ࡱ> UWJKLMVc bjbjʉʉ 8ff= A"c8|OR;% ;/Q/g/g/0|+14_1PPPPPPP$TW*P{100{1{1*Pg/g/HQTq<q<q<{1Xg/g/O,q<{1Pq<q<VhB@,Cg/AY1B ORHORBxSX2TSX,C,CXSXC@ {1{1q<{1{1{1{1{1*P*P?:2{1{1{1OR{1{1{1{1SX{1{1{1{1{1{1{1{1{1 : FORM 1 - APPLICATION FOR ADMISSION OF SECURITIES TO TRADING  The submission of the Form 1 shall be provisional. Formal application will only be deemed to be made when a Prospectus relating to the securities to be admitted to trading has been approved and published. All applications are subject to the Admission and Disclosure Standards (the Standards). Only use the latest version of the Form 1 which can be accessed via the  HYPERLINK "http://www.londonstockexchange.com/companies-and-advisors/main-market/documents/application/form.htm" London Stock Exchange's website. Use of out of date forms may cause delays in processing your application. For new issues this form must arrive no later than 10 business days prior to the consideration of the application for admission to trading and for further issues no later than 12 noon 2 business days prior to the consideration of the application for admission to trading. The form should be submitted to the London Stock Exchange by email to admissions@lseg.com. If you require assistance, please call Admissions on +44 (0)20 7797 4310SECTION A  ALL APPLICATIONS This section should be completed for all applications.Application to be considered on (date): FORMTEXT      Dealings expected to commence on (date): FORMTEXT      1.a)Full legal name of issuer: FORMTEXT      hereby applies for the following securities to be admitted to trading on the London Stock Exchange or for the purposes of MTN Programmes only: hereby applies to establish a programme on the London Stock Exchange for the issuance of debt securities. Application for admission to trading on the London Stock Exchange of debt securities issued under the programmewill be deemed to take effectonly on submission ofa pricing supplement for a specific issue of debt securities under the programme.b)Legal Entity Identifier (LEI) (this can be obtained from Local Operating Unit (LOU) or visit  HYPERLINK "http://www.lseg.com/LEI" www.lseg.com/LEI ) FORMTEXT      c)The issuer named in section 1 above hereby confirms that the application(s) do(es) not fall under Articles 5.1 or 5.2 of Council Regulation (EU) No 833/2014 of 31 July 2014 concerning restrictive measures in view of Russia's actions destabilising the situation in Ukraine (as amended by Council Regulation (EU) No 960/2014 of 8 September 2014, published in the Official Journal of the EU on 12 September 2014). More detail on the sanctions and other UK and EU financial sanctions maintained by the United Kingdom HM Treasury can be found at  HYPERLINK "https://www.gov.uk/government/publications/financial-sanctions-consolidated-list-of-targets" HM Treasury's website. YES FORMCHECKBOX NO FORMCHECKBOX 2.Type of issue for which application is being made: (Examples: Bonus, Rights, Placing, Open Offer, Block listing if block admission please provide scheme names, Eurobond, MTN Programme, Warrants). If ETF/ETP add fund type (i.e physical, synthetic) FORMTEXT      3.Amount and full description of each class of security for which application is now being made: (Example: 30,000,000 ordinary shares of 20 pence each fully paid. Where the securities are to be issued under an issuance programme, please give a description of the programme and the maximum amount of securities that may be admitted to trading at any one time) FORMTEXT      4.Market to which admission is sought: by ticking this box you are confirming that you meet the criteria and requirements of the market to which you are applying. ListedNon-listedPremium FORMCHECKBOX High Growth Segment FORMCHECKBOX Standard FORMCHECKBOX Specialist Fund Segment FORMCHECKBOX Professional Securities Market FORMCHECKBOX  ATT Only FORMCHECKBOX ETFs/ ETPs UK listed FORMCHECKBOX  ETFs EEA listed FORMCHECKBOX 5.Are the securities for which application is now made:a)Identical in all respects with each other?*YES FORMCHECKBOX No FORMCHECKBOX b)Identical in all respects with an existing class of security?*YES FORMCHECKBOX No FORMCHECKBOX c)Freely negotiable?**YES FORMCHECKBOX No FORMCHECKBOX * If you answered NO to questions 5(a) or 5(b), how do the securities differ and when will they become identical? FORMTEXT      ** So that we can label the security correctly, please advise whether there are any restrictions on the negotiability of the securities (e.g. Regulation S, Category 3 or Regulation S, Category 3 / Rule 144A of the US Securities Act of 1933, as amended). If the securities are subject to Regulation S, Category 3, please confirm the expected date on which the distribution compliance period in relation to the securities would end. FORMTEXT      6.a)ISIN Number/s and TIDM/s: FORMTEXT      b)FISN/s: (can be obtained from your National Numbering Agency (NNA) or visit  HYPERLINK "http://www.lseg.com/ISIN" www.lseg.com/ISIN) FORMTEXT      c)CFI code/s: (can be