K N O W YO U R

CUSTOMER FORM

P E R S O N A L I N F O R M AT I O N :

Full name: REMA NAIR

Date of birth: (DD/MM/YYYY): 12/11/1963 Gender: Male Female

Marital status: Single Married Divorced Widowed

Nationality: INDIAN Place of birth: BHOPAL-INDIA

Country of residence: OMAN Name of spouse: RAGHAVAN RAJESH

Passport number: Z7333915 Omani resident card number: 64113296

Other identification (if applicable):

Omani identity card:
(Passport or ID card must be attached)

C O N TA C T I N F O R M AT I O N :

Permanent residential address: (House Number / Way Number, etc.) V298/ HNO 965/ SECTOR-3, WAY NO 415, ALMOUJ-MUSCAT

Mailing address: PO 919, PC-100, MUSCAT-OMAN Email address: rajesh@amranest.com

Office phone number:

Phone number: 97114447 (Official documents evidencing residential address such as
electricity/telephone bills, bank statements etc.)

POLITICAL FIGURES:

Are you a person of political influence: Yes No

If yes, please define your post/position:

Are you related to a person of political influence:

If Yes, please define the following:

(a) Your relation to the person:..............................................................................................................................................................................................

(b) Post/position of the person:.............................................................................................................................................................................................

(c) The country & nationality of the person:.......................................................................................................................................................................

F I N A N C I A L I N F O R M AT I O N :

Salaried Business Income Family assistance Investment Sale of property

Inheritence Rent Others (please specify):.....................................................................................................

Source of funds:

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Know Your Customer Form

E M P L OY M E N T: (For individuals who receive a salary)

Current employer: Address of the employer:

Job title: Nature of the job:

Country of the work place:

BUSINESS OWNERS:

Business name: ORBITAL FABRICATION & INTEGRATION SERVICES LLC Address: PHASE-6, SOHAR INDUSTRIAL AREA

Years of operation: SINCE 2008 Percentage of ownership: 25%

Nature of work: MANUFACTURE OF OILFIELD SKID PACKAGES Country of the work place: OMAN

*For business owner, we must obtain an attested copy of the commercial registration documents, names of all authorised
signatories along with their specimen signature, names of management/senior persons and all documents listed in Article 20 of
MD 244/2022.

D E C L A R AT I O N O F T H E U LT I M AT E B E N E F I C I A L O W N E R :

Are you the ultimate beneficial owner? Yes No

If not, please provide the name of the actual owner:

*The Ultimate Beneficial owner: Is the real owner who has control of the transaction or asset, even if there are intermediaries
involved. Attested POA from the owner must be provided if the buyer is not the beneficial owner. The ultimate beneficial owner’s
personal information and contact information set out above should be procured.

(a) I hereby declare that the information provided above is true and accurate to the best of my knowledge. I understand
that providing false or misleading information may have legal consequences. I also Undertake to inform you of any changes
that may occur.

(b) I hereby provide unconditional and irrevocable written consent to the company or its subsidiaries, authorized agents,
and employees, as well as any external service providers, to disclose, share, use, process, and investigate my information
and records in accordance with the laws against money laundering and terrorism in the Sultanate of Oman.

(c) I agree that any photocopies or electronic data produced as a copy of this original consent by means of photocopying,
image scanning, or recording in any form shall be considered as evidence of consent with the same effect as the original.

(d) I hereby declare and confirm that I am not and have never been on any national or international list of sanctions

(e) I hereby consent to the storage, processing and transfer of the data that I have provided to Al Mouj Muscat SAOC as it
deems fit. This is signed on the understanding that Al Mouj Muscat SAOC shall handle my information with care.

(f) I hereby undertake to provide Al Mouj Muscat SAOC any other information that may be required from time to time.

Client’s Signature

REMA NAIR

Date: 15 / 01 / 2024

A D D I T I O N A L I N F O R M AT I O N :

Attach a copy of your passport or other identification documents.

Attach proof of your current address (e.g., utility bill, bank statement, etc.).
Additional documents may be requested as needed.
A POA attested in accordance with Omani law must be procured in case of
a representative acting on behalf of the purchaser.

Al Mouj Muscat S.A.O.C. 2