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					Chess Sponsorship Transfer
Account Application Form
E TRADE Account Number:
E INSTRUCTIONS FOR FINALISING YOUR APPLICATION
    TRADE Account Name*:
COMPANYthat your application is applicable REPRESENTATIVES* follow the 3 steps.
*Please include Account Designation name if processed as quickly as possible,
   To ensure DIRECTORS/AUTHORISED                                                                                                                Step 1
 Once we have received and approved your application we will send you an e-mail to
When to use this formopen.
 confirm when your account is Residential Address (not Post Office Box)
 Full Name                                                                                              and sign this
                                                                                  Date of BirthComplete Occupation
If you have existing Broker or Issuer (company) Sponsored securities and you want to move some or all of your securities under
     you have any queries about this document, please contact us on 1300 658 attach            document.
E IfTRADE Australia’s sponsorship, please complete this form. Remember to 355. a copy of all your latest Issuer or Broker
Sponsored statement/s. If you wish to transfer securities from more than one broker, either photocopy this form or download
   TRANSFERRING SECURITIES?
another from the E TRADE website.
  If you are transferring Broker Sponsored securities to E TRADE, please attach a copy of
  Section A Sponsored Statements to this form.
  any recent Broker For Broker Sponsored Securities:
  If you are transferring Issuer Sponsored securities to E TRADE, please attach a copy of
  Name of Existing Sponsoring Broker:
* Please attach a separate page if there are more than two directors/authorised representatives. You must include all directors’/authorised representatives’ details in this
   the Issuer
  application. Sponsored Statement for each security to be transferred to this form.
 HIN of existing Sponsoring Broker:
PROPRIETARY COMPANIES ONLY
 LIST OF CERTIFIED DOCUMENTS YOU NEED TO SUBMIT                                                                                                  Step 2
 Holdings to be Transferred: Please       one.
Beneficial owners - individuals with 25% or greater ownership of issued capital.
  You need to provide us with specific documents to identify the trust for which you are
                                                                                                                  Obtain partial holdings, we will
 If “HIN and All Holdings” is selected, your HIN will be transferred from your existing broker. If you transfer selected or an original certified
  opening this account, company the trustee of you are transferring will treat you as is a
 issue you a new HIN. Theas well aswhose securities the trust, and where that trustee a new holder. Unless you advise us otherwise, we will
 register your CHESS holdings the company. If you specify(notyour Application Form. this account
 Full Name the directors of with the address the trust for which Office Box)
  company,                           Residential Address on Post you are opening                                  copy of the identity
                                                                                                                               Date of Birth
  is for a minor, you also need to provideSelected specific documents to identify the minor.
      HIN and All Holdings                     us with Holdings (Please complete Section B)                       document(s) listed on the left.
  We don’t require the originals of these documents, but we do require a copy that has been                       A list of persons who are
                                                                                                                  eligible to certify these identity
  Section B For issuer Sponsored Securities or Partial Broker transfer:
  certified less than 3 months prior to the date you submit this application.
                                                                                                                                 documents is provided below.
  TRUSTattach a copy of your latest Issuer or Broker Sponsored statement/s. If you want to transfer additional securities please attach the list of
  Please
  securities to this form and sign the attachment.
  Securities to be transferred:               Number of Securities  Securities
                                                                               the transferred:
    and date of execution. Please note that this requirement does not apply ifto be trust for                                                       Number of Securities

    which you are opening this account is for a minor.
  TRUSTEE COMPANY
                                                                                                                      -                          Step 3
    mation Brokers’) including full registered address, details of company directors, share
    structure and company document listing.                                                                                      Mail to:
                                                                                                                                 E TRADE Australia
   TRADE TRADING ACCOUNT DETAILS
E DIRECTORS AND TRUSTEES (for each director and trustee)
                                                                                                                                 Reply Paid 1346
Account Name:                                                                                                                    Royal Exchange NSW 1224
  Authority:
Address:
  I/We authorise and direct my/our shareholdings in accordance with the ASTC Settlement Rules to be transferred to
  ETRADE Australia Securities to provide TRADE Australia)
  If a director or trustee is unable Limited (E one of the above documents, you may provide two
  documents for that director or trustee, one from each of the following lists:
  Account Holder 1                                                                                       Company Seal
  Signed:
     List 1                           List 2
                                                                                Individual/Joint Owner 1

   Full Name:                                                                 Sole Director/Trustee
DIRECTORS’ AND AUTHORISED REPRESENTATIVES’ DECLARATION^
     Select one document:            Select one document:
I certify that the information provided in this form is accurate and current.
   Date:                                                                       Director 1 /Trustee 1
                                                                                                                                                                               -
                                                                                                       Office Bearer 1
  Account Holder 2           (if applicable)
                                                ing provision of financial benefits to you at your residential address
Signed:                                                               Date:
  Signed:                                                                                              Joint Owner 2
Full name:                                      payable to or by you at your residential address
                                                                     Position:
  Full Name:                                                                                           Director 2 /Trustee 2

  Date:                                         telephone or electricity bill)                         Office Bearer 2
Signed:                                                               Date:
  Please fax the completed form to 1300 553 589 or post to:
Full name:
  E TRADE Australia                                                         Position:
^ Reply Paid 1346
 All directors and authorised representatives must sign this application. Please attach a seperate page of names and signatures if there are more than two directors or
  Royal Exchange NSW 1224
 authorised representatives.




                                                                        etrade.com.au
                                                                       etrade.com.au
                                   ETRADE Australia Securities Limited (”E TRADE Australia”), a Participant of the ASX Group
                                 ETRADE Australia Securities Limited (”E TRADE Australia”), a Participant of the ASX Group
                      ACN 078 174 973; AFSL No. 238277 Level 7, 10 Bridge St., SYDNEY NSW 2000 Ph: 1300 658 355 Fax: 1300 553 589
                    ACN 078 174 973; AFSL No. 238277 Level 7, 10 Bridge St., SYDNEY NSW 2000 Ph: 1300 658 355 Fax: 1300 553 589
                                                                                                                                                         Australian_Company 03/2009

				
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