FinClear Issuer to CHESS Conversion Form

HIN (Holder Identification Number)

FinClear Account Number

Date

CHESS details

Account name(s): Please fill in your full registered name(s) as on CHESS with FinClear

Account designation (if applicable) eg <ABC Superfund A/C>

Registered Address

State

Postcode

Country

Please note: All Issuer Sponsored Securities to be transferred must have matching registration details to what is on CHESS i.e. name, address, salutation, account designation etc.

ASX CODE

SECURITY NAME

UNITS

SRN

ASX CODE

Please attach copies of holding statements or hard copy of share registry for each security to be transferred onto CHESS This form can be scanned and emailed to transfers@finclear.com.au

Client Account Maintenance

FINCLEAR ISSUER TO CHESS CONVERSION FORM