Standard Transfer Form - Computershare Investor Services Pty Limited (Page 2 of 4) in pdf

Section A - Completing the transfer form.

Please use block letters and black or blue pen when completing this form, where relevant

Details of Issuer

Full Name of Company/Trust in which Securities are held - The full name of the company or trust in which the securities being transferred or sold are held.

ASX Code for the Company/Trust - Please enter the three (3) letter Australian Securities Exchange (ASX) code, if the security is listed on the ASX.

State or Territory of Registration - The State in which the company or trust is registered. This can usually be found on documentation relating to the securityholding.

Description of Securities

Class - for example Fully Paid Ordinary Shares, Unsecured Convertible Notes, Options and applicable expiry date, Partly Paid Shares, Units etc.

If not fully paid, paid to - Only complete this section if securities are partly paid.

Quantity of Securities

The number of securities being transferred (amount both in words and figures).

Consideration - value of transfer

The consideration paid for the securities or otherwise the approximate market value of the securities on the date of transfer. The market price can be found in daily newspapers and

Date of Transfer - Enter the date of purchase/transfer of the securities. This is the date the transfer has been effected between the Seller and Buyer.

Full registered name(s) of Seller(s)/Transferor(s)

Please enter the names of all securityholders as shown on related securityholder documentation such as a holding or dividend statement.

Seller(s) Securityholder Reference Number (SRN)

The transfer cannot be processed without the SRN. This can be found on the issuer sponsored holding statement.

Full name(s) of Buyer(s)/Transferee(s)

Please enter the full names of the person(s)/company acquiring the securities. There is a maximum of (3) joint holders. Securities cannot be registered in an unincorporated trading

name/business or in the name of a trust, a superannuation fund, a minor, an estate or a deceased person’s name. If transferred into an existing holding you must write the name (and

address details) of the existing holding exactly as they currently appear on the register.

Full postal address of Buyer(s)

Please enter the address in full including the postcode. If transferring to an existing account, the address must match the current registration details exactly. Only one address may

be recorded, irrespective of the number of buyers.

Buyer(s) Securityholder Reference Number (SRN)

If the Buyer is an existing holder of securities in this company please enter their SRN. This field should only be completed if applicable.

Signing Requirements – Both Seller(s) and Buyer(s)”

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It is important that the Transfer Form is signed correctly. Please follow the instructions below carefully to avoid it being returned to you for correction/further action

Signing Requirements based on the capacity of the Seller(s) and Buyer(s)

The signing requirements vary depending on the capacity of both the Seller(s) and Buyer(s). They are as follows:

Individual:

where the holding is in one name, the securityholder must sign.

Joint Holding:

where the holding is in more than one name, all of the securityholders must sign.

Power of Attorney:

to sign as Power of Attorney (POA), you must have already lodged the POA with the registry. Alternatively, attach an original certified copy of the POA to

this form.

Companies:

either two Directors OR a Director and Secretary OR a Sole Director and Sole Company Secretary OR a Sole Director (if no Company Secretary exists) must

sign (in accordance with the Corporations Act).

Overseas companies: companies incorporated outside Australia must sign as above, or provide documentation showing that the company can sign in an alternate manner.

Deceased Estates:

when the holding is in the name of an estate, all executor(s)/administrator(s) are required to sign. When the executors and beneficiaries are the same people,

they will need to sign as seller and buyer. Signing must also comply with any Probate requirements.

All Seller(s) and Buyer(s) must:

a. state the capacity in which they are signing by crossing out titles that are not applicable

b. sign in the appropriate boxes

c. enter the date on which the Transfer Form was signed

d. provide contact details in case we need to make contact with you about registration of the Transfer.

Section B - Payment details

Payment Amount - AUD$55.00 per transfer (inclusive of GST). Refer to the Checklist on the front page of this document for additional information regarding the lodgement of multiple

transfers for the same seller.

Please select payment method (place a cross in the box)

Credit card payment

Visa

Mastercard

AMEX

Card Number

Expiry Date

M M Y Y

(Please ensure that you provide valid and current credit card details)

Name on card

Signature of cardholder