Here you go:
<cms:formdefinition xmlns:cms="http://www.composite.net/ns/management/bindingforms/1.0" xmlns="http://www.composite.net/ns/management/bindingforms/std.ui.controls.lib/1.0" xmlns:ff="http://www.composite.net/ns/management/bindingforms/std.function.lib/1.0" xmlns:f="http://www.composite.net/ns/function/1.0">
<cms:bindings>
<cms:binding name="Brand" type="System.String" optional="true" />
<cms:binding name="Page" type="System.Int32" optional="true" />
<cms:binding name="PageSize" type="System.Int32" optional="true" />
<cms:binding name="PublicationStatus" type="System.String" optional="true" />
<cms:binding name="CultureName" type="System.String" optional="true" />
<cms:binding name="SourceCultureName" type="System.String" optional="true" />
<cms:binding name="Id" type="System.Guid" optional="true" />
<cms:binding name="PageId" type="System.Guid" optional="true" />
<cms:binding name="FieldName" type="System.String" optional="true" />
</cms:bindings>
<cms:layout>
<cms:layout.label>
<cms:read source="Brand" />
</cms:layout.label>
<FieldGroup>
<KeySelector Label="Brand" Help="" OptionsKeyField="Key" OptionsLabelField="Value" Required="false">
<KeySelector.Selected>
<cms:bind source="Brand" />
</KeySelector.Selected>
<KeySelector.Options>
<f:function xmlns:f="http://www.composite.net/ns/function/1.0" name="Adgistics.Functions.BrandFunctions.GetBrandsDictionary" />
</KeySelector.Options>
</KeySelector>
<TextBox Label="Page" Help="" Type="Integer">
<TextBox.Text>
<cms:bind source="Page" />
</TextBox.Text>
</TextBox>
<TextBox Label="Page Size" Help="" Type="Integer">
<TextBox.Text>
<cms:bind source="PageSize" />
</TextBox.Text>
</TextBox>
</FieldGroup>
</cms:layout>
</cms:formdefinition>