EFTA02726397.pdf

Translation Application for Foundation or Organization Establishment Registration, According to Section 14 of National Cultures Acts, B.E. 2485 Application No. Written at Kritsada Nakhon 10 Village Date: 4 October 2010 I, Mom Luang Rajadarasri Jayankura, hereby submit an application to the Secretary General of National Cultures Commission, to request for a permission to establish a Foundation as per below details: 1. Name: His Serene Highness Prince Visesh Sakdi Jayankura & Her Serene Highness Princess Chaliyao Varnamala (Kamalasana) Jayankura's Foundation. 2.Objectives: 2.1 To promote religious activities and actions that provide benefits to Buddhism. 2.2 To provide cooperation in any actions that provide benefits to the public or to provide cooperation to other charity organization in term of Buddhism and society. 2.3 To provide scholarship to the youths and to provide supports to the poor. 2.4 To promote and preserve Thai and Overseas' Art and Culture. 2.5 Not to commit any political involved actions. 3. Head Office is located at No. 108/30, His Serene Highness Prince Visesh Sakdi Jayankura, Rattanathibet Road, Bangrakpattana Sub-district, Bang Bua Thong District, Nonthaburi Province. 4.Name, Address, and Occupation of the founder(s) ( as appeared in the end of this application) S. I relate to such foundation or organization as a founder. 6. Documents to be attached to this application are: 1. License Registration Application (Form Wor. Thor. 1) 2. Foundation Regulation 3. Meeting Report of the foundation's founder (s) 4. Permission Letter to use the location as Foundation's Office and House Registration for the Foundation's Location 5. Map of the Foundation's Office 6. Permission Letter to use the name — last name as the Foundation's Name (if any) 7. Name list of the first Foundation Committee 8. Financial Status Certification from the bank 9. Promise Letter 10. Background of the Foundation's Founder 11. Copy of Personal Identification Card and House Registration of the Foundation's Founder. EFTA_R1_02214133 EFTA02726397 (Signature) -Signed- Applicant (Mom Luang Rajadarasri layankura) -Official Seal Affixed- EFTA_R1_02214134 EFTA02726398