Board nomination form of Saudi Reinsurance Co. (Saudi Re)

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Board nomination form of Saudi Reinsurance Co. (Saudi Re)

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Resume

Personal Information of the nominated member Name:

Nationality:

D.O.B:

The educational qualifications of the nominated member

Name of the entity Date of

obtaining the qualification Major

Qualification Number

Work experiences of the nominated member Period Areas of expertise

The current membership in the boards of directors of other joint stock companies (listed or unlisted) or any other company, whatever its legal form or the committees emanating from

it:

The legal form of

the company Committee

membership Nature of

membership (representing

himself or a representative

of a legal person) Membership

status (executive,

non- executive, independent) Main

Activity Co

Number Number

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General Information:

Please answer the following questions:

 Is the member an owner of five percent or more of the company’s shares or any company in its group?

Yes, if yes please provide details No.

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 Is the member a senior executive during the past two years in the company or in any company in its group?

 Is there a relationship of a first degree relative to any member of the board of directors of the company or any company in its group?

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 Is the member a member of the board of directors or the board of directors of any company within the group of the company?

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 Is the member employed during the past two years with any of the parties associated with the company or any company in its group such as chartered accountants and major suppliers, or the owner of controlling shares with any of those parties during the past two years?

 Is the member available to manage the company full-time?

Yes No.

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 Does the member receive a monthly or annual salary from the company?

Yes No

 Does the member have any direct or indirect interest in the business and contracts made for the company?

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 Is the member a member of the board of directors or board of directors of a company that has business or contracts with the company?

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 Does the member own or co-own an establishment that has business or contracts with the company?

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 Is the member a senior executive in a facility that has business or contracts with the company?

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 Does the member participate in any business that would compete with the company or any company of its group, or trade in one of the branches of activity that the company or any company from its group is doing?

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 Is the member a member of the board of directors or the board of directors of a company that participates with or any company in her group in any act that would compete with the company or any company in the group, or does or any company of her group trade in one of the branches of activity practiced by the company or any company from the group?

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 Does the member own or participate in the ownership of an establishment that participates with her or any company of her group in any act that would compete with the company or any company of her group, or does she or any company of her group trade in one of the branches of activity practiced by the company or any company from her group?

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 Is the member a senior executive in a facility that participates with her or any company of her group in any act that would compete with the company or any company of her group, or does she or any

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company of her group trade in one of the branches of activity that the company or any company from her group perform?

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Acknowledgment and commitment

I, the undersigned, acknowledge that all the information and documents contained in the present board nomination form are correct, complete, and not misleading, and I pledge to bear all responsibilities and legal implications in the event that the contrary is proven, and I raise the full responsibility for the Saudi Company for Cooperative Reinsurance (Saudi Re) in this field and pledge to compensate it for Any material or moral damage that may be caused to it as a result.

Full Name:

Signature:

Date: