22 minute read

14 APPLICATION FORMS

Next Article
12. GLOSSARY

12. GLOSSARY

General Offer Application Form

This is an Application Form for Shares & Options in URB Investments Limited under the Offer on the terms set out in the Prospectus dated Thursday, 23 February 2017 (or any supplementary or replacement prospectus) (Prospectus). You may apply for a minimum of 2,000 Shares & Options (A$2,200) and in multiples of 100 thereafter. For every one Share under the Offer, investors will receive one attaching Option. The Option will be exercisable at $1.10 at any time before 7 April 2018. This Application Form and your cheque or bank draft must be received by 5:00pm (Sydney Time) on 30 March 2017.

Shares & Options applied for Price per Share Application Monies

If you are in doubt as to how to deal with this Application Form, please contact your accountant, lawyer, stockbroker or other professional adviser. The Prospectus contains information relevant to a decision to invest in Shares & Options and you should read the entire Prospectus carefully before applying for Shares & Options.

(minimum 2,000 Shares & Options (A$2,200), thereafter in multiples of 100. Each share purchased comes with an attaching Option) at B A$1.10 , , A$ , , .

PLEASE COMPLETE YOUR DETAILS BELOW (refer overleaf for correct forms of registrable names) Applicant #1 Surname/Company Name

Title First Name Middle Name

Joint Applicant #2 Surname

Title First Name

Designated account e.g. <Super Fund> (or Joint Applicant #3) Middle Name

TFN/ABN/Exemption Code First Applicant Joint Applicant #2

TFN/ABN type – if NOT an individual, please mark the appropriate box Company

PLEASE COMPLETE ADDRESS DETAILS

PO Box/RMB/Locked Bag/Care of (c/-)/Property name/Building name (if applicable)

Unit Number/Level Street Number Street Name

Suburb/City or Town

Email address (only for purpose of electronic communication of shareholder information)

Joint Applicant #3

Partnership Trust Super Fund

State Postcode

CHESS HIN (if you want to add this holding to a specific CHESS holder, write the number here)

X

Please note: that if you supply a CHESS HIN but the name and address details on your Application Form do not correspond exactly with the registration details held at CHESS, your Application will be deemed to be made without the CHESS HIN and any Shares issued as a result of the Offer will be held on the issuer sponsored sub-register.

( ) Telephone Number where you can be contacted during Business Hours Contact Name (PRINT)

Cheques or bank drafts should be made payable to “URB Investments IPO” in Australian currency and crossed “Not Negotiable”.

Cheque or Bank Draft Number BSB Account Number

Your Guide to the Application Form

Please complete all relevant white sections of the Application Form in BLOCK LETTERS, using black or blue ink. These instructions are cross-referenced to each section of the form. The Shares & Options to which this Application Form relates are URB Investments Limited (“URB”) Shares & Options. Further details about the Shares & Options are contained in the Prospectus dated Thursday, 23 February 2017 (or any supplementary or replacement prospectus) (Prospectus) issued by URB Investments Limited. The Prospectus will expire 13 months after 23 February 2017. While the Prospectus is current, URB Investments Limited will send paper copies of the Prospectus, any supplementary document and the Application Form, free of charge on request. The Australian Securities and Investments Commission requires that a person who provides access to an electronic application form must provide access, by the same means and at the same time, to the relevant Prospectus. This Application Form is included in the Prospectus. The Prospectus contains important information about investing in the Shares & Options. You should read the Prospectus before applying for Shares & Options. A Insert the number of Shares & Options you wish to apply for. The

Application must be for a minimum of 2,000 Shares (A$2,200) and thereafter in multiples of 100. You may be issued all of the Shares &

Options applied for or a lesser number. B Insert the relevant amount of Application Monies. To calculate your

Application Monies, multiply the number of Shares applied for by the issue price. Amounts should be in Australian dollars. Please make sure the amount of your cheque or bank draft equals this amount. C Write the full name you wish to appear on the register of Shares & Options.

