Appointment Of Agent For Service Of Process And Undertaking
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4OMB APPROVAL
OMB Number:
3235-0379
UNITED STATES
Expires:
June 30, 2018
SECURITIES AND EXCHANGE COMMISSION
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Washington, D.C. 20549
hours per response ......... 2.0
FORM F-X
APPOINTMENT OF AGENT FOR SERVICE OF PROCESS AND UNDERTAKING
GENERAL INSTRUCTIONS
I. Form F-X shall be filed with the Commission:
(a) By any issuer registering securities on Form F-8, F-10 or F-80 under the Securities Act of 1933;
(b) By any issuer registering securities on Form 40-F under the Securities Exchange Act of 1934;
(c) By any issuer filing a periodic report on Form 40-F, if it has not previously filed a Form F-X in connection
with the class of securities in relation to which the obligation to file a report on Form 40-F arises;
(d) By any issuer or other non-U.S. person filing tender of fer documents on Schedule 13E-4F , 14D-1F or 14D-
9F;
(e) By any non-U.S. person acting as trustee with respect to securities registered on Form F-7, F-8, F-10,
F-80;
(f) By a Canadian issuer qualifying an offering statement pursuant to the provisions of Regulation A; and
(g) By any non-U.S. issuer providing Form CB to the Commission in connection with a tender of fer,
right soffering or business combination.
A Form F-X filed in connection with any other Commission form should no be bound together with or be included only as
an exhibit to, such other form.
II. Six copies of the Form F-X, one of which must be manually signed, shall be filed with the Commission as its principal
office.
A. Name of issuer or person filing (“Filer”):
B. (1) This is [check one]
an original filing for the Filer
an amended filing for the Filer
(2)
Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T
Rule 101(b)(9)
Note: Regulation S-T Rule 101(b)(9) only permits the filing of the Form F-X in paper:
(a) if the party filing or submitting the Form CB is not subject to the reporting requirements of Section
13 or 15(d) of the Exchange Act; or
(b) if filed by a Canadian issuer when qualifying an offering statement pursuant to the provisions of
Regulation A (230.251 - 230.263 of this chapter).
Persons who respond to the collection of information
contained in this form are not required to respond unless the
form displays a currently valid OMB control number.
SEC 2288 (2-08)
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