﻦﻴﻣﺎﻌﻟا لﻼﺧ
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Has a credit relationship with the Bank in his/her own name ,or in the name of a relative, or in any capacity with the bank its board members, or its executive staff (for Audit Committee membership
يﺄﺑ وأ ،ﻪﺑرﺎﻗأ ﺪﺣأ ﻢﺳﺎﺑ وا ﻪﻤﺳﺎﺑ ﻚﻨﺒﻟا ﻊﻣ ﺔﻴﻧﺎﻤﺘﺋا ﺔﻗﻼﻋ ﻪﻳﺪﻟ نﻮﻜﺗ نأ ..ﻦﻴﻳﺬﻴﻔﻨﺘﻟا ﻪﻴﻔﻇﻮﻣ وأ ﻪﺗرادإ ﺲﻠﺠﻣ ءﺎﻀﻋأ وأ ﻚﻨﺒﻟا ﻊﻣ ﺔﻔﺻ ،تاﺪﺠﻟاو داﺪﺟ¶او تﺎﻬﻣ¶او ءﺎﺑÐا) ﻲﻟﺎﺘﻟﺎﻛ ضرﺎﻌﻟا اﺬﻬﻟ برﺎﻗ¶ا ﻒﻳﺮﻌﺗ .(تﺎﺟوﺰﻟاو جاوز¶ا ،ﻢﻫدﻻوأو دﻻو¶ا
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Relatives for this situation are defined as follows (fathers and mothers grandfathers and grandmothers, children and grandchildren, husbands and wives ).
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page3 of4 ﺔﻌﺟاﺮﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺢﻴﺷﺮﺗ ةرﺎﻤﺘﺳا Board Audit Committee Membership Candidate Form
ﻖﺒﻄﻨﺗ Applicable تﺎﻈﺣﻼﻣ
Remarks ﻖﺒﻄﻨﺗ ﻻ
Not Applicable
ﺔﺑاﺮﻘﻟا ﺔﻠﺻ وأ برﺎﻗا
ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ
.اﻮﻠﻋ نإو تاﺪﺠﻟاو داﺪﺟ¶او تﺎﻬﻣ¶او ءﺎﺑÐا .اﻮﻟﺰﻧ نإو ﻢﻫدﻻوأو دﻻو¶ا .م¶ وأ ،ب¶ وأ ،ءﺎﻘﺷ¶ا تاﻮﺧ¶او ةﻮﺧا .تﺎﺟوﺰﻟاو جاوز¶ا .ﻪﻟ ﺔﻌﺑﺎﺘﻟا تﺎﻛﺮﺸﻟاو ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟا
ﻦﻴﻳﺬﻴﻔﻨﺘﻟا رﺎﺒﻛ
حاﺮﺘﻗاو ،ﺔﻴﻣﻮﻴﻟا ﻚﻨﺒﻟا تﺎﻴﻠﻤﻋ ةرادإ ﻢﻬﺑ طﻮﻨﻤﻟا صﺎﺨﺷ¶ا ﻪﺑاﻮﻧو يﺬﻴﻔﻨﺘﻟا ﺲﻴﺋﺮﻟﺎﻛ ،ﺎﻫﺬﻴﻔﻨﺗو ﺔﻴﺠﻴﺗاﺮﺘﺳﻻا تاراﺮﻘﻟا . ﻲﻟﺎﻤﻟا ﺮﻳﺪﻤﻟاو
ﻊﺑﺎﺗ
ﻪﻴﻠﻋ ﺮﻄﻴﺴﻳ وأ ،ﺮﺧآ ﺺﺨﺷ ﻰﻠﻋ ﺮﻄﻴﺴﻳ يﺬﻟا ﺺﺨﺸﻟا Ìﺮﻄﻴﺴﻣ ﻪﻧﻮﻛ ﻲﻓ ﻪﻌﻣ كﺮﺘﺸﻳ وأ ،ﺮﺧÐا ﺺﺨﺸﻟا ﻚﻟذ نﻮﻜﺗ ﻖﺒﺳ ﺎﻤﻣ يأ ﻲﻓو .ﺚﻟﺎﺛ ﺺﺨﺷ ﻞﺒﻗ ﻦﻣ ﻪﻴﻠﻋ .ﺮﺷﺎﺒﻣ ﺮﻴﻏ وأ ﺮﺷﺎﺒﻣ ﻞﻜﺸﺑ ةﺮﻄﻴﺴﻟا
ﺔﻌﺑﺎﺘﻟا تﺎﻛﺮﺸﻟا
.ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟا ﺎﻬﻴﻠﻋ ﺮﻄﻴﺴﻳ ﺔﻛﺮﺷ يأ
ةﺮﻄﻴﺴﻟا ﺔﺼﺣ
ﻞﻜﺸﺑ ،ﺮﺧآ ﺺﺨﺷ تاراﺮﻗ وأ لﺎﻌﻓأ ﻲﻓ ﺮﻴﺛﺄﺘﻟا ﻰﻠﻋ ةرﺪﻘﻟا ،ﻊﺑﺎﺗ وأ ﺐﻳﺮﻗ ﻊﻣ ¿ﻌﻤﺘﺠﻣ وأ Ìدﺮﻔﻨﻣ ،ﺮﺷﺎﺒﻣ ﺮﻴﻏ وأ ﺮﺷﺎﺒﻣ :لﻼﺧ ﻦﻣ ﺖﻳﻮﺼﺘﻟا قﻮﻘﺣ ﻦﻣ ﺮﺜﻛأ وأ 30% يوﺎﺴﺗ ﺔﺒﺴﻧ كﻼﺘﻣا (أ .ﺔﻛﺮﺷ ﻲﻓ .يرادا زﺎﻬﺠﻟا ءﺎﻀﻋأ ﻦﻣ ﺮﺜﻛأ وأ 30% ﻦﻴﻴﻌﺗ ﻖﺣ (ب
