Assignment Application Form - Existing Tenant Page 4

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Assignment Application Form – Existing Tenant
Your signature below indicates that you have read this collection notification and acknowledge that your personal information will
be collected, used and disclosed in accordance with this collection notice and as otherwise detailed in BML’s Privacy Policy and, to
the extent it is necessary, that you give your voluntary express consent to BML collecting, using, storing, disclosing and disposing of
your personal information in this manner.
We, the undersigned, hereby confirm our binding acceptance of the conditions attached to this Application for Assignment and
confirm that the information supplied in this Application is true and correct.
Dated this______________ day of_______________________________, 2014
Signed for and on behalf of the Tenant by:
Printed Name and Title:
Signed for and on behalf of the Assignee by:
Printed Name and Title:
Brisbane Markets Limited
Document Number:
PROP6 - 001
ACN 064 983 017
Page 4 of 4
Document Date:
28 February 2014

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