Transfer Form for Non Market Transactions

TRANSFER FORM FOR NON-MARKET TRANSACTIONS Use a black pen. Print in CAPITAL letters Note Any alterations must be initialled by the seller/s and the buyer/s. Seller/s sign here Individual or Securityholder 1 Director or Sole Director and Sole Company Secretary Director/Company Secretary Sole Director No Company Secretary Day Buyer/s sign SRA 23 Month Year HOW TO COMPLETE THE TRANSFER FORM FOR NON-MARKET TRANSACTIONS WHEN TRANSFERRING SECURITIES IN A LISTED OR UNLISTED COMPANY STAMP DUTY Transfers of securities that are listed and quoted on an Australian Stock Exchange are exempt from stamp duty. Any increase to the quantity of securities being transferred is not acceptable even if initialled Correction fluid or tape must not be used* Uncertificated CHESS Holdings - This form must be forwarded to the CHESS Sponsoring Broker or Non-Broker Participant. 1 Stamp Duty if applicable State of Incorporation Full name of Company or Corporation Description of Securities Shares options etc* Quantity Class If not fully paid paid to Register Words Figures Full name/s of Given Name/s Surname For Company Use. Transferor/s Seller/s Securityholder Reference Number must be quoted SRN Date of Purchase Consideration Title Buyer/s Mr Mrs Ms Full postal address of Transferee/s Buyer/s Number if known / State/Country A Postcode I / We the registered holder/s and undersigned seller/s for the above consideration do hereby transfer to the above name/s hereinafter called the Buyer/s the securities as specified above standing in my/our name/s in the books of the above named Company subject to the several conditions on which I/We held the same at the time of signing hereof and I/We the Buyer/s do hereby agree to accept the said securities subject to the same conditions. I/We have not received any notice of revocation of the Power of Attorney by death of the grantor or otherwise under which this transfer is signed if applicable. To sign as power of attorney you must have already lodged it with the registry or your broker as appropriate or enclose a certified copy with this transfer. However Stamp Duty is payable on all other securities by the buyer of the shares and is based on the amount of consideration refer 8. The stamp duty is calculated at the rate applicable to the state in which the company the securities are held is incorporated* If the company is incorporated outside Australia the state or territory in which the principal register is located determines the state or territory in which the duty is payable. Transfers must be submitted to the respective State or Territory Stamp Duty office for assessment and payment of any applicable duty. FULL NAME OF COMPANY OR CORPORATION The full name of the company or corporation in which securities are held. STATE OF INCORPORATION State in which the Company refer 2 is incorporated in* This can be found on the securities certificate statement or other notices received from the company. DESCRIPTION OF SECURITIES e*g* Fully Paid Ordinary Shares 9 Unsecured Convertible Notes etc*. REGISTER The state on which the seller s securities are registered* This can be found on the securities certificate or statement.