ﺔﺴﻓﺎﻨﻤﻟا لﺎﻤﻋأ مﻮﻬﻔﻣ
ﻪﺘﺴﻓﺎﻨﻣ وأ ﻪﻃﺎﺸﻧ ﻲﻓ ﻚﻨﺒﻟا ﺔﺴﻓﺎﻨﻣ ﻪﻧﺄﺷ ﻦﻣ ﻞﻤﻋ يأ ﻻ لﺎﺜﻤﻟا ﻞﻴﺒﺳ ﻰﻠﻋو ،ﻪﻟواﺰﻳ يﺬﻟا طﺎﺸﻨﻟا عوﺮﻓ ﺪﺣأ ﻲﻓ :ﺔﻴﻟﺎﺘﻟا ﺔﻄﺸﻧ¶ا ﺮﺼﺤﻟا وأ ﺔﻳدﺮﻓ ﺔﺴﺳﺆﻣ وأ ﺔﻛﺮﺸﻟ ةرادا ﺲﻠﺠﻣ ﻮﻀﻋ ﺲﻴﺳﺄﺗ ةﺄﺸﻨﻣ وأ ﺔﻛﺮﺷ ﻲﻓ ﺺﺼﺣ وأ ﻢﻬﺳ¶ ةﺮﺛﺆﻣ ﺔﺒﺴﻧ ﻚﻠﻤﺗ .ﻪﺘﻋﻮﻤﺠﻣ وأ ﻚﻨﺒﻟا طﺎﺸﻧ عﻮﻧ ﻦﻣ ¿ﻃﺎﺸﻧ لواﺰﺗ ،ىﺮﺧأ ﻚﻨﺒﻠﻟ ﺔﺴﻓﺎﻨﻣ ةﺄﺸﻨﻣ وأ ﺔﻛﺮﺷ ةرادإ ﺲﻠﺠﻣ ﺔﻳﻮﻀﻋ لﻮﺒﻗ وأ ﺔﺴﻓﺎﻨﻣ ﺔﻳدﺮﻓ ﺔﺴﺳﺆﻣ ةرادإ ﻲﻟﻮﺗ وأ ،ﻪﺘﻋﻮﻤﺠﻣ وأ .ﻚﻨﺒﻟا ﻲﻌﺑﺎﺗ اﺪﻋ ﺎﻤﻴﻓ ،ﺎﻬﻠﻜﺷ نﺎﻛ ¿ﻳأ ﺔﺴﻓﺎﻨﻣ ﺔﻛﺮﺷ ،ﺎﻬﻤﻜﺣ ﻲﻓ ﺎﻣ وأ ﺔﻳرﺎﺠﺗ ﺔﻟﺎﻛو ﻰﻠﻋ ﻮﻀﻌﻟا لﻮﺼﺣ ﺔﺴﻓﺎﻨﻣ ىﺮﺧأ ةﺄﺸﻨﻣ وأ ﺔﻛﺮﺸﻟ ،ةﺮﺘﺘﺴﻣ وأ ﺖﻧﺎﻛ ةﺮﻫﺎﻇ .ﻪﺘﻋﻮﻤﺠﻣ وأ ﻚﻨﺒﻠﻟ
I Acknowledge the following : ﻰﻠﻋ قدﺎﺻأ
يأ أﺮﻃ لﺎﺣ ﻲﻓو .هﻼﻋأ ةدراﻮﻟا تﺎﻧﺎﻴﺒﻟاو ﻒﻳﺮﻌﺘﻟا ﻖﻓو ﺔﻴﻟﻼﻘﺘﺳﻻﺎﺑ ﻲﻌﺘﻤﺗ ةرادا ﺲﻠﺠﻣ ﺮﺳ ﺔﻧﺎﻣأ غﻼﺑﺈﺑ Ìرﻮﻓ مﻮﻗﺄﺳ ﺔﻴﻟﻼﻘﺘﺳﻻا ضراﻮﻋ ﻦﻣ ضرﺎﻋ .ﻚﻟﺬﺑ ﻲﻨﻃﻮﻟا ﻲﺑﺮﻌﻟا ﻚﻨﺒﻟﺎﺑ I enjoy independence according to the above definition and in case any
issue affecting the independence conditions, the Secretariat of the Board of Directors of Arab National Bank shall be thereof informed immediately
I have independent membership status according to the abovedefinition,andintheabsenceofanyofthe independence conditions, the Secretariat of the Board of DirectorsoftheArabNationalBankshallbeinformed immediately of this
ﻲﻠﻋ ﻖﺒﻄﻨﺗ هﻼﻋأ تﻻﺎﺤﻟا ﺪﺣأ ن¶ Ìﺮﻈﻧ ﺔﻴﻟﻼﻘﺘﺳﻻﺎﺑ ﻲﻌﺘﻤﺗ مﺪﻋ .(... ةﺮﻘﻔﻟا) Independency is not applicable given that one of the above issues affecting
independence applies to me para ...
Relatives
Fathers, mothers, grandfathers and grandmothers (and their ancestors
Children and grandchildren and their descendants Siblings, maternal and paternal half-siblings Husbands and wives
Bank Group
Arab National Bank and its subsidiaries
Senior Executive