obtained from your National Numbering Agency (NNA) or visit  HYPERLINK "http://www.lseg.com/ISIN" www.lseg.com/ISIN) FORMTEXT      d)Total Issued share capital to date (excluding this application):  FORMTEXT      7.Placing/ Offer/ Issue price (where applicable): FORMTEXT      8.Settlementa)Are the securities eligible for electronic settlement pursuant to Admission and Disclosure Standard 2.7?YES FORMCHECKBOX No FORMCHECKBOX b)Default place of settlement (system): FORMTEXT      9.Home EEA competent authority for listing: FORMTEXT dsdsa)Will the securities also be admitted to the FCA s Official List?YES FORMCHECKBOX No FORMCHECKBOX b)If appropriate, has the  passport been lodged with the FCA. If so, please attach a copy.YES FORMCHECKBOX No FORMCHECKBOX 10.Invoicing Value Added Tax (VAT) The following Information is required to comply with EC Invoicing Directive (Directive 2006/112/EC) and to ensure that VAT is charged in accordance with EC law.a)Country of Principal Place of Business (PPB): NB: PPB is usually the head office, headquarters or seat from which business is run. FORMTEXT      b)Is the Issuer registered for VAT in the UK?YES FORMCHECKBOX No FORMCHECKBOX c)Is the Issuer registered for VAT in another EC country?YES FORMCHECKBOX No FORMCHECKBOX d)If YES, please confirm EC VAT registration number: NB: Where PPB is an EC country (excluding UK)  Failure to provide a valid EC VAT registration number will result in UK VAT being charged on admission and annual fees. FORMTEXT       SECTION B - NEW APPLICATION OR IF ANY INFORMATION HAS CHANGED This section is required to be completed if the application is for a new application of securities not currently traded on our markets or if any information has changed. This information may be published in the New Issues List section on the Exchanges website. If applying for an admission of equity or DRs please complete Section C and if fordebt issues please complete Section D.11.Country of incorporation: FORMTEXT      12. Country in which share register is held (If admission is sought for Depository Interests, please provide the location of the register for the Depository Interests and not the underlying security): FORMTEXT      13.Preferred trading currency / currencies. If UK sterling, please confirm unit of trading currency GBX (Pence) GBP (Pounds) (If currency in CNY 30 days notice will be required): NB: The UK trading currency generally requested for London Stock Exchanges markets is GBX. However, if GBP is preferred as the trading currency, please explain the reasons for this preference in an email to  HYPERLINK "mailto:admissions@lseg.com" admissions@lseg.com FORMTEXT      14.Expected opening price (including Reverse Takeovers & Consolidations): FORMTEXT      15.Issuer detailsa)Website address: FORMTEXT      b)Contact name: FORMTEXT      c)Job title: FORMTEXT      d)Telephone number: FORMTEXT      e)Email address: FORMTEXT      f)Registered office address : FORMTEXT      16.Brief description of business / fund type including main country of operation(s): FORMTEXT      17.Fiscal year end: FORMTEXT      18.Confirmed Market Makers (if applicable): At least one market maker is required if the security is to be traded on asegment with mandatory market maker requirements FORMTEXT      19.Financial PR advisors: FORMTEXT      20.Address at which admission document will be available: FORMTEXT      21.Date admission document available: NB: this must be no later than the first day of when issued trading where this has been applied for. FORMTEXT      22.Please identify the relevant description of the security for which admission is being sought: Shares  FORMCHECKBOX n/a FORMCHECKBOX ETFs FORMCHECKBOX n/a FORMCHECKBOX ETCs FORMCHECKBOX n/a FORMCHECKBOX ETNs FORMCHECKBOX n/a FORMCHECKBOX Depositary Receipts FORMCHECKBOX n/a FORMCHECKBOX Securitised Derivatives  FORMCHECKBOX Interest rate FORMCHECKBOX Equity FORMCHECKBOX Credit FORMCHECKBOX Currency FORMCHECKBOX Bonds  FORMCHECKBOX Sovereign Bond FORMCHECKBOX Other Public Bond FORMCHECKBOX Convertible Bond FORMCHECKBOX Covered Bond FORMCHECKBOX Corporate Bond FORMCHECKBOX Other FORMCHECKBOX  SECTION C NEW APPLICATION OF EQUITY OR DEPOSITARY RECEIPTS Please indicate here if an early notification was made  YES  FORMCHECKBOX  NO  FORMCHECKBOX  23.Expected size of offer (m): FORMTEXT      24.For equity issuers, expected market cap. post issue (m): FORMTEXT      25.For depositary receipt issuers expected:market cap. post issue (m) FORMTEXT      market cap. of the DR programme post issue FORMTEXT      26.Expected percentage of free float for this security post issue: FORMTEXT      27.Nominated Representative (for example, Sponsor/ Lead manager / Adviser): FORMTEXT      a)Contact name: FORMTEXT      b)Telephone Number: FORMTEXT      c)Email address: FORMTEXT      28.Corporate Broker: FORMTEXT      29.Co-ordinator / Bookrunner / Sponsor: FORMTEXT      30.Securities that are likely to shortly qualify for FTSE All Share will be <=>? 