Nationality: Date of Birth: b) Qualifications of the Nomin

(1)

CV Form Number (1)

a) Personal Information of the Nominee Full name:

Nationality: Date of Birth:

b) Qualifications of the Nominee

# Degree Major Date of the Degree Name of Awarding Entity

1 2 3 4 5

c) Work Experience of the Nominee

Term Areas of Experience

(2)

#

Name of the Company

Main

activity (Executive, Non- Executive, Independent)

(Personal capacity, a Representative

of a Legal person)

Committees Membership

Legal Form of the Company

1

2

3

4

(3)

Form (3)

Curriculum Vitae form of a board member nominated/appointed/representative of a legal person for the membership of the board of a listed joint- stock company in the Saudi Stock Exchange (Tadawul)

Form Filling Instructions

1. This Form shall be completed by the board member nominated/appointed/representative of a legal person (the Member) for a membership of a board of directors of a joint stock company that is listed in the Saudi Stock Exchange “Tadawul” (the Company).

2. The Member must send this Form to the Company.

3. The Company shall send and attach this Form along with the electronic Form (3) to the Capital Market Authority (“CMA”) through the electronic connection system immediately after it obtains the approval of the competent authority or at least (3) business days prior to holding the general assembly, provided that the company shall provide the CMA with the approval of the competent authority, once received.

1. The Company Information Name of the Company

Sector of the Company

2. Membership Status and Nature

Membership Status (Mark with ) Executive Member Non-Executive Member Independent Member

Membership Nature (Mark with ) Personal capacity Representative of a Legal Person

Name of the Legal Person that is represented by the Member:

Appointment Date: Appointment Date:

/ /

End date of the board term / /

3. Personal Information of the Member Full name:

Nationality: Date of Birth: Mail Address:

Place of Employment: Job Title: Office

Telephone:

Mobile:

Fax:

Identification Number:

Number of shares that the Member owns in the Company:

Number of shares owned by the Legal Person that the Member is representing:

4. Qualifications of the Member

# Degree Major Date of the Degree Name of Awarding Entity

1 2 3 4 5

5. Work Experience of the Member

Term Areas of Experience

(4)

6. Current membership in the boards and committees of other joint stock companies (listed or closed) or any other company, regardless of its legal form

# Name of the company Main activity

Membership status (Executive, Non-

Executive, Independent)

Membership nature (Personal capacity, a Representative of a

Legal person)

Committees Membership

Legal Form of the Company

1 2 3 4

7. Please kindly answer the following questions:

a. Is the Member an owner of 5% or more of the shares of the company or any other company within its group?

If Yes, please provide the following details:

Yes No

# Name of the company Ownership Percentage

1 2 3

b. Is the Member a representative of a Legal Person that owns five percent (5%) or more of the shares of the company or any other company within its group? If Yes, please provide the following details:

Yes No

Not applicable

# Name of the company Ownership Percentage

1 2 3

c. Was the Member a senior executive of the company or any other company within its group during the past two years?

Yes No

# Name of the company Executive Position

1 2 3

d. Does the Member have a first-degree relationship to any other member of the board of directors of the company or any company within its group?

Yes No

# Full name of the relative member Name of the Company

1 2 3

e. Does the Member have a first-degree relationship to any senior executive of the company or any company within its group?

Yes No

# Full name of the relative senior executive Name of the Company

1 2 3

(5)

Form (3)

f. Is the Member a member of a board of directors or board of managers of any company within the group of the company? If Yes, please provide the following details:

Yes No

# Name of the Company

1 2 3

g. During the past two years, was the Member an employee of any party related to the company or any company within its group such as external auditors or main suppliers, or an owner a controlling interest in any such parties?

Yes No

# Name of the company Name the party related to the company Position Ownership

percentage

1 2 3

h. Is the Member fully dedicated to managing the Company? Yes No i. Does the Member receive any monthly or annual compensation from the

Company? Yes No

j. Does the Member have a direct or indirect interest in the businesses or contracts that are executed for the Company’s account?

