Victorian Consolidated Legislation

Marketable Securities Act 1970 - THE SCHEDULE

FORM ONE Form 1 SECURITY TRANSFER FORM MARKING STAMP Full Name of Company or
Prescribed Corporation
PART 1-

Description of Securities Class. If not fully paid, paid to Register Quantity
Words Figures Transferor's Broker hereby certifies: Transfer Identification
Number

   (i)  As to the Validity of
Documents. Full Name(s) of Transferor(s)
...............................................................................................................
(ii) That Stamp Duty (if payable) has been or will be paid. (Transferor's
Broker's Stamp)



Affixed at ......................................
on.................................................. (place and date of
affixing stamp) I (or We) hereby transfer the above securities to the
transferee(s) named in Part 2 hereof or to the several transferees named in
Part 2 of Broker's Transfer Form(s) or in Split Transfer Form(s) relating to
the above securities.

*I (or We) have no notice of revocation of the power of attorney under which
this transfer is signed. Transferor(s) sign here

Dates signed
                       (               )

....................................................................................................................................................................................................................................................................................................................................................................................................

PART 2-

Full Name(s) and Address(es) of Transferee(s) (

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Marketable Securities Act 1970 No. 7970 of 1970