Nasdaq Iceland Main Market

Request for admission of bonds to trading[1]

1. General information

Information about the issuer:

Name of issuer: / ID No.:

Information about financial undertaking:

Financial undertaking that acts as coordinator for admission to trading: / Telephone:
Financial undertaking’s primary contact: / Direct telephone and e-mail:

Information about the bonds[2]:

Symbol / Total size before increase, if applicable / Total size / Size limit in issue description, if applicable

If issued under base prospectus:

Aggregate outstanding amount under base prospectus:
Size limit of program:
Requested first day of trading:
Place and date:

On behalf of the issuer´s board of directors,

Name and position, in print: / Signature:

On behalf of the financial undertaking,

Name and position, in print: / Signature:

Documentation (unless already submitted):

☐ A completed form providing information on the conditions of the class of bonds (term sheet). Not required for bond classes that are already traded on the Exchange.

☐ An approved prospectus (and/or final terms, if applicable) together with a certificate from the competent authority approving the prospectus and, if applicable, details of any exemptions granted by the competent authority from the requirement to disclose certain information in the prospectus.

☐ a copy of the bond or a confirmation that the bonds to be admitted to trading have been registered electronically in a central securities depository and including the issue description for electronic registration or, for an increase of a class of bonds, a confirmation that the new bonds have been registered electronically in a central securities depository, if applicable. Not required if bonds are registered at Nasdaq CDS Iceland.

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[1] The application for admission of shares to trading is deemed to be complete once the all required documentation has been received by the Exchange, in accordance with article 1.1.3 of the Rules for Issuers of Financial Instruments on Nasdaq Iceland.

[2] Please add additional rows if the the application covers more than one class of bonds.