Private & Confidential

PERSONAL INFORMATION FORM (PIF)

It is the policy of Citibank Singapore Limited, Citibank, N.A. and any of its holding companies, associate companies, branches, subsidiaries, representative offices, affiliates and agents (together, Citigroup, and each a Citigroup entity) to conduct background checks on all candidates commencing work with Citigroup. As detailed in your offer letter, your employment is subject to the successful completion of our background screening process and verification of information about your background. This process requires the hiring Citigroup entity as set out in your offer letter (the Bank) to obtain references about you from past employers and, in certain cases, regulatory authorities, academic and professional bodies. Please answer ALL questions completely and honestly Please provide information even if you believe we already have it. Information previously provided may be checked against information provided in this form. The deliberate or reckless provision of misleading or false information or omission of material information may affect your employment with the Bank. If a question is not applicable to you, please mark N.A. in the space provided. All questions which are applicable must be answered. Should there be insufficient space for your answers, please attach annex(es) which should be identified as such and signed by the signatory to this form.

IMPORTANT NOTES
The following supporting documents are required to be attached with the completion of this Personal Information Form (PIF). 1 Pay Slip (from most recent employer) a. If your pay slip is not available, please provide alternate documentation (bank statement, salary increment letter or tax bill/statement) as available. 2 Bonus Slip (from most recent employer) a. If your bonus slip is not available, please provide alternate documentation (bank statement or tax bill/statement) as available. 3 Tertiary Scroll/Educational and Professional Certificate/ Marks Sheet/ Results of applicable Capital Markets and Financial Services Examinations (where relevant) Please provide a copy of your tertiary scroll/educational and professional certificate/ marks sheet/ results of applicable Capital Markets and Financial Services Examination, where relevant, for verification. 4 CPF Statements for Self Employed Periods For Singaporeans who have been previously self-employed, please provide a copy of your CPF statements for the period involved. For foreigners, please provide a copy of your tax documents for the period involved. Please provide detailed reason(s) if you have NOT provided any of the documents requested above. Yes No

I did not have any full-time jobs before so I do not have pay slip or bonus slip.

Note: In the event that we are not able to verify any of your previous employments, educational qualification and professional qualifications/licenses, you will be requested to provide the following: Employment service certificate indicating period of employment and job title. Alternatively, if this is not available, documents such as offer letter, exit letter and business card can be provided. Copy of your educational certificates Copy of your professional qualifications/licenses

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SECTION 1 PERSONAL INFORMATION

Please provide your name in FULL (as per your National Identity Card/Passport) and any aliases/alternative names if applicable. Please provide your name in local characters in Other/Previous Names if applicable (e.g. Thai Script, Korean/Chinese Characters, Japanese Kanji etc). Full Name (as reflected in your National ID or Passport) Please underline SURNAME NGUYEN TRAN QUAN Maiden Name (if applicable) Gender Country of Birth National Identity Number Marital Status Race National Service Status Other / Previous Names (if applicable)

Male Viet Nam 01/03/1992 Single Vietnamese

Date of Birth Nationality Passport Number Religion Country of Citizenship Exempted

01/03/1992 Vietnamese B4056034 N.A Viet Nam

Completed Not Applicable If exempted, please provide reason for exemption:

Contact Details Telephone Email Address

81792696

Mobile Number

81792696

nguyentranquan1992@gmail.com

FOR SINGAPOREAN PERMANENT RESIDENT (PR) OR NON SINGAPOREAN Status: U.S. Green Card Holder/U.S. Citizen (Please fill up FICA form) Employment Pass/S Pass Holder Permanent Resident Work Permit Holder PR Number: Issue Date: Expiry Date:

If you are a Permanent Resident and have been a PR for less than 2 years, you need to complete the attached CPF form. Spouse Information Full Name of Spouse (as reflected in their National ID or Passport). Please underline SURNAME Nationality NRIC/FIN Number Occupation Name of Employer Emergency Contact Details Name (underline Surname) Date of Birth Passport Number

Relationship

Contact Number(s)

NGUYEN VAN DAT

Father

+84983375600

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SECTION 1 PERSONAL INFORMATION (continued)

Please provide your Other/Local National Identity Number if you have lived or worked in the United States, Canada, Korea, Malaysia, Thailand, the Peoples Republic of China or Taiwan within the last TEN YEARS. United States SSN Canadian SIN