Persons entrusted with managing the daily activities of the Bank, and proposing and implementing strategic decisions, such as the Chief Executive Officer (CEO) and their delegates, and the
Chief Financial Officer - CFO
Affiliate
Subsidiary
Controlling Interest
Concept of the Competing Businesses
a person who controls another person or is controlled by that other person, or who is under common control with that person by a third person. In any of
the preceding, control could be direct or indirect Another company which the Arab National Bank
controls
The ability to influence actions or decisions of another person directly, indirectly, individually or
collectively with a relative or an affiliate through A) owning %30 or more of the voting rights in a company
B)having the right to appoint %30 or more of the administrative team members
The following shall be deemed a participation in any business that may compete with the Company
or any of its activities
the Board members’ establishing a company or a sole proprietorship or the ownership of a controlling percentage of shares or stakes in a Company or any other entity engages in business activities that are similar to the activities of the Bank
or its group
accepting membership in the Board of a company, an entity that competing with the Bank or its group, or managing the affairs of a competing sole proprietorship or any competing company of any form, except the Bank’s affiliates
the Board member’s acting as an overt or covert commercial agent for another company or entity
competing with the Bank or its group )
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ﻢﺳﻻا ﻊﻴﻗﻮﺘﻟا ﺦﻳرﺎﺘﻟا Name
Signature Date
page4 of4 ﺔﻌﺟاﺮﻤﻟا ﺔﻨﺠﻟ ﺔﻳﻮﻀﻌﻟ ﺢﻴﺷﺮﺗ ةرﺎﻤﺘﺳا Board Audit Committee Membership Candidate Form
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