This must be either your own name or the name of a company. Up to three joint Applicants may register. You should refer to the table below for the correct registrable title. D Enter your Tax File Number (TFN) or exemption category. Business enterprises may alternatively quote their Australian Business Number (ABN). Where applicable, please enter the TFN or ABN for each joint Applicant. Collection of TFN(s) and ABN(s) is authorised by taxation laws. Quotation of TFN(s) and ABN(s) is not compulsory and will not affect your Application. However, if these are not provided, URB Investments Limited will be required to deduct tax at the highest marginal rate of tax (including the Medicare Levy) from payments. E Please enter your postal address for all correspondence. All communications to you from URB Investments Limited and the Share Registry will be mailed to the person(s) and address as shown. For joint Applicants, only one address can be entered. F If you are already a CHESS participant or sponsored by a CHESS participant, write your Holder Identification Number (HIN) here. If the name or address recorded on CHESS for this HIN is different to the details given on this form, your Shares & Options will be issued to URB

Investments Limited’s issuer sponsored subregister. G Please enter your telephone number(s), area code and contact name in case we need to contact you in relation to your Application. H Please complete the details of your cheque or bank draft in this section.

The total amount of your cheque or bank draft should agree with the amount shown in section B. Make your cheque or bank draft payable to “URB Investments IPO” in Australian currency and cross it “Not Negotiable”. Your cheque or bank draft must be drawn on an Australian bank. Sufficient cleared funds should be held in your account, as cheques returned unpaid are likely to result in your Application being rejected. If you receive a firm allocation of Shares & Options from your Broker please use the Broker Firm Offer Application Form.

LODGEMENT INSTRUCTIONS

This Application Form and your cheque or bank draft must be mailed or delivered so that it is received before 5:00pm (Sydney Time) on 30 March 2017 at:

Mailing Address Hand Delivery

URB Investments Limited URB Investments Limited C/- Link Market Services Limited C/- Link Market Services Limited Locked Bag A14 1A Homebush Bay Drive Sydney South NSW 1235 Rhodes NSW 2138

(do not use this address for mailing purposes)

PERSONAL INFORMATION COLLECTION NOTIFICATION STATEMENT

Personal information about you is held on the public register in accordance with Chapter 2C of the Corporations Act 2001. For details about Link Group’s personal information handling practices including collection, use and disclosure, how you may access and correct your personal information and raise privacy concerns, visit our website at www.linkmarketservices.com.au for a copy of the Link Group condensed privacy statement, or contact us by phone on +61 1800 502 355 (free call within Australia) 9am–5pm (Sydney time) Monday to Friday (excluding public holidays) to request a copy of our complete privacy policy.

CORRECT FORMS OF REGISTRABLE NAMES

Note that ONLY legal entities are allowed to hold Shares & Options. Applications must be in the name(s) of natural persons or companies. At least one full given name and the surname is required for each natural person. The name of the beneficiary or any other non-registrable name may be included by way of an account designation if completed exactly as described in the examples of correct forms below.

Type of Investor Individual

Use given names in full, not initials

Company

Use Company’s full title, not abbreviations

Joint Holdings

Use full and complete names

Trusts

Use the trustee(s) personal name(s)

Deceased Estates

Use the executor(s) personal name(s)

Minor (a person under the age of 18 years)

Use the name of a responsible adult with an appropriate designation

Partnerships

Use the partners’ personal names

Long Names Clubs/Unincorporated Bodies/Business Names

Use office bearer(s) personal name(s)

Superannuation Funds

Use the name of the trustee of the fund

Correct Form of Registration

Mrs Katherine Clare Edwards

Liz Biz Pty Ltd Mr Peter Paul Tranche & Ms Mary Orlando Tranche Mrs Alessandra Herbert Smith <Alessandra Smith A/C> Ms Sophia Garnet Post & Mr Alexander Traverse Post <Est Harold Post A/C> Mrs Sally Hamilton <Henry Hamilton> Mr Frederick Samuel Smith & Mr Samuel Lawrence Smith <Fred Smith & Son A/C> Mr Hugh Adrian John Smith-Jones Mr Alistair Edward Lilley <Vintage Wine Club A/C> XYZ Pty Ltd <Super Fund A/C>

