Certificate by Qualified Accountant

Chapters 6D or 7 of the Corporations Act 2001.

Category *

Individual Investor(s)Non-individual InvestorControlling Person of Investor Entity

How many individuals? *

123

Please note that each individual must be certified as a wholesale client.

Name of Investor/Entity 1 *

Name of Investor 2 *

Name of Investor 3 *

Controlling Person of Investor Entity *

Investor Address *

Investor Category

Investor 1 (or Controlling Person, if applicable)

This Investor has net assets of at least AU$2.5 millionThis Investor has earned at least AU$250,000 per annum gross income for each of the last two (2) financial yearsThis Investor has or controls gross assets of at least AU$10 million

Investor 2

This Investor has net assets of at least AU$2.5 millionThis Investor has earned at least AU$250,000 per annum gross income for each of the last two (2) financial yearsThis Investor has or controls gross assets of at least AU$10 million

Investor 3

This Investor has net assets of at least AU$2.5 millionThis Investor has earned at least AU$250,000 per annum gross income for each of the last two (2) financial yearsThis Investor has or controls gross assets of at least AU$10 million

Qualified Accountant Certification

Accountant's Email *

Send code

Full Name of Qualified Accountant *

Address 1

Phone

Professional Body *

Membership No *

Membership Designation *

If you have a separate Certificate available, please upload

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I, the abovenamed Qualified Accountant, confirm that I comply with this body’s continuing professional education requirements. I certify that the above named person/entity is a Qualifying Investor in accordance with the category indicated in Section H.1 above.

Accountant's Signature *

Clear

Date *

Note: For information on this certificate or a list of accountant qualifications, please refer to https://asic.gov.au/regulatory-resources/financial-services/financial-product-disclosure/certificates-issued-by-a-qualified-accountant/

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