By submitting this application:

I/We acknowledge that we are applying for this investment in US Dollars.
For new applicants, I/We declare that this application is completed and lodged according to the offer document linked to this online application form and declare that all details and statements made by me/us are complete and accurate;
For existing investors, I/We declare that this application is completed and lodged according to the offer document linked to this online application form and declare that current details stored on the registry system are complete and up to date;
I/We agree to be bound by the terms of the offer and the constitution/trust deed/governing document of the offeror;
I/We was/were given access to the offer document together with the application form;
I/We represent, warrant and undertake to the offeror that our subscription for the offer will not cause the offeror or me/us to violate the laws of any jurisdiction which may be applicable to this offer;
I/We declare Registry Direct Pty Limited is not responsible for the terms of this offer and is not liable for any loss incurred from investing in this offer or for the use of the systems supplied by Registry Direct Pty Limited now or in the future;
I/We agree to receive all communications regarding this application and all future communications by the Company/Issuer electronically.
For the purposes of verifying identity I/We consent to:
1. The verification of my personal information against records held by official document issuers or official record holders via third party systems; and
2. Your verification agent(s) acting as a nominated intermediary in accordance with Australian Privacy Principles.
3. The use by third parties of the results of any verification checks on my identity for the purposes of monitoring and improving their verification services.

Privacy Statement:

The offeror advises that Chapter 2C of the Corporations Act 2001 (Cth) requires information about you as a security holder (including your name, address and details of the securities you hold) to be included in the public register of the entity in which you hold securities. Information is collected to administer your security holdings and if some or all of the information is not collected then it might not be possible to administer your security holdings. Your personal information may be disclosed to the entity in which you hold securities and regulators. You can obtain access to your personal information by contacting the offeror at the address or telephone number shown in the offer document.