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Where this is not the case the issuer s preference will be adopted. Please note if opting for SETS the Confirmed Market Makers in q.18 above must be willing to support a two way obligation of not less than 2,500. Please select one of the following options:Order Driven (SETS)  FORMCHECKBOX Quote Driven (SETSqx)  FORMCHECKBOX No Preference FORMCHECKBOX 31.For depositary receipts, name of depositary bank FORMTEXT      SECTION D - NEW APPLICATIONS FOR DEBT32.Date of issue of certificates (or where relevant definitive bearer securities) for which application to trading is sought: FORMTEXT      33.Issue price/ percentage: FORMTEXT      34.Please state minimum denomination: FORMTEXT      35.Please indicate day count fraction: Actual/ Actual  FORMCHECKBOX 30/365  FORMCHECKBOX 30/360  FORMCHECKBOX Actual/360  FORMCHECKBOX Actual/365  FORMCHECKBOX Actual  FORMCHECKBOX 36.Please indicate seniority, if applicable:Senior / Unsubordinated  FORMCHECKBOX Mezzanine FORMCHECKBOX Subordinated  FORMCHECKBOX Junior  FORMCHECKBOX 37.Floating Rate Index Name, if applicable:  FORMTEXT      38.Floating Rate Duration, if applicable: FORMTEXT      39.Floating Rate  Basis Point Spread, if applicable:  FORMTEXT      40. a)Please indicate whether the certificates are in registered or bearer form: FORMTEXT      b)If registered please state Country of Register:  FORMTEXT      41.MTN Programmes:Establish FORMCHECKBOX Update FORMCHECKBOX 42.Please state the maturity of the debt security: FORMTEXT      / FORMTEXT      / FORMTEXT      43.Please identify if the debt is classified as:Retail Bond FORMCHECKBOX Green Bond FORMCHECKBOX Sukuk FORMCHECKBOX 44.Please indicate if: Wholesale/Professional FORMCHECKBOX Retail FORMCHECKBOX 45.Issuers of bonds seeking admission to ORB, ETFs, ETPs, Covered Warrants & Structured Products must also complete a static data form. HYPERLINK "http://www.lseg.com/debt-securities"Fixed IncomeHYPERLINK "http://www.lseg.com/markets-products-and-services/our-markets/london-stock-exchange/exchange-traded-funds/listing-and-admissions"ETFs/ ETPsHYPERLINK "http://www.lseg.com/markets-products-and-services/our-markets/london-stock-exchange/fixed-income-markets/retail-bonds"ORBHYPERLINK "http://www.lseg.com/areas-expertise/our-markets/london-stock-exchange/fixed-income-markets/listed-products/structured-products"Structured ProductsHYPERLINK "http://www.lseg.com/areas-expertise/our-markets/london-stock-exchange/fixed-income-markets/listed-products/coverred-warrants"Covered WarrantsSECTION E - DECLARATIONWe have read and acknowledge our obligations under the Standards. Accordingly we declare that:a)all the conditions for trading in the Standards, which are required to be fulfilled prior to application, have been fulfilled in relation to the issuer and the securities for the admission of which application is now made;b)all the documents and information required to be included in the application have been or will be supplied in accordance with the Standards and all other requirements of the Exchange in respect of the application have been or will be complied with;c)(for new applicants only) the issuer is in compliance with the requirements of any securities regulator that regulates it and/or any stock exchange on which it has its securities traded;d)we shall pay applicable admission and annual fees, as they fall due; ande)the information provided is in all respects accurate, complete and not misleading.We undertake to comply with the Standards as published by the London Stock Exchange from time to time.Signed: FORMTEXT      Print Name: FORMTEXT      Job Title: FORMTEXT      Date: FORMTEXT      Signed by a duly authorised officer (e.g. Director) for and on behalf of:Name of Issuer: FORMTEXT      This agreement and any dispute or claim arising out of or in connection with it or its subject matter or formation (including non-contractual disputes or claims) shall be governed by and construed in accordance with the law of England and Wales and subject to the exclusive jurisdiction of the Courts of England and Wales. Please ensure that all sections where applicable on this form have been completed. Failure to do so may cause delays in admission.  A new application of securities includes a re-admission following a reverse takeover and application for a new line.  Complete, as appropriate, for equity or depositary receipts. Question 31 only needs to be completed if the securities are depositary receipts.  A new application of securities includes a re-admission following a reverse takeover and application for a new line.  Rule 2.15 applies to applications seeking admission of equity or depositary receipts, for new and further issue of securities.  If an early notification was not made, please submit it to  HYPERLINK "mailto:en@lseg.com" en@lseg.com as soon as possible. Failure to submit in a timely fashion may cause delays with the admission process.      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