Fillable Link Market Services Address Change printable pdf download

Link Market Services Address Change

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Name of Company/Issuer in which Investment is held

Link Market Services Limited

Full Name(s) of Registered Holding

PO Box 91976, Auckland, 1142

DX CP23524

Fax: +64 9 375 5990

Investor Enquiries: +64 9 375 5998

Email: enquiries@linkmarketservices.co.nz

Web:

Registered Address

CSN/HOLDER NUMBER

Postcode

ADDRESS CHANGE NOTIFICATION ADVICE

PLEASE COMPLETE THIS FORM IN BLACK INK USING CAPITAL LETTERS.

I/we request that the registered address of this holding be changed to the following:

New Address Details

PO Box/Private Bag/Care of (c/-)/Property names/Building names (if applicable)

Unit Number/Level

Street Number

Street Name

Suburb/Town

Post Code

Country

SIGNATURE(S) OF SECURITYHOLDER(S) – THIS MUST BE COMPLETED

Securityholder 1 (Individual)

Joint Securityholder 2 (Individual)

Joint Securityholder 3 (Individual)

Director

Director/Authorised Signatory (delete one)

Sole Director/Authorised Signatory (delete one)

Date

This form should be signed by the securityholder. If a joint holding, all securityholders should

sign. If signed by the securityholder’s attorney, the power of attorney must have been previously

noted by the registry or a certified copy attached to this form. If executed by a company, the form

must be executed in accordance with the company’s constitution and the New Zealand Companies

Act 1993.

Privacy Clause: Link Market Services Limited advises that Section 87 of the Companies Act 1993 requires certain information about you as a securityholder

(including your name, address and details of the securities you hold) to be included in the public register of the Issuer in which you hold securities. Personal

information is collected in order to administer your securityholding. If part or all of the information is not provided, then it might not be possible to administer

your securityholding. Please note that the personal information collected may be disclosed to the Issuer in which you hold securities. You can obtain access

to your personal information by contacting us at the address or telephone number shown on this form. Our privacy policy is available on our website

( ).

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