Documente Academic
Documente Profesional
Documente Cultură
F TYPE OF COMPANY
Proprietary Company Controlling Shareholders: %
Please provide details of all shareholders who own more than %
25% of the issued capital in the company and their percentage
holding. Additional shareholder details annexed. %
Public Company Relevant market/exchange:
Foreign Company The company is a majority owned subsidiary of a listed Australian Company:
No Yes Name of Australian Company
Relevant market/exchange
L Non-Disclosure box
Section 5 – Declaration
M
I/We declare that this application is completed according to the declarations/appropriate statements below and:
a agree to be bound by the Constitution of the Australim Investment Fund 2; and
b acknowledge that:
i The offer under this PDS is available to people receiving the PDS within Australia.
ii I/We have read and understood the Product Disclosure Statement (PDS) to which this Application
Form is attached.
iii Investors Exchange Limited reserves the right to accept or reject any application in its absolute
discretion.
iv I/We have had the opportunity to seek professional advice regarding all aspects of this investment.
v I/We have not relied on any statements or representations made by any part (including Investors
Exchange Limited and its officers, employees and agents) prior to applying, other than those written
representations made in the PDS.
vi I/We have personally received a complete and unaltered copy of the PDS, prior to completing the
application.
vii I/We have made an offer to become an investor in the Fund which cannot be revoked.
viii Investors Exchange Limited does not guarantee the repayment of capital or the performance of the
Project4Change Impact Investment Fund- Offer 2.
DIRECTOR 1 DIRECTOR 2
FULL NAME
TITLE
SIGNATURE
DATE