Fillable Standard Transfer Form (Page 3 of 4) in pdf

Standard Transfer Form Page 3

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All Registry communications to:

Link Market Services Limited

Locked Bag A14

Sydney South NSW 1235

Telephone: 1300 554 474

(02) 8280 7111

Website:

STANDARD TRANSFER FORM

SELLER DETAILS (Please use CAPITAL LETTERS)

Full name of Company, Corporation or Trust in which the securities are held

Type of Security (eg fully paid, partly paid, stapled security, etc)

Number of securities to be sold

Value of the transfer or sale

Seller Securityholder Reference Number

Seller – Title

Given Name(s) or Company Name

Last Name

Seller(s) day time phone number

Verification Procedures: For security purposes, the registration details of the Seller and the authorisation

to transfer will be subject to verification. This vertification process may include contacting the Seller. Where

verification cannot be carried out to the satisfaction of the Registrar, the transfer may be rejected and returned

with a request to provide additional information.

BUYER DETAILS (Please use CAPITAL LETTERS)

Title

Given Name(s) or Company Name

Last Name

Account Designation (if desired, eg <John Smith A/C>)

PO Box/RMB/Locked Bag/Care of (c/-)/Property name/Building name (if applicable)

Unit Number/Level

Street Number

Street Name

Suburb/Town

State

Post Code

Country (if not Australia)

Buyer Securityholder Reference Number (if applicable)

SIGN HERE

The Seller(s) whose details are written above, transfers the securities shown above to the Buyer(s) and states to the Buyer(s), the Issuer of the securities

and the Issuer’s share registrar that they are the owner(s) of the securities and are entitled to transfer them to the Buyer(s).

All Seller(s) must sign

Securityholder 1 (Individual)/Executor

Securityholder 2 (Individual)/Executor

Securityholder 3 (Individual)/Executor

Sole Director and Sole Company Secretary/

Director/Company Secretary (delete one)

Director (delete one)

Date: _________/___________/_________

All Buyer(s) must sign

Securityholder 1 (Individual)/Executor

Securityholder 2 (Individual)/Executor