Power of attorney for activating a user account for Internet-based
listing of securities
The undersigned IBL contracting party or undersigned IBL applicant
Contact
Name of contracting party /
name of applicant
<Name of contracting party / name of applicant>
First name /
surname
<First name / surname>
Department
<Department>
Tel. (direct)
<Tel. (direct)>
Fax (direct)
<Fax (direct)>
e-mail address
<e-mail address>
hereby authorizes SIX Swiss Exchange ("SIX") to activate for the following natural person ("user")
First name /
surname
<First name / surname>
Tel. (direct)
<Tel. (direct)>
Fax (direct)
<Fax (direct)>
e-mail address
<e-mail address>
a user account with the following identifiers and authorization levels with immediate effect:
authorization level(s)
(it is possible to
select more than
one)
User-account
name
Password
<User-Account Name = e-mail adress>
1 (Read)
2 (Write, Change , Delete)
3
(Submit)
Users with this authorization level must have the
necessary knowledge pursuant to Art. 43 of the
Listing Rules. It is the responsibility of the contracting
party to ensure that the user has this knowledge.
4 (Administration)
Already registered by the user
SIX Swiss Exchange Selnaustrasse 30 CH-8021 Zurich T +41 58 854 29 90 F +41 58 854 20 06 ibl@six-group.com
SIX Swiss Exchange
Power of attorney for activating a user account for Internet-based listing of securities
Page 2
This form for a user with authorization level 4 ("Administration") or above must be appended to the
"Application for using Internet-based listing of securities".
The undersigned contracting party or undersigned applicant and the undersigned user confirm that it has
received and accepted the "General Conditions for Internet-Based Listing of Securities", which form an
integral part of the application.
This power of attorney is subject only to Swiss law. The sole place of jurisdiction is Zurich 1.
Place and date
Legally binding signatures of the contracting party
or applicant
(Name of the undersigned in
block letters)
(Name of the undersigned in
block letters)
Legally binding signature of the user
(Name of the undersigned in
block letters)
Original version in German. Only the German text is binding.
Should differences arise in the interpretation of the content, the German-language version shall prevail.
SIX Swiss Exchange Selnaustrasse 30 CH-8021 Zurich T +41 58 854 29 90 F +41 58 854 20 06 ibl@six-group.com