Incorrect Form of Registration

K C Edwards

Liz Biz P/L or Liz Biz Co. Peter Paul & Mary Tranche Alessandra Smith Family Trust Estate of late Harold Post or Harold Post Deceased Master Henry Hamilton

Fred Smith & Son

Mr Hugh A J Smith Jones Vintage Wine Club

PRIORITY OFFER APPLICATION FORM

Entitlement Number: Offer Opens: Issue Price per Share: 3 March 2017 A$1.10

Offer Closes 5:00pm (Sydney Time): 30 March 2017

PERSONALISED APPLICATION FORM FOR ELIGIBLE INVESTORS

This is an Application Form for Shares & Options in URB Investments Limited under the Offer on the terms set out in the Prospectus dated Thursday, 23 February 2017 (or any supplementary or replacement prospectus) (Prospectus). You may apply for a minimum of 2,000 Shares & Options (A$2,200) and in multiples of 100 thereafter. For every one Share under the Offer, investors will receive one attaching Option. The Option will be exercisable at $1.10 at any time before 7 April 2018. This Application Form and your cheque or bank draft must be received by 5:00pm (Sydney Time) on 30 March 2017. By returning this Application Form, you are deemed to accept the Offer. There is no need to sign this Application Form.

PAYMENT OPTIONS

Option 1: Paying by Bpay ®

If paying by Bpay®, you do NOT need to complete or return the acceptance slip attached to this Application Form below. Payment must be received by the Share Registry by Bpay® by 5:00pm (Sydney Time) on 30 March 2017. By paying by Bpay®, you will be deemed to have completed an Application Form for the number of Shares & Options subject of your application payment. If you make a payment by Bpay® and URB Investments Limited receives an amount which is not applied for to the maximum number of Shares & Options you can apply for then URB Investments Limited will round down the number of Shares & Options applied for to the maximum number of Shares & Options you can apply for. Your payment must be for a minimum of 2,000 Shares & Options (A$2,200).

Biller Code: [XXXXXX]

Ref:

Telephone & Internet Banking – B pay ®

Contact your bank or financial institution to make this payment from your cheque, savings, debit or transaction account. More info: www.bpay.com.au

® Registered to Bpay Pty Ltd ABN 69 079 137 518

Option 2: Paying by Cheque or Bank Draft

If paying by cheque or bank draft, complete and return the acceptance slip attached to this Application Form with your application payment. Complete the number of Shares and Options you wish to apply for at the Issue Price of A$1.10per Share. Enter your cheque or bank draft details. The amount of your Application Monies should be equal to the amount applied for in section D of the Acceptance Form multiplied by the Issue Price of A$1.10 per Share. Cheques or bank drafts must be drawn on an Australian branch of a financial institution in Australian currency, made payable to “URB Investments IPO” and crossed “Not Negotiable”. Please ensure sufficient cleared funds are held in your account, as your cheque will be banked as soon as it is received. If you provide a cheque or bank draft for an amount that is not equal to your application amount URB Investments Limited will round down the number of Shares & Options that you are applying for equal to your payment. Your payment must be for a minimum of 2,000 Shares & Options (A$2,200). Enter your contact telephone number at which we may contact you regarding your application for Shares & Options, if necessary.

THIS IS A PERSONALISED FORM FOR THE SOLE USE OF THE SHAREHOLDER AND HOLDING RECORDED ABOVE.

URB INVESTMENTS LIMITED

ACN 615 320 262

Please detach and enclose with payment

SRN/HIN: Entitlement Number:

Number of Shares & Options applied for Price per Share

C

I/We lodge full Application Money *999999*

Make your cheque or bank draft payable to “URB Investments IPO” and crossed “Not Negotiable”

Drawer Cheque Number BSB Number Account Number Amount of Cheque

D

A$1.10 at , , . A$ , , (minimum 2,000 Shares & Options (A$2,200), thereafter in multiples of 100. Each share purchased comes with an attaching Option)

A$ .00

Telephone Number – Business Hours Telephone Number – After Hours Contact Name

This Application Form is important. If you are in doubt as how to deal with it, please contact your accountant, financial advisor, stockbroker, lawyer or other professional advisor without delay. You should read the Prospectus carefully and in full before completing the form. Any person who gives another person access to the Application Form must at the same time and by the same means give the other person access to the Prospectus.

