Transfer Application-The NASDAQ Global Select Market Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Transfer Application-The NASDAQ Global Select Market Form. This is a Official Federal Forms form and can be use in Additional Listing Applications NASDAQ.
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The NASDAQ Stock Market®
Transfer Application:
The NASDAQ Global Select Market®
This application should be completed by a company listed on The NASDAQ Global Market®
that wishes to transfer its listing to The NASDAQ Global Select Market.*
PART I
A. Company Information
COMPANY NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
WEBSITE
B. Company Contacts
Please list the name, title and email address of the individual(s) to be designated as company contact(s)
for this application. Attach a separate sheet if the address for a designated contact person differs from
the address of the principal executive offices listed above.
NAME
TITLE
EMAIL
NAME
TITLE
EMAIL
NAME
TITLE
EMAIL
PART II
Security Information
Description of issue(s) to be listed (include current symbols(s), par or stated value, warrant expiration
date and exercise price, ratio for American Depositary Shares to underlying shares, and other relevant
information):
*If the company is seeking to list, pursuant to, or in connection with, a merger with a NASDAQ® listed company,
the issuer cannot utilize this transfer request form and must complete a full Listing Application.
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PART III
A. Authorization – Please sign and date the application.
As an officer of the Company, I am authorized to execute this application on the Company’s behalf.
SIGNATURE
DATE
NAME
TITLE
B. Submission
Send the Application and supporting documentation to:
The NASDAQ Stock Market LLC
Listing Qualifications
9600 Blackwell Road
Rockville, MD 20850
Phone: +1 301 978 8008
©April 2009, The NASDAQ OMX Group, Inc. All rights reserved. The NASDAQ Stock Market, NASDAQ. The NASDAQ Global
Select Market and The NASDAQ Global Market are registered trademarks of The NASDAQ OMX Group, Inc.
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