N.A N.A

Other National ID Work / Visa / FIN Number

N.A N.A

Were you conducting any financial advisory activities under the Securities and Futures Act of Singapore and/or the Financial Advisers Act of Singapore? Yes No If your answer is Yes, please provide your Representative Number (if any):

Residential Address (es) Please provide details of your current, previous and alternate addresses during the past TEN YEARS indicating clearly the Street Name/Number, State & City, Country, Postal Code, commencing with your current residence. 1 2 3 4 5

21 Prince Gerge Park, Blk 2, Lv 7, Rm F

Citi group Related Information Have you ever been employed by a Citigroup entity? If your answer is Yes, please provide details below: Citigroup Entity/Business Unit From (mm/yy) /Location

Yes To (mm/yy)

No Last Position Reason for Leaving

References (Please provide 2 work-related referees) Name Relationship & Number of Years Known

Contact Number

Occupation

Email

Referral Source Advertisement / Client Referral / Campus Recruitment / Employment Agency / Executive Search / Former Employee / Unsolicited Employee Referral (Name of Citibanker) ____________________________________________ Others: _________________________________

Referral Source (Please encircle)

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SECTION 2 EDUCATIONAL INFORMATION

Highest Qualification Attained / Conferred Please state highest tertiary qualification attained/conferred. Tertiary Scroll/Educational and Professional Certificate/ Marks Sheet/ Results of applicable Capital Markets and Financial Services Examinations (where relevant) Please provide a copy of your tertiary scroll/educational and professional certificate/ marks sheet/ results of applicable Capital Markets and Financial Services Examination, where relevant, for verification. Institution Name Qualification Name Type of Qualification Date of Graduation Dates of Study (From) Address of Institution Yes No d 0 d 0

Hung Vuong High School for the Gifted High School Certificate
Masters Degree y 2 y 0 y 0 y 1 y 0 y 0 Diploma Certificate

1 d
d 1

m 0 m 0

Student / Roll Number Dates of Study (To) Telephone Number

m 2 9

7 y

0 d

1 d

0 m

7 m

y 0 2 y

y 1

y 0

Gia Lai, Viet Nam

Was this an External / Long-Distance course?

Other Qualification Yet to be Attained / Conferred / Currently Pursuing Please state qualification yet to be attained/conferred / currently pursuing. Institution Name Qualification Name Type of Qualification Date of Graduation Dates of Study (From) Address of Institution
Was this an External / Long-Distance course?

Masters d d d d m m m m y y y y y y

Degree y y

Diploma

Certificate

Student / Roll Number Dates of Study (To) Telephone Number d d m m y y y y

Yes

No

NOTE: If you have previously undertaken a tertiary course which you did not complete and which you do not intend to complete, you should not include such a course. Only completed/attained/conferred tertiary qualifications and those tertiary courses which you are currently undertaking (with the intention to complete) should be included in the tables above.

SECTION 3 PROFESSIONAL INFORMATION

Professional Qualifications / Licenses Attained Institution Qualification / Membership Address Date of Qualification ID # / Membership # (if applicable) Telephone d d m m y y y y

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Professional Qualifications / Licenses Attained Institution Qualification / Membership Address Date of Qualification ID # / Membership # (if applicable) Telephone d d m m y y y y

SECTION 4 EMPLOYMENT INFORMATION

Employment History Please provide details of all previous employment over the last SEVEN YEARS (or TEN YEARS if your rank is Managing Director and above) in descending order beginning from the most recent employment. Details of any period of unemployment, self employment, career breaks, etc within the last SEVEN YEARS or (TEN YEARS if your rank is Managing Director and above) should be provided. Previous employers will be contacted to verify your employment history. Please provide full names, addresses and, where possible, the telephone number of each employer. Do not use initials or abbreviations. Please provide a copy of your last drawn full month pay slip and evidences of actual bonus received (from your most recent employer). Current or Most Recent Employer (1) Please indicate if we may contact your current employer Employer Name Address Department/Branch Last Corporate Title (MD, VP etc) Reason for Leaving Voluntary Involuntary Telephone Number Last Functional Title (Business Mgr etc) Direct Supervisors Name

Immediately or Not until

Remuneration Received For the CURRENT Financial Year (Exclude future or expected income, do not round off figures) Annual Basic Salary Currency Amount
(Exclude bonus, super annuation, Central Provident Fund, Annual Wage Supplement share options, over time, allowances, other fixed income)