Registration Name and Postal Address

Shares will be registered in the name(s) printed on the Application Form and the name(s) cannot be changed. If you wish to change your address for this holding, please contact Link Market Services Limited at the address below or alternatively you may call the URB Offer Information Line on 1300 420 406 for an appropriate form, or download a change of address notif ication form from www.linkmarketservices.com.au.

Number of Shares applied for

Please enter the number of Shares & Options you wish to apply for. The Application must be for a minimum of 2,000 Shares (A$2,200) and thereafter in multiples of 100. For every one Share under the Offer, investors will receive one fee attaching Option. Options will be exercisable at $1.10 at any time before 7 April 2018.

Application Money

Insert the relevant amount of Application Monies. The Offer Price is A$1.10 per Share. Amounts should be in Australian dollars. Please make sure the amount of your payment equals this amount.

Acknowledgements By returning this Application Form, I/we agree to the following statements. I/We:

• have personally received a paper or electronic copy of the Prospectus that this Application Form accompanies and have read it in full; • am/are at least 18 years of age if I/we am/are an individual(s); • have completed this Application Form correctly; • acknowledge that once the issuer receives this Application Form, I/we may not withdraw it; • apply for the number of Shares & Options at the Australian dollar amount shown on the front of this Application Form; • agree to being allotted the number of Shares & Options that I/we apply for or a lower number allotted in a way allowed under the Prospectus or no Shares & Option at all; • authorise the Issuer, the Joint Lead Managers, URB Investments Limited and their respective officers or agents, to do anything on my/our behalf

D

E

Application Payment

Please provide application payment as follows: • the total application payment must be the same as the amount shown in section C; • your cheque(s) or bank draft(s) must be drawn on an Australian branch of a financial institution in Australian currency and made payable to “URB Investments IPO” and crossed “not negotiable”; • sufficient cleared funds should be held in your bank account, as any cheque(s) returned unpaid are likely to result in your

Application being rejected; and • cash payments will not be accepted.

Contact Details

Please enter your telephone number(s), area code and contact name in case we need to contact you in relation to your Application.

necessary for Shares & Options to be allotted to me/us, including without limitation to sign any documents necessary for Shares & Options to be allotted to me/us, and to act on instructions received by the Share Registry using the contact details in section E and my/our registered address; acknowledge that the information contained in the Prospectus is not investment advice or a recommendation that Shares & Options are suitable to me/us, given my/our investment objectives, financial situation or particular needs; represent and warrant that I/we have received the Prospectus in Australia; and represent and warrant that I am/we are not in the United States and I am/ we are not a United States person (and not acting for the account or benefit of a United States person), and I/we will not offer, sell or resell Shares in the United States to, or for the account or benefit of, any United States person.

Personal Information Collection Notification Statement

Personal information about you is held on the public register in accordance with Chapter 2C of the Corporations Act 2001. For details about Link Group’s personal information handling practices including collection, use and disclosure, how you may access and correct your personal information and raise privacy concerns, visit our website at www.linkmarketservices.com.au for a copy of the Link Group condensed privacy statement, or contact us by phone on +61 1800 502 355 (free call within Australia) 9am–5pm (Sydney time) Monday to Friday (excluding public holidays) to request a copy of our complete privacy policy.

How to Lodge your Acceptance Slip and Application Payment

A reply paid envelope is enclosed for you to return your Acceptance slip and Application payment. No postage stamp is required if it is posted in Australia.

