(F 53-4)
Capital increase report form
Name of Company............................................
Date ......................................................
We________________ Company Limited, hereby report on the resolution of board of
directors meeting no.___, held on _______from _____ to ______ hours, relating to a capital
increase/share allotment as follows:
1.
Capital increase:
The board meeting passed a resolution approving the increase of the company’s
registered capital from THB__________ million to THB ______ million by issuing
___________ordinary/preferred shares with a par value of THB ________ each,
totaling THB _______ million. Details of the each type of capital increase are:Type of capital increase
 Specifying the purpose of
utilizing proceeds
Type of share
Ordinary
Number of
shares
(shares)
.....................
Par value
(THB/share)
.....................
Total
(THB
million)
.....................
Preferred
.....................
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 General mandate
Ordinary
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Preferred
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- If specifying the purpose of utilizing proceeds, all of the following items must be filled
out, except item No. 2.2 .
- If under a general mandate, only items No.2.2, No.3 and No.4 need to be filled out.
2.
Allotment of new shares:
2.1 If specifying the purpose of utilizing proceeds
Allotted to
Existing
shareholders
General public
Other persons
(specify)
............
To support
the conversion/
exercising rights of a
given instrument
(specify)
............
Number
Ratio
of shares
(old : new)
(shares)
..................... .....................
Sale price
(THB/share)
.....................
Subscription
Note
and payment
period
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When shares are allotted to existing shareholders, specify the date on
which the shareholders register is to be closed or recorded for the
subscription for new shares.
- When the shares are allotted to any specific person, specify particulars of
that person, his relationship with the company and basis for
determinating of share price. If such person is a juristic entity, state the
type of its business, the manner of its business operation, and the juristic
person’s major shareholders, directors and management.
- When the shares are allotted to support the conversion or exercise of
subscription rights of a given instrument, such as convertible debentures,
share-purchase warrants, transferable subscription right, etc., specify
particulars of such instrument, including its characteristics, amount or
value, and conditions and material contents (if any).
2.1.1 The Company’s plan in case there is a fraction of shares remaining
____________________________________________________________
____________________________________________________________
__________________________________________________
2.2
If under a general mandate
Allotted to
Existing shareholders
Type of shares
Ordinary
Preferred
Number of
shares
(shares)
.....................
.....................
Percentage of
paid-up
capital 1/
.....................
.....................
Note
.....................
.....................
To supporting the exercise of
transferable subscription
rights
General public
.....................
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.....................
Ordinary
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Preferred
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Specific persons
Ordinary
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Preferred
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1/
Percentage of paid-up capital on the date that the Board of Directors resolves to increase
capital under a general mandate.
3.
Schedule for a shareholders’ meeting to approve the capital increase/allotment
The ordinary/extraordinary meeting of shareholders no. _________ is scheduled to be
held on _____ at (time) ____ at (place) _________________________.

The share register will be closed to share transfers in order to determine the
right to attend this meeting from _____ until the meeting has been duly
convened.
Or
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
The share register will be recorded for share transfer in order to determine the
right to attend this meeting on __________ . Also, __(one business day after
the recording date)________ will be the book-closing date on which the
shareholder list as specified in section 225 of the Security Act shall be
complied.
4.
Approval of the capital increase/share allotment by relevant governmental
agency and conditions thereto (if any)
____________________________________________________________________
____________________________________________________________
5.
Objectives of the capital increase and plans for utilizing proceeds received from
the capital increase
Specify the details relating to the projects and amount of money expected to be
utilized in each project, expected completion date and expected starting date of
income or employment.
If there is to be acquisition of properties, specify the type, working condition, value
and basis for the valuation, appraised value made by an independent appraiser (if any)
and encumbrances to such properties.
If the proceeds will be used for debt repayment, disclose the details of the transactions
from which such debts arose such capital increase shall be deemed to be made for the
use in the operations of such projects.
6.
Benefits which the Company will receive from the capital increase/share
allotment:
______________________________________________________________
______________________________________________________________
7.
Benefits which shareholders will receive from the capital increase/share
allotment:
7.1 Dividend policy _____________________________________________
____________________________________________________________
7.2 Subscribers of new shares issued for this capital increase will be entitled to
receive dividends from the Company’s business operations starting from__
____________________________________________________________
____________________________________________________________.
7.3 Others ______________________________________________________
___________________________________________________________
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8.
Other details necessary for shareholders to approve the capital increase/share
allotment: ______________________________________________________
_______________________________________________________
9.
Schedule of action if the board of directors passes a resolution approving the
capital increase or allotment of new shares:
No.
Procedures of the capital increase
Date/Month/Year
The Company hereby certifies that the information contained in this report form is
true and complete in all respects.
(To be signed by the
directors who are authorized to
sign on behalf of the Company,
with the Company’s seal affixed)
Signed_______________Authorized director
(_____________)
Position______________
Signed_______________Authorized director
(______________)
Position______________
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