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1     Taiwan Stock Exchange Corporation Equity Examination Table for Margin Purchases and Short Sales for a TPEx Listed Company Applying to Convert into a TWSE Listed Company
┌──────────────────────────────┐
│Information as of [ Date ] (last day of the transfer period)│
├──────────────────────────────┤
│1.Company name:                                    Co., Ltd.│
├──────────────────────────────┤
│2.Total number of shareholders:                             │
├──────────────────────────────┤
│3.Number of shareholders holding 1,000 to 50,000 shares:    │
├──────────────────────────────┤
│4.Paid-in Capital: NT$ [  ]                                 │
│  Number of listed shares: [  ]                             │
│  Net worth per share: NT$ [  ]                             │
├──────────────────────────────┤
│5.Total number of registered shares held by all the         │
│  directors, supervisors, officers and shareholders holding │
│  more than 10% of the total shares is [  ], accounting for │
│  [  ]% of the Company's listed shares.                     │
├──────────────────────────────┤
│                                                            │
│Company's Chop                                              │
│                                                            │
│                                                            │
│                                                            │
│                                                            │
│                                                            │
│                                                            │
└──────────────────────────────┘
  1. Information on shareholding is based on the most recently available share transfer information.
  2. Contact: Trading Department, the Taiwan Stock Exchange Corporation, 10F 7 Section 5, Xinyi Road, Taipei
    Telephone: (02) 81013134, 81013702
    Fax: (02) 81013683~5