Acceptance slip and the payment for new Shares must be received by the Share Registry no later than the closing date shown overleaf. If paying by B pay ® you do not need to complete or return the Application Form. You should check the processing cut off-time for B pay ® transactions with your bank, credit union or building society to ensure your payment will be received by the Share Registry by the close of the offer.

Mailing Address

URB Investments Limited C/- Link Market Services Limited GPO Box 3560 Sydney NSW 2001

or Hand Delivery

URB Investments Limited C/- Link Market Services Limited 1A Homebush Bay Drive Rhodes NSW 2138 (Please do not use this address for mailing purposes)

Make sure you send your acceptance slip and Application Form allowing enough time for mail delivery, so Link Market Services Limited receives them no later than 5:00pm (Sydney Time) on 30 March 2017. Please ensure sufficient cleared funds are held in your account, as your cheque will be banked as soon as it is received. URB Investments Limited reserves the right not to process any acceptance slips and Application Forms received after the Closing Date.

This is an Application Form for Shares and Options in URB Investments Limited under the Broker Firm Offer on the terms set out in the Prospectus dated Thursday, 23 February 2017 (or any supplementary or replacement prospectus) (Prospectus). You may apply for a 2,000 Shares and Options (A$2,200) and in multiples of 100 thereafter. For every one Share under the Offer, investors will receive one attaching Option. The Option will be exercisable at $1.10 at any time before 7 April 2018. This Application Form and your cheque or bank draft must be received by your Broker by the deadline set out in their offer to you.

Shares & Options applied for Price per Share Application Monies

If you are in doubt as to how to deal with this Application Form, please contact your accountant, lawyer, stockbroker or other professional adviser. The Prospectus contains information relevant to a decision to invest in Shares & Options and you should read the entire Prospectus carefully before applying for Shares & Options.

(minimum 2,000 Shares & Options (A$2,200), thereafter in multiples of 100. Each share purchased comes with an attaching Option) at B A$1.10 , , A$ , , .

PLEASE COMPLETE YOUR DETAILS BELOW (refer overleaf for correct forms of registrable names) Applicant #1 Surname/Company Name

Title First Name Middle Name

Joint Applicant #2 Surname

Title First Name

Designated account e.g. <Super Fund> (or Joint Applicant #3) Middle Name

TFN/ABN/Exemption Code First Applicant Joint Applicant #2

TFN/ABN type – if NOT an individual, please mark the appropriate box Company

PLEASE COMPLETE ADDRESS DETAILS

PO Box/RMB/Locked Bag/Care of (c/-)/Property name/Building name (if applicable)

Unit Number/Level Street Number Street Name

Suburb/City or Town

Email address (only for purpose of electronic communication of shareholder information)

Joint Applicant #3

Partnership Trust Super Fund

State Postcode

CHESS HIN (if you want to add this holding to a specific CHESS holder, write the number here)

X

Please note: that if you supply a CHESS HIN but the name and address details on your Application Form do not correspond exactly with the registration details held at CHESS, your Application will be deemed to be made without the CHESS HIN and any Shares issued as a result of the Offer will be held on the issuer sponsored sub-register.

( ) Telephone Number where you can be contacted during Business Hours Contact Name (PRINT)

Cheques or bank drafts should be drawn up according to the instructions given by your Broker.

Cheque or Bank Draft Number BSB Account Number

Your Guide to the Application Form

Please complete all relevant white sections of the Application Form in BLOCK LETTERS, using black or blue ink. These instructions are cross-referenced to each section of the form. The Shares & Options to which this Application Form relates are URB Investments Limited (“URB”) Shares & Options. Further details about the Shares & Options are contained in the Prospectus dated Thursday, 23 February 2017 (or any supplementary or replacement prospectus) (Prospectus) issued by URB Investments Limited. The Prospectus will expire 13 months after 23 February 2017. While the Prospectus is current, URB Investments Limited will send paper copies of the Prospectus, any supplementary document and the Application Form, free of charge on request. The Australian Securities and Investments Commission requires that a person who provides access to an electronic application form must provide access, by the same means and at the same time, to the relevant Prospectus. This Application Form is included in the Prospectus. The Prospectus contains important information about investing in the Shares & Options. You should read the Prospectus before applying for Shares & Options.

