SIGNATURE PAGE FOLLOWS
AGREED AND ACCEPTED FOR AND ON BEHALF OF:
“PARTY A”/“EXCHANGE-A” “PARTY B”/“EXCHANGE RECEIPIENT-B”
Company:COOPERATIVE AGRICULTURE AND PROCESSING Company: …………………………………………………….CO., LTD.
NEW PROGRESSIVE OF PAILIN
NATIONALITY NATIONALITY
PASSPORT NUMBER 505746331 PASSPORT NUMBER
PASSPORT ISSUE DATE PASSPORT ISSUE DATE
PASSPORT EXPIRY DATE PASSPORT EXPIRY DATE
DATE OF BIRTH DATE OF BIRTH
COUNTRY OF ISSUE COUNTRY OF ISSUE
Date August……, 2015 Date August……, 2015
Exchange Recipient s Initial…………………… Page 10 of 10Exchange ‘s Initial…………………..