Annual Bonuses
(Declare only last bonus received & not expected bonus; you will be required to provide evidence of actual receipt of any bonus declared)

Currency

Amount

Annual Allowances
(Includes share options, allowances, other fixed & variable income)

Currency

Amount

Permanent Position / internship Consultant / Self Employed

From From

d d

d d d

m m m

m m m

y y y

y y y

y y y

Y Y y

To To To

d d d

d d d

m m m

m m m

y y y

y y y

y y y

y y y

Temporary / Contracting (provide details From d below) Agency Branch Address

Contact Name

Telephone

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SECTION 4 EMPLOYMENT INFORMATION (continued)

Employment Gaps (Please provide details of your activities for all gap periods between Employer 1 & 2) From (mm/yy) To (mm/yy) Details

Previous Employer (2) Employer Name Address Department/Branch Last Corporate Title (MD, VP etc) Reason for Leaving Permanent Position / internship Consultant / Self Employed Voluntary Involuntary
From From d d d d d m m m

Telephone Number Last Functional Title (Business Mgr etc) Direct Supervisors Name
m m m y y y y y y y y y Y Y y To To To

d d d

d d d

m m m

m m m

y y y

y y y

y y y

y y y

Temporary / Contracting (provide details From d below) Agency Branch Address

Contact Name

Telephone

Employment Gaps (Please provide details of your activities for all gap periods between Employer 2 & 3) From (mm/yy) To (mm/yy) Details

Previous Employer (3) Employer Name Address Department/Branch Last Corporate Title (MD, VP etc) Reason for Leaving Permanent Position / internship Consultant / Self Employed Voluntary Involuntary
From From d d d d m m

Telephone Number Last Functional Title (Business Mgr etc) Direct Supervisors Name
m m y y y y y y Y Y To To

d d

d d

m m

m m

y y

y y

y y

y y

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SECTION 4 EMPLOYMENT INFORMATION (continued)

Temporary / Contracting (provide details From d below) Agency Branch Address
d m m y y y y To

Contact Name

Telephone

Employment Gaps (Please provide details of your activities for all gap periods between Employer 3 & 4) From (mm/yy) To (mm/yy) Details

Previous Employer (4) Employer Name Address Department/Branch Last Corporate Title (MD, VP etc) Reason for Leaving Permanent Position / internship Consultant / Self Employed Voluntary Involuntary
From From d d d d d m m m

Telephone Number Last Functional Title (Business Mgr etc) Direct Supervisors Name
m m m y y y y y y y y y Y Y y To To To

d d d

d d d

m m m

m m m

y y y

y y y

y y y

y y y

Temporary / Contracting (provide details From d below) Agency Branch Address

Contact Name

Telephone

Employment Gaps (Please provide details of your activities for all gap periods between Employer 4 & 5) From (mm/yy) To (mm/yy) Details

Previous Employer (5) Employer Name Address Department/Branch Last Corporate Title (MD, VP etc) Reason for Leaving Permanent Position / internship Consultant / Self Employed Voluntary Involuntary
From From d d d d m m

Telephone Number Last Functional Title (Business Mgr etc) Direct Supervisors Name
m m y y y y y y Y Y To To

d d

d d

m m

m m

y y

y y

y y

y y

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SECTION 4 EMPLOYMENT INFORMATION (continued)

Temporary / Contracting (provide details From d below) Agency Branch Address
d m m y y y y To

Contact Name

Telephone

Employment Gaps (Please provide details of your activities for all gap periods between Employer 5 & 6 ) From (mm/yy) To (mm/yy) Details

SECTION 5 SELF-DECLARATIONS
Please answer ALL the questions and provide details at the end of the section for all questions answered Yes. S/N 1. 2. 3. 4. 5. 6. 7. 8. 9. Question Have you ever been refused entry to a foreign country? Have you ever been convicted in a court of law of any country? Have you ever been or are you currently unable to fulfill any of your financial obligations, in any jurisdiction? Have you ever been or are you currently subject to a judgment debt which is unsatisfied, either in whole or in part, in any jurisdiction? Have you ever been declared a bankrupt in any jurisdiction? Are you subject to any restrictive covenant, or any other restrictions, with respect to your employment with Citigroup? Have you ever been suspended or dismissed by an employer? Do you have any directorships or shareholdings held in any entity, including any corporation, sole proprietor or partnership? Have you ever taken narcotics, any habit forming drugs or have you ever been treated for a drug addiction? Yes No

