Insider Registration & Acknowledgement

Before you begin. Completing this form does not by itself authorise any dealing. While you are on an insider list you must not trade in Custos securities or disclose Inside Information except in the normal course of your duties. Your submission is recorded in the Company's secure insider register and the CFO is notified automatically.

Insider list details

Which list this person is being added to and why.

Type of insider list *

PermanentEvent-based

Please select a list type.

Function & reason for access to Inside Information *

Please describe the function and reason for access.

Date & time access to Inside Information was obtained *

Recorded in the insider list under Policy §5.4 (MAR requires date and time).

Please provide the date and time of access.

Personal details

Identifying information required for the insider list.

First name(s) *

Required.

Surname(s) *

Required.

Birth surname (if different)

Date of birth *

Required.

National identification number (where applicable)

Position / role at Custos *

Required.

Professional telephone *

Required.

Personal telephone (home / mobile)

Email *

Please enter a valid email address.

Personal full home address *

Required.

Acknowledgement of obligations

Required under Policy §5.3. Tick each to confirm.

I understand the obligations and prohibitions arising from possessing Inside Information.Policy §5.3
I will maintain strict confidentiality of the Inside Information.Policy §5.3
I will not trade in Custos securities while in possession of Inside Information.Policy §3.1 · §5.3
I will not disclose the Inside Information except as required in the normal course of my duties.Policy §5.3
I will inform the CFO immediately if I believe I may have inadvertently disclosed Inside Information.Policy §5.3
I have read and understood the Custos Insider Trading Policy and agree to comply with it.Policy §8.2

All acknowledgements must be ticked to register.

Confirmation

Electronic confirmation of the registration.

Full name (confirmation) *

Please type your full name to confirm.

Date *

Required.

On submission your registration is saved to the secure insider register and the CFO, Kenneth Hjertum, is notified automatically.

Registration recorded

Your registration has been saved to the secure register and the CFO has been notified. Print or save this confirmation for your records.

Insider list details

Personal details

Acknowledgement of obligations

Confirmation

Registration recorded

Insider list

Personal details

Acknowledgement

Confirmation

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