Notification of Conversion to an Issuer Sponsored Holding from a by bnmbgtrtr52


									    Company or Trust in which Investment is Held
                                                                                                                                                 Security Transfer Registrars Pty Ltd
                                                                                                                                                                   770 Canning Highway
 Address of                                                                                                                                                       Applecross WA 6153
 Company                                                                                                                                                                     PO Box 535
 Register                                                                                                                                                         Applecross WA 6953
                                                                                                                                                               Phone: 61 8 9315 2333
                                                                                                                                                               Facsimile: 61 8 9315 2233

                                                                                                              You are required to insert this number
                              CHESS Original Transaction ID                                                     Holder Identification Number (HIN)

Notification of Conversion to an Issuer Sponsored Holding from a CHESS Sponsored Holding
(to be used by participants to notify issuers in accordance with the SCH Business Rules)

                                                    Please use a black pen. Print in CAPITAL letters inside the boxes                    A     B     C

A     Registration Details of Securityholder
      Name of Controlling Participant

      The following holding on the CHESS sub register has now been converted and details are as follows:
      Individual Holder/Jointholder #1 or Company Name

      Jointholder #2 or <Designated Account>

      Jointholder #3 or <Designated Account>

      Address Details
      Unit            Street Number                       Street Name

      Or Post Office Box or other mail details (if applicable)

      City/Suburb/Town                                                                                                              State                       Post Code

      The reason for this re-certification is:                                         A holder in Liquidation                           Deceased Estate

      Contact Name

      Telephone Number – Business Hours                                                      Telephone Number – After Hours

B     Sign Here
      Signature of Authorised Officer                               Securityholder 2                                          Day            Month       Year

                                                                                                                                     /               /


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