Yes No

# Nature of the businesses and contracts Term of the businesses and contracts Value of the businesses and contracts

1 2 3

k. Does the Legal Person that the Member is representing have a direct or indirect interest in businesses or contracts that are executed for the Company’s account? If Yes, please provide the following details:

Yes No

Not applicable

# Nature of the businesses and contracts Term of the businesses and contracts Value of the businesses and contracts

1 2 3

l. Is the Member a member of a board of directors or board of managers of any company that has businesses or contracts with the Company?

Yes No

# Name of the Company Nature of the businesses and

contracts

Term of the businesses and contracts

Value of the businesses and contracts

(6)

m. Is the Legal Person that the Member is representing a member of a board of directors or a board of managers of any company that has businesses or contracts with the Company?

Yes No

Not applicable

# Name of the company Nature of the businesses

and contracts

1 2 3

n. Does the Member own or participate in the ownership of an entity that has businesses or contracts with the Company?

Yes No

# Name of the Entity Nature of the businesses

and contracts

1 2 3

o. Does the Legal Person that the Member is representing own or participate in owning an entity that has businesses or contracts with the Company?

Yes No

Not applicable

and contracts

1 2 3

p. Is the Member a senior executive in an entity that has businesses or contracts with the Company?

Yes No

and contracts

1 2 3

q. Does the Member participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

# Name of the company Nature of the competing activity

1 2 3

r. Does the Legal Person that the Member is representing participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

Not applicable

1 2 3

(7)

Form (3)

s. Is the Member a member of a board of directors or board of managers of a company where such company or any company within its group participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

1 2 3

t. Is the Legal Person that the Member is representing a member of a board of directors or board of managers of a company where such company or any company within its group participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

Not applicable

1 2 3

u. Does the Member own or participate in the ownership of an entity, where such entity, or any company within its group,

participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

# Name of the entity Nature of the competing activity

1 2 3

v. Does the Legal Person that the Member is representing own or participate in the ownership of an entity, where such entity, or any company within its group, participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

Not applicable

1 2 3

w. Is the Member a senior executive in an entity, where such entity, or any company within its group, participate in any business that would compete with the Company or any company within its group, or do business that competes with the ancillary activities of the Company or any company within its group?

Yes No

1 2 3

Note: The Member and the Legal Person that the Member is representing shall, as applicable, be responsible the for the accuracy of information provided in this Form.

The Member The Legal Person that the Member represents

Name: Name of the Legal Person that the Member represents:

Signature: Name of the delegated person:

(8)

Position:

Date: Signature:

Date:

(9)

Nomination Application Form

For membership in Rabigh Refining and Petrochemical Co. (Petro Rabigh) BOD For the BOD session begins 11/3/2021 and ends 11/2/2024

Attn: Petro Rabigh Nominations and Remuneration Committee

Greeting,

I am the undersigned candidate, I present my desire to run for t membership of the Board of Directors of Petro Rabigh for the new session referred to above, attached to your kind reference are all the required documents and data, which were mentioned in the company's announcement of the candidacy on the Saudi Stock Exchange website (Tadawul), as I confirm Follows:

1. The correctness and accuracy of all information, data and signatures contained in the documents of this application and its attachments.

2. Attach all the required documents and forms referred to in the advertisement with this form and a copy of the ID and family record.

I also acknowledge that, in my full legal capacity and by law, in the event of my election to the council membership, I will perform my duties and responsibilities with sincerity and honesty, and adhere to all applicable laws, regulations, controls, procedures and policies, and to allocate sufficient time to attend meetings of the Board of Directors and committees of which I am a member, and to perform my duties in complete independence, and accordingly. It fulfills the company's interests.

I also acknowledge that I have never been convicted of an act that violates honor or trust, or violates the laws and regulations in the Kingdom of Saudi Arabia or in any other country, and if it is proven otherwise, my candidacy or membership in the Council and the committees of which I hold membership will be dropped, and the company may demand appropriate compensation. I also certify that I meet the membership criteria mentioned in the membership policy of the Board of Directors, and if it is proven otherwise, my candidacy or membership in the Board and the committees of which I hold membership will be dropped, and the company may ask me for appropriate compensation.

Nationality: Date of Birth: b) Qualifications of the Nomin

CV Form Number (1)

a) Personal Information of the Nominee Full name: