QUESTIONNAIRE FOR SUITABILITY OF INVESTMENT SERVICES (for individuals) Dear Customer! CUSTOMER: EDUCATION AND WORK EXPERIENCE

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1 QUESTIONNAIRE FOR SUITABILITY OF INVESTMENT SERVICES (for individuals) Dear Customer! In compliance with the Financial Instruments Market Law of the Republic of Latvia, prior to provision of certain investment services AS Reģionālā investīciju banka (Bank) is required to obtain the requested in this Questionnaire from the customers. The answers you provide to the questions set out in this questionnaire will help the Bank determine investment products that correspond to the level of your knowledge and, financial position, investment goals and ability to accept risk, thus, in providing investment services, the Bank will be able to act in your best interests, as well as to offer you full range of investment services. If you fail to provide answers to all the questions of this questionnaire, the Bank will not have the right to offer you certain investment products and services. Should the circumstances specified in this questionnaire change, you are obliged to immediately inform the Bank thereof and to complete a new questionnaire. CUSTOMER: Name, surname Personal identification number (for non-residents - passport., date and country of issuance) EDUCATION AND WORK EXPERIENCE Highest educational attainment basic education secondary education higher education in the field of economics/finances higher education in other field IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

2 Your activity during the past 5 held positions related to financial markets; have worked at a financial or at a financial market supervisory at one of the following positions related to financial markets: - financial market analyst - broker, dealer - asset, investment strategist - investment advisor - investment services supervision expert have held other position related to financial markets (please, specify the position) KNOWLEDGE AND EXPERIENCE IN TRANSACTIONS WITH FINANCIAL INSTRUMENTS (FI) (Please provide answers to the questions below. You may choose just one of the suggested multiple choice) 1. In case your main investment objective is to protect the invested 2. Does the profitability of the previous period guarantee the same capital, which of the following financial instruments will you choose? profitability in the future? Shares of companies from developed countries Yes b) Medium-term bonds with an investment rating b) Long-term bonds that could be converted into shares FUTURES for oil or gold 3. In case your main goal is to earn around 10% per annum, you will 4. Is it possible to lose most of the capital by investing in shares and / or make long-term investments: Exchange-traded funds (ETFs)? in Shares of companies in developed countries Yes b) in Medium-term bonds with an investment rating b) in FUTURES for oil or gold 5. Please select the correct statement in your opinion: in Marginal transactions it is possible to lose an amount that is higher than the invested capital b) in Marginal transactions it is not possible to lose an amount that is higher than the invested capital IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

3 TYPE OF FINANCIAL INSTRUMENTS 6. Exchangetraded or MTFtraded shares, except for shares with embedded derivative Are you aware of special considerations for FI and risks associated therewith? How did you gain understanding of FI special considerations and risks? For how long have you transactions with these FI? What transactions with these FI have you? Average frequency of transactions with these FI annually, evaluating transactions for the past 3 Average volume of transactions with these FI annually, evaluating transactions for the past 3 (EUR) transfers only 1-4 up to were from 1 to 3 >10 > Exchangetraded or MTFtraded bonds, debentures or other debt instruments, except for structured debt instruments and debt instruments with embedded derivative from 1 to 3 transfers only 1-4 up to were >10 > IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

4 8. Certificates or shares of investment funds, except for leveraged funds, funds with other complex structure, alternative investment funds, real estate funds, risk capital funds, private capital funds 9. n-exchangetraded or non- MTF-traded shares, except for shares with embedded derivative 10. n - exchange-traded or non-mtftraded bonds, except for structured debt instruments and debt instruments with embedded derivative from 1 to 3 from 1 to 3 from 1 to 3 transfers only 1-4 up to were >10 > transfers only 1-4 up to were >10 > transfers only 1-4 up to were >10 > IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

5 11. Structured bonds, convertible bonds and other structured debt instruments 12. Leveraged investment funds and investment certificates or shares of other funds with complex structure 13. Investment certificates or shares of alternative investment funds, real estate funds, risk capital funds, private capital funds from 1 to 3 from 1 to 3 from 1 to 3 transfers only 1-4 up to were >10 > transfers only 1-4 up to were >10 > transfers only 1-4 up to were >10 > IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

6 YOU AND YOUR FINANCIAL POSITION 1. Your age 2. What items listed below most accurately describe your family status? up to 30 I am single and I have no children or other dependents b) b) I am married or in permanent relationship and I have no children or other dependents I am married or in permanent relationship and I have children or other dependents I am single and I have children or other dependents e) over How would you describe your employment situation? 4. Total value of your assets (total assets - total amount of your assets value (including real estate, investments and free cash funds (money savings) minus your liabilities) I have a steady job and good employment prospects up to EUR b) I own a company with stable income prospects b) EUR I am employed but I am not sure of my job stability EUR in the near future I am planning to retire EUR e) I am retired e) EUR f) I am unemployed f) over EUR Your regular income sources (indicate the main income sources) 6. Your free income per month (all income (salary, capital income, etc.) minus liabilities (loan payments, insurance payments, etc.) and minus housing costs (utilities, rent, food costs, etc.) salary up to EUR 200 b) income from economic activity b) EUR capital income, dividends, interest income EUR scholarship EUR e) pension and other social payments e) EUR f) no regular income f) over EUR IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

7 7. Structure of your assets (% of total assets) deposits, cash funds % b) investments in financial instruments, endowment insurance products % real estate % other types of investments % YOUR INVESTMENT GOALS 1. What is the main goal of your investment? 2. When will you require access to the invested funds? savings for old age earlier than in a year b) savings for children's future b) within 1-3 savings for future purchase within 3-5 investment of free funds for capital maintenance within 5-10 e) investment of free funds to gain higher profit e) in Choose the description which corresponds the most to your attitude 4. What return on investment are you expecting in case of unfavourable towards investments in financial markets: market conditions? my main goal is to protect the invested capital, I am not willing to suffer investment profit will be small any other losses; b) I am aware that investments in financial instruments are associated with b) the investment will not bring profit, but its value will remain the same risks, and in order to gain higher profit I am willing to accept a risk associated with slight fluctuations in value of investments; I am aware that investments in financial instruments are associated with the investment will lose part of its value risks, and in order to gain higher profit I am willing to accept a risk that the value of my investment might significantly decrease; I am aware that investments in financial instruments are associated with the value of investment might decrease significantly, it may be possible risks, and in order to gain higher profit I am willing to risk all the to lose all the principal amount of investment invested amount. IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

8 5. From September 2008 to vember 2008 the value of shares in financial markets on average decreased by 1%. If you 6. In making an investment, which of the below stated hypothetical investment portfolios (taking into account a neutral, positive and invested a significant amount of funds in shares, which lost 31% of value negative return scenario for each portfolio) would you choose, if a within 3 month, you would: deposit rate would be approximately 1% per annum? sell all shares; Neutral scenario Positive scenario Negative scenario b) sell part of the investment; 1% 2% 0% take no action and keep the investment; b) 5% 10% -2% acquire more such shares in order to reduce the average investment price 10% 25% -15% 12,5% 38% -28% 7. For many customers the possibility to suffer losses is unacceptable. What is your attitude towards potential loss of investment? I do not feel safe if an investment is not fully protected and if there is a possibility to suffer losses; b) I am not willing to suffer losses, but I allow for a slight short-term decrease of the value of investment; Unless the situation improves, I will sell the investment; I am aware that the market value might fluctuate, and sometimes such fluctuations are significant, but it is important to adhere to the chosen long-term investment strategy; risk of losses is inherently related to the possibility of higher profit; I admit the possibility of losses and I am not concerned about it; 8. Investments with higher return usually have higher risk level, but investments with smaller return usually are less risky. Which of the following descriptions corresponds the most to your attitude towards return: I agree to low return if the investment is more safe; b) I would like to have higher return, but it is important that a part of the investment portfolio is invested in the instrument that offers greater security assurance; return that significantly outruns inflation is important for me, that is why I am willing to accept higher risk; only maximum return on investment is important for me; if there is a possibility to gain higher profit, I am willing to accept higher risk. 9. Your investment value might fluctuate. In case if your investment loses its value, you would sell it if within a year if the investment value: decreased by 5% b) decreased by 15% decreased by 30% I would not sell the investment, hoping for increase in its value IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9

9 Customer s confirmation I hereby confirm that all the provided in this questionnaire is true, complete and accurate. I hereby undertake to inform the Bank about any changes in the provided. Customer s name, surname Date, place of signature IX.169/ Version: 05/ Accessibility: A/ VLL / Effective from: /9