APPLICANT DECLARATION

By submitting this application to become an Affiliate Member of FMDQ Securities Exchange:

I/We declare that the information provided is complete and accurate and I/we agree, if approved, to comply with and be bound by all FMDQ Rules, Guidelines and such other regulation as may be in force from time to time.

I/We shall notify FMDQ of any additional information which is relevant to the application and of any significant changes in the information provided in this application which occur after the date of submission of the application.

I/We understand that misleading or attempting to mislead representatives of FMDQ during the application process shall render this application null and void.