Request To Pay Cash
Dividends For Companies

We, the undersigned, as a shareholder of PADICO kindly request to deposit/transfer our cash dividend for the fiscal year ................. or any outstanding dividends for the previous years to our bank account as follows:

- We am confirming that all the information above is all correct and will be used permanently for future dividend payments.

- We understand that We must submit a new form if any changes are required on my bank details.

- We have no objection to deduct transfer fees from my dividend.

- We bear the currency exchange differences if our bank account currency differs from the currency of the transferred profits in USD.