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

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									    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
                                                                                                                                                Email: registrar@securitytransfer.com.au
                                                                                                                                                  Website: www.securitytransfer.com.au


                                                                                                              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


                                                                                                                                     /               /

                                                                                       STR008

								
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