Surname:

First name:

Middle name: (optional)

Name of the identity document: ID Passport

Identity document number:

Date of issue of the identity document:

Date of Birth:

Phone:

Email:

Name of the educational institution:

Year of admission to an educational institution:

Course of Study:

Region of residence (city, region):

I hereby declare that:

• I intend to take part in the "Exchange simulator" competition held in the near future, organized by the Kazakhstan Stock Exchange JSC (hereinafter - the Exchange);
• I give the Exchange my consent to disclose my name and information about my results as part of the announcement by the Exchange of information on the intermediate results of the competition and / or in case of my recognition as the winner of the competition in accordance with the Rules for conducting the training competition Exchange simulator.

I hereby confirm that I am familiar with / familiar with all the conditions and procedure for the competition and will not present any claims to the Exchange, including judicial ones, in the event of my suspension from participation in the competition, exclusion from the number of participants in the competition, cancellation of my competition results for the reasons provided Rules of the training competition Exchange simulator.

I hereby accept full responsibility for any inaccuracy of the data provided in this application, and any consequences of such inaccuracy.