Insert the number of Shares & Options you wish to apply for. The Application must be for a minimum of 2,000 Shares & Options (A$2,200) and thereafter in multiples of 100. You may be issued all of the Shares & Options applied for or a lesser number. Insert the relevant amount of Application Monies. To calculate your Application Monies, multiply the number of Shares applied for by the issue price. Amounts should be in Australian dollars. Please make sure the amount of your cheque or bank draft equals this amount. Write the full name you wish to appear on the register of Shares & Options. This must be either your own name or the name of a company. Up to three joint Applicants may register. You should refer to the table below for the correct registrable title. Enter your Tax File Number (TFN) or exemption category. Business enterprises may alternatively quote their Australian Business Number (ABN). Where applicable, please enter the TFN or ABN for each joint Applicant. Collection of TFN(s) and ABN(s) is authorised by taxation laws. Quotation of TFN(s) and ABN(s) is not compulsory and will not affect your Application. However, if these are not provided, URB Investments Limited will be required to deduct tax at the highest marginal rate of tax (including the Medicare Levy) from payments.

E

F

G

H

Please enter your postal address for all correspondence. All communications to you from URB Investments Limited and the Share Registry will be mailed to the person(s) and address as shown. For joint Applicants, only one address can be entered. If you are already a CHESS participant or sponsored by a CHESS participant, write your Holder Identification Number (HIN) here. If the name or address recorded on CHESS for this HIN is different to the details given on this form, your Shares will be issued to URB Investments Limited’s issuer sponsored subregister. Please enter your telephone number(s), area code and contact name in case we need to contact you in relation to your Application. Please complete the details of your cheque or bank draft in this section. The total amount of your cheque or bank draft should agree with the amount shown in section B. If you receive a firm allocation of Shares & Options from your Broker make your cheque payable to your Broker in accordance with their instructions.

CORRECT FORMS OF REGISTRABLE NAMES

Note that ONLY legal entities are allowed to hold Shares & Options. Applications must be in the name(s) of natural persons or companies. At least one full given name and the surname is required for each natural person. The name of the beneficiary or any other non-registrable name may be included by way of an account designation if completed exactly as described in the examples of correct forms below.

Type of Investor Individual

Use given names in full, not initials

Company

Use Company’s full title, not abbreviations

Joint Holdings

Use full and complete names

Trusts

Use the trustee(s) personal name(s)

Deceased Estates

Use the executor(s) personal name(s)

Minor (a person under the age of 18 years)

Use the name of a responsible adult with an appropriate designation

Partnerships

Use the partners’ personal names

Long Names Clubs/Unincorporated Bodies/Business Names

Use office bearer(s) personal name(s)

Superannuation Funds

Use the name of the trustee of the fund

Correct Form of Registration

Mrs Katherine Clare Edwards

Liz Biz Pty Ltd Mr Peter Paul Tranche & Ms Mary Orlando Tranche Mrs Alessandra Herbert Smith <Alessandra Smith A/C> Ms Sophia Garnet Post & Mr Alexander Traverse Post <Est Harold Post A/C> Mrs Sally Hamilton <Henry Hamilton> Mr Frederick Samuel Smith & Mr Samuel Lawrence Smith <Fred Smith & Son A/C> Mr Hugh Adrian John Smith-Jones Mr Alistair Edward Lilley <Vintage Wine Club A/C> XYZ Pty Ltd <Super Fund A/C>

Incorrect Form of Registration

K C Edwards

Liz Biz P/L or Liz Biz Co. Peter Paul & Mary Tranche Alessandra Smith Family Trust Estate of late Harold Post or Harold Post Deceased Master Henry Hamilton

Fred Smith & Son

Mr Hugh A J Smith Jones Vintage Wine Club

XYZ Pty Ltd Superannuation Fund

Put the name(s) of any joint Applicant(s) and/or account description using < > as indicated above in designated spaces at section C on the Application Form.

This article is from: