ࡱ> _a^ R9bjbj$$=RF|F|  8L1"%.Sg 1111111$3x6,51s%%ss51TJ1sF1s12,C/@RRk^3..0h1<1a.66\C/C/6W/sssssss5151sss1ssss6sssssssss + K: TOKYO STOCK EXCHANGE, INC. - J-Qualified Specialist Application Form1. Trade name or name of an applicant of which the candidate belongs:2. Title and name of candidate for the J-Qualified Specialist status:TitleFirst nameSurname 3. Private address and Email address of the candidate: Postcode:Email address:4. Reasons for applying for the J-Qualified Specialist status (please add an additional sheet, if necessary):5. The position and role of the candidate in relation to business operations of the J-Adviser (please add an additional sheet and/or organization sheet, if necessary):6. A summary of the candidates employment history (please add an additional sheet, if necessary):Dates from/to:Name and address of organisation:Position held and description of responsibilities:7. A summary of the candidates practical experience in the provision of Corporate Finance Advice (please add an additional sheet, if necessary) coverings at least 3 years in the last 5 years and including experience in Japanese capital markets:Please include details of the applicants transactional experience, if appropriate:Description of Transaction:Details of work undertaken by applicant:Date of Transaction:8. Details (if applicable) of the regulatory status of the applicant (please provide supporting documentation confirming regulatory status if relevant), together with details of any sanctions, warnings, disciplinary actions or similar taken against the candidate:9. Other matters (please describe the details of other matters including any litigation which may affect approval as a J-QS status. Please add an additional sheet if necessary.)10. Declaration of the candidate:I declare that the information supplied is complete, true, accurate and not misleading.Signed:Print name:Job title:Date:11. Declaration of the J-Adviser:The applicant hereby applies for approval of the candidate as a J-QS in accordance with Special Regulations of Securities Listing Regulations Concerning Specified Listed Securities. The applicant declares that all the information contained in this application form and otherwise supplied in relation to this applications complete, true, accurate and not misleading and that it has read the Special Regulations of Securities Listing Regulations Concerning Specified Listed Securities and believes that this application conforms with them (except as specifically notified to you with this application).Signed:Print name:Job title:Date:!5FGHIJKMTXqtz}~÷ynnaWIh"h"CJnHo(tHhC8h"5CJhCY5CJnHo(tHh.5CJnHtH"h"h"5CJaJnHo(tHh"5CJh"5CJnHo(tHh"CJnHo(tHh#kR5CJnHo(tHhLzhLzOJQJhhLzOJQJhnHo(tHh.OJQJhnHtHh[OJQJhnHo(tH h#kRCJh#kRCJnHo(tHGHIJcckd$$Ifl0&&04 layt $$Ifa$gd V^`Vgd"$&d P a$$a$gdLz$a$gd3lp K? $$Ifa$gd+kd$$IfTl0F%; 0    4 layt+T $$Ifa$gd+ V^`Vgd" V^`VgdKl ּ֥֯֙ֈxo`N?hKl5CJaJnHo(tH"hHhKl5CJaJnHo(tHh"5CJaJnHo(tHhC8hKlCJhC8hKl5CJnHo(tH!h7vbhKl56CJnHo(tHhC8hKlnHo(tHhC8hKl5CJh[5CJnHo(tHhq5CJnHo(tHhK5CJnHo(tHhKl5CJnHo(tHh"5CJnHo(tHhKlh"5CJnHo(tH3 4 e``S V^`VgdKlgdKlkd($$IfTl0F%; 0    4 layt+T $$Ifa$gd+  ! $ ( 1 2 3 6 L M Z [ \ ] ^ _ ` b ȹqiYN@h4b'h4b'5CJaJo(h4b'CJnHo(tHhKlhKl5CJnHo(tHhC8h/D5hC8h/D5nHo(tHh/D5CJnHo(tHh/Dh/D5CJo(hC8hKlCJhC8hKl5hHhKlCJaJnHo(tHhKl5CJaJnHo(tHhK5CJnHo(tHhr5CJaJnHo(tHh/D5CJaJnHo(tHhHhKl5CJaJ4 5 6 L M +ckdP$$Ifl0&&04 layt+ $$Ifa$gd+ckd$$Ifl0&&04 layt+M \ ] ^ _ ym $$Ifa$gd+ V^`Vgd4b'gdKlhkd$$Ifl0&&04 lagytoA $Ifgd/Db ( / 1 ö񐂐ufWJhAF5CJnHo(tHhr5CJaJnHo(tHh=5CJaJnHo(tHhr&5CJaJnHtHh4b'h(5CJaJo(h(5CJaJnHo(tHhC8h4b'5CJh4b'5CJaJnHtHhk5CJaJnHtHhK?5CJaJnHo(tHhK?hK?5CJaJnHtHh[5CJaJnHo(tHh4b'5CJaJnHo(tH z { u $$Ifa$gd+ V^`Vgd( V^`Vgd4b'ckdb$$Ifl0&&04 layt+1 O P i j w x y z | } ~ % G O ο￲}pcp}V}LEL? hpCJhp5CJh~#Ehp5CJh+5CJaJnHtHhAF5CJnHo(tHhp5CJaJnHtHh+5CJaJnHo(tHh])5CJaJnHo(tHhC8h(5CJh(5CJaJnHtHhk5CJaJnHtHh(5CJaJnHo(tHh=5CJaJnHo(tH"h=h=5CJaJnHo(tHhK?h(5CJaJnHtH{ | } ~  F $$Ifa$gd+ V^`VgdK?ckd$$Ifl0&&04 layt+F G H I J qeee $$Ifa$gd+kdj$$IfTl0Fy&H  0    4 layt+TJ K L M N uiii $$Ifa$gd+kd$$Ifl0Fy&H  0    4 layt+N O P Q H I uhhh_ $Ifgd V^`VgdK?kd$$Ifl0Fy&H  0    4 layt+O P Q R T U e n r | F G H J K Q Y ǸscscsVLs?hr&5CJaJnHtHhC8hK?5CJhK?5CJaJnHtHhK?hK?5CJaJnHtHhK?5CJaJnHo(tHh7vb5CJaJnHo(tHh$5CJaJnHtHhAF5CJnHo(tHhk5CJaJnHtHh85CJaJnHo(tHh4b'hK?5CJaJo(h05CJaJnHo(tHh+5CJaJnHtHhp5CJaJnHo(tHI J K yyy $$Ifa$gd0^gdK V^`VgdK?ckdN$$Ifl0&&04 layt   BCƹƢƕƆwƢgլ^VHhCYhk5nHo(tHhCYhy5X5hKnHo(tHhKhk5CJaJnHtHhAF5CJaJnHo(tHh[5CJaJnHo(tHh.5CJaJnHtHhC8hK5CJhAF5CJnHo(tHhK5CJaJnHtHhK5CJaJnHo(tHhk5CJaJnHtH hkCJh~#Ehk5CJhK?5CJaJnHtH uiii $$Ifa$gd0kd$$Ifl0F &)E0    4 layt0 uiii $$Ifa$gd0kdl$$Ifl0F &)E0    4 layt0upccZ $Ifgd V^`VgdKgdkkd $$Ifl0F &)E0    4 layt0 $Ifgd V^`VgdKckd$$Ifl0&&04 layt CKL|llOO$V$l&`#$/If^`Va$gd $^`a$gdy5X V^`VgdK V^`VgdkgdKckd* $$Ifl0&&04 layt LXYZeflmDkd $$Ifll\uSW&_6`l04 layt $$l&`#$/Ifa$gd mnopqrYIII< V^`Vgdk$^`a$gdy5Xkdi $$Iflf\uSW&_6`l04 layt CnqrtJMNzȹȜuk[kQHAhl~CJo(hKhKCJhCYhk5CJhCYhK5CJnHo(tHhBhB5CJh[5CJnHo(tHhCYhAF5CJnHo(tHhCYhK5CJhKhk5CJaJnHtHh[5CJaJnHtHhAF5CJaJnHo(tHhk5CJaJnHtHhK5CJaJnHo(tH hkCJhKnHo(tHh!hKCJ^JaJrMN$l&`#$/IfgdKgdKgdk V^`VgdK YGGGG$l&`#$/IfgdKkd* $$Ifll\uSW&_6`l04 layt !"