Question Number

Details for all questions answered Yes

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SECTION 6 DECLARATION AND AUTHORISATION REGARDING STATEMENTS, INFORMATION AND/OR DATA PROVIDED
1. True and Accurate statements and/or information: To the best of my knowledge, the statements and/or information that I have provided above are true, correct, complete and I make them freely without any reservations. 2. Authorization to verify information: I hereby authorize the Bank and any third party selected by the Bank to, at any time, obtain and verify any information relating to me as set out in this personal information form or such other documents as provided by me, including the obtaining of any credit bureau information report and investigative report, the conducting of reference checks with any of my previous employer(s) and any pre-employment security screening. In connection with the foregoing, I authorize the disclosure of any of my personal information from the Bank to and between any other entity of Citigroup or to any third party selected by any of them. I acknowledge that any reports or checks obtained pursuant to the foregoing may contain information about my background, character and personal reputation. I further understand and agree that, in the event of my employment with the Bank, an employment report or investigative report relating to me may be procured by the Bank in connection with such employment. I understand that if I am employed by the Bank, then my employment with the Bank may be terminated with immediate effect should any information provided herein be proven untrue. 3. Purpose of Collection: Without prejudice to the foregoing, I agree that any personal data provided by me or on my behalf to Citigroup from time to time prior to or in the course of my employment with Citigroup (if employment is subsequently offered to me) as well as all other personal data related to me collected and held by Citigroup upon applying for any service or products from Citigroup will be used by Citigroup for legitimate purposes which include without limitation workforce relations and human resources administration, business administration and operation management, information security and technology services, physical security and safety, prevention, detection and prosecution and to comply with obligations imposed by law. 4 Class of Transferees: I agree that my personal data may be disclosed to the staff member(s) / employee(s) of Citigroup or such outside organization or agent as authorized by Citigroup from time to time to process personal data of Citigroups employees, internal or external auditors, internal or external consultants or internal or external legal adviser of Citigroup, within as well as outside Singapore as considered appropriate, any party giving or proposing to give a guarantee or third party security to guarantee or secure my obligations; any financial institutions, charge or credit card issuing companies, credit reference agencies, collection agencies, agents, service providers or contractors or merchants; any other person who has established or proposes to establish any business relationship with Citigroup or recipient of such data, for any of the purposes mentioned in paragraph 3 above. I acknowledge and agree that Citigroup maintains computer systems in data centers and at other locations in the United States of America and in various countries throughout the world and that Citigroup may collect, store, process, disseminate or use my personal data in manner that causes it to be transferred or accessed from computer systems owned or operated by or on behalf of Citigroup throughout its global computer network.

Signature: Full Name (as reflected in your national ID or passport): Date of Birth (dd/mm/yy): Identity Card Number (NRIC/FIN/Passport): Signature Date: (dd/mm/yy)

NGUYEN TRAN QUAN 01/03/1992 B4056034 07/05/2012

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AUTHORIZATION TO FIRST ADVANTAGE

I hereby authorize First Advantage to verify information provided in my resume and personal information form, and to conduct reference checks and other enquiries regarding my background, character and personal reputation. I authorize all persons who may have information relevant to First Advantages enquiries to disclose it to First Advantage. I release all such persons from liability on account of such disclosure to First Advantage. I am willing that a photocopy of this authorization be accepted with the same authority as the original.

Signature: Full Name (as reflected in your national ID or passport): Date of Birth (dd/mm/yy): Identity Card Number (NRIC/FIN/Passport): Signature Date: (dd/mm/yy)

NGUYEN TRAN QUAN 01/03/1992 B4056034 07/05/2012

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AUTHORIZATION TO CREDIT BUREAU (SINGAPORE)

I have applied to Citibank N.A. Singapore Branch and/or its related company(ies) for employment and in connection thereto hereby authorize Credit Bureau (Singapore) (CBS) to release my credit reports to Citibank N.A. Singapore Branch. I agree to hold CBS harmless, for and/or in respect of all or any loss or damage arising from the disclosure of my credit information as requested. Signature: Full Name (as reflected in your National ID or Passport): Date of Birth (dd/mm/yy): Identity Card Number (NRIC/FIN/Passport): Postal Code: Signature Date: (dd/mm/yy)

NGUYEN TRAN QUAN 01/03/1992 B4056034 118430 07/05/2012

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