APPLICATION FORM Consultative Working Group of ESMA’s Commodity Derivatives Task Force Dear Sir, Please find enclosed the application of [name of applicant] in response to the call for expressions of interest (Ref: ESMA/2016/1139) to become a member of the Consultative Working Group (CWG) of ESMA’s Commodity Derivatives Task Force (CDTF). This application file includes the following documents (please underline the relevant answer): Detailed curriculum vitae (CV) of the person replying to the call for expressions of interest. The detailed CV should specify the different diplomas obtained (copies of which may be requested by ESMA), the YES NO expertise and experience relevant to the call for expressions of interest. The completed application form (including Sections 1 and 2 attached YES NO hereto). Motivation letter (optional). YES NO I hereby commit, should I be appointed as a member of the CDTF CWG, not to disclose, share or more generally make public the content, in part or in full, of any non-public papers I may be provided with in my capacity of member of the CDTF CWG. _________________________________________________ Name / First name / Surname) _________________________________________________ Date (dd/mm/yyyy)
APPLICATION FORM Consultative Working Group of ESMA’s Commodity Derivatives Task Force Dear Sir, Please find enclosed the application of [name of applicant] in response to the call for expressions of interest (Ref: ESMA/2016/1139) to become a member of the Consultative Working Group (CWG) of ESMA’s Commodity Derivatives Task Force (CDTF). This application file includes the following documents (please underline the relevant answer): Detailed curriculum vitae (CV) of the person replying to the call for expressions of interest. The detailed CV should specify the different diplomas obtained (copies of which may be requested by ESMA), the expertise and experience relevant to the call for expressions of interest. YES NO The completed application form (including Sections 1 and 2 attached hereto). YES NO Motivation letter (optional). YES NO I hereby commit, should I be appointed as a member of the CDTF CWG, not to disclose, share or more generally make public the content, in part or in full, of any non-public papers I may be provided with in my capacity of member of the CDTF CWG. _________________________________________________ Name / First name / Surname) _________________________________________________ Date (dd/mm/yyyy)