$%'YTTTRRRRRgdkkd $$Iflf\uSW&_6`l04 layt  "#%&()+,-./012345689ÿh0h00JCJh[WhhoAhc`Ojhc`OUhkhy5XCJnHo(tHhKhKCJnHo(tH'(*+,-./0123456789gdkgd0 $h]ha$gdh]hgd;0P:p. A!5"5#5$5% Dp$$If!vh#v&:V l00,5&4yt $$If!vh#v#v;#v :V l00,55;5 4yt+T$$If!vh#v#v;#v :V l00,55;5 4yt+T$$If!vh#v&:V l00,5&4yt+$$If!vh#v&:V l00,5&4yt+$$If!vh#v&:V l00,5&4gytoA$$If!vh#v&:V l00,5&4yt+$$If!vh#v&:V l00,5&4yt+$$If!vh#vH #v#v :V l00,5H 55 4yt+T$$If!vh#vH #v#v :V l00,5H 55 4yt+$$If!vh#vH #v#v :V l00,5H 55 4yt+|$$If!vh#v&:V l005&4yt$$If!vh#v)#vE#v:V l00,5)5E54yt0$$If!vh#v)#vE#v:V l00,5)5E54yt0$$If!vh#v)#vE#v:V l00,5)5E54yt0|$$If!vh#v&:V l005&4yt |$$If!vh#v&:V l005&4yt $$If!vh#v#v#v#v_:V ll6`l0,5555_4yt $$If!vh#v#v#v#v_:V lf6`l0,5555_4yt $$If!vh#v#v#v#v_:V ll6`l0,5555_4yt $$If!vh#v#v#v#v_:V lf6`l0,5555_4yt b 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~PJ_HmH nHsH tH<`< jnCJOJQJ_HmH sH tH H@H QW0 1$@&56CJ`OJQJhtH uF@F QW0 2$@&5CJOJQJhtH uX@X QW0 3$@&^`56CJ`OJQJhtH uL@L QW0 4$W@&^`W5CJOJQJ:@: QW0 5$$@&a$5CJ4@4 QW0 6$@&5CJ$A`$ k=0000Fi@F jnn0h :V 44 la $k $000j0W0 $B@$ ,geCJ>C@> ,ge00000SW^S`WCJ:R@: ,ge00000 2 ^CJFS@"F ,ge00000 3SW^S`W5CJ0@20 00009r 0 @B0 00009r ")@Q" 000juS2U`a2 ,0000000 >*B*ph<@r< Lz9TM0QW0CJOJPJQJ^JaJNoN Lz 9TM0QW0 (eW[)$CJOJPJQJ^JaJmH sH tH PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VF@Wi%ękFȉl30kzqRW1?%Nbj¼IFjָ7fqNݩ >xjm)ʬuתLfd?nWꕚ/_j+Ԁ ~Z\vd|n:x|Rc(d4ޟAv2lJ *FL0tTګ߿z?xv㣣?ZAάmY/џOyr,?V晚'?{OQ |SAާ9D{<LT\@oF?Ĵ8c3$R"B}c.ȣ xu|1%᜵(58ʕqA6v &-c.ñB'Ļ;:qݡCQ ҐmA^&eBF-ʼ"."kE9a Ge"8bŀ_*,37~ב 2QgH,sS_WiaE Ed^ǜ[|()h}(Qv*pC3s}'ݧ-8&M DBJS ab(ai+XL7P勯RvarzfQÝ6CǻbvzGϓ~^<%OYZsfMw4w=Ԅl%=. yI3XGɠ9HpUa/ l٫Tt Q%plmͺ>XX^I#c q6SUʥT(:ʪڨ3k ):ru͑By4aS`+Q^VP(K"S$C<$i߳9$e2>6ΒuY$KYON#bt庇|4c@֥Gb-St41 pa>j Жy&krº(JlVA1kV@Ԓшˆ}Lpxl,0_*3; #6\rNxfpv$):!6y[ƹbZ~A^Oae3HwJBX( q0 .AsVik8D= Aa=R dhT)ªeET2fa}́zmPn$;YsA@or0Yw>)͆&nb=vEG6u(+,_ӄs.f<^gAg=|C`gĔ^P|WZT@ 6NveCntԲz;\`kΒs;ߜ^\d;csC=٢042&1X|p[*a3}o5PK!ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э56?$Q,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-! stheme/theme/theme1.xmlPK-!ѐ' theme/theme/_rels/themeManager.xml.relsPK] 9 R  b 1 O C9 #'4 M { F J N I Lmr'9  !"$%&(` C 7""7""@H 0(  0(  B S  ? OLE_LINK1 OLE_LINK2: BB:  ! " $ % ' ( * + 7 :  ! " $ % ' ( * + 7 : 33B^Cn   ! " $ % ' ( * + 7 : !5(/J z    ! " " $ % ' ( * + / 1 1 3 7 : YDV;P *bJ V<  N/R<-2}ޘ_f:n\) ]L+ 63<181 S5 47 #xc>F K w;81,Nx\)S5]L+mljY}<1z:<                 s        |+                 jm(cb`])l~"+d!"Xt$r&4b' !78C8g9:(<>K?oAEKKdKc`O#kR^WxXy5X[)5`7vbBeKl0mXmn=p3lpLz..@B-m0+/CY"5|:#>`C[W3s!l,WAUU,SE!0(0(j/D<Hkq= <L'$f(9`rAFp,! |VbA9}gh,L>B\ ! @9 @Unknown\ObG*Ax Times New Roman5Symbol3. *Cx ArialG j-3 fgMS MinchoU'BodoniTimes New Roman?. Arial BlackK=  j-3 0000MS GothicA$BCambria Math"hK%K%!24   2qP?#kR6!xx  \               Oh+'0px  Normal1Microsoft Office Word@@8Rk@8Rk՜.+,0 `hpx      ^Cg  !"#$%&'()+,-./013456789:;<=>?@ABCDEFGHIJKLMOPQRSTUWXYZ[\]`Root Entry FRkbData *1Table27WordDocument=RSummaryInformation(NDocumentSummaryInformation8VCompObjn  FMicrosoft Word 97-2003 MSWordDocWord.Document.89q