Form 201 - Application for registration as an Australian company

This document is Form 201, which is an application for registration as an Australian company under the Corporations Act 2001. It provides details about the company, such as its proposed name, share structure, and details of members. The form also includes a declaration by the applicant. The document is relevant for those looking to register a company in Australia.

Au strali an S ecu ri ties &
In vestmen ts Co mmission
Appli cation fo r regi stration as an Au strali an
comp any
Use this form to apply to ASI C for regis tra tion o f a company under the
Corpora
t
ions
A
c
t
2001
.
Re late d Fo rms
208 - No tifi cation o f de tails o f shares allo tt ed o ther than for
cash 207 Z - Cer tif ica tion o f compliance with stamp du ty law
Fo rm 201
Corpora tion s Act 2001
117
I f th ere is in su ff i c ie n t sp ace in an y section o f th e fo rm , y ou may pho to cop y th e re leva n t p a g e(s) and s ub mi t as p art o f this lodg emen t
Lodg eme nt deta il s
A n image o f t hi s f orm will be av ailable as
par t of the publi c regist er.
Who should A SI C con tact i f th ere is a qu ery a bou t this fo rm ?
ASI C regi stered agent number (if appli c able)
78978945645
F irm / organization
Aioan Ltd
Con t act name /po s ition de sc rip tion
Aioan Siman T elephone number (during bu s ine ss hours )
(987414789)
E mail address (op tional)
[e-mail]
S uburb/ City St a te /T erri t ory P ostc ode
Sydney New South Wales 3200
1 S tate /terri t ory o f re gi strat ion
I apply for regi st ra t ion of the c ompany under t he
Corpora t ion s Act 2001 and nomina t e t he St at e or T erri tor y in whi c h
t he c ompany will be t ak en to be regist ered.
Giv e St a te or T erri t ory
New South Wales
2 Deta ils of t he c o mp an y
D o es th e co m p an y h ave a p ropose d co m p an y n ame ?
X Y es
If y e s, the propos ed c ompany name is
Taxi Servers Limited
Name re s er v at ion number (if any )
NA
No
T he c ompany name on regi st ra t ion will be its A ustralian Company Number (A CN).
T ick the legal elemen ts tha t apply
Pty. X Lt d. P roprie tar y X Limited No liabili ty NL

A SI C Fo rm 201 11 December 2012 Pa g e 1 of 8

2 Con tinued ... Fu rt h er d eta ils of t he c o mp an y
I s th e p roposed n ame id en ti cal to a re gistere d bu sin ess n ame(s)?
Y es X No
If y e s, I declare t ha t I hold , or am regist ering the c ompany for the holder( s ) of, t he iden t ic al
bu s ine ss name(s ), t he regist ra tion de tail s of whi c h are list ed below.
AB N
14789632595
F or busine ss name s regi st ered bef ore
28 May 2012 wit hout an AB N.
or
P rev iou s bu sin ess numb er P rev ious state /terr i to ry o f re gistrat ion
T yp e o f co m p an y
proprie tar y c ompany
X public c ompany
C lass o f c o mp a n y
limi t ed b y s hare s
unlimit ed wi th a s hare c api t al
X limited by s hares
limi t ed b y guaran tee
unlimit ed wi th a s hare c api t al
no liabili ty
Sp eci al pu rpo se (i f applic able)
home unit (HUN T )
s uperannuat ion tru st ee (PST C)
c hari t able purpos e s only (P NP C)
s uperannuat ion tru st ee (UL SS )
c hari t able purpos e s only (UL S N)
Sp ec i al pu rpo se c o mp a n y Re fer
to Guide for desc rip t ion s of
special purpo s e c ompanie s.
A public c ompany t hat is:
• a superannuation t ru st ee , or
• for charitable purpo s es only,
mus t ha v e a c on st it ut ion .
If t his is a s pec ial purpos e c ompany, t ick t he bo x below t o ma k e the de c lara t ion .
I de c lare t hat thi s c ompany is a s pe c ial purpo s e c ompany a s def i ned under Regula t ion 3 o f t he
Corpora t ion s (Re v iew F ee s ) Regula t ion s 2003
.
Go vern an ce o f a publi c c o mp a n y
T he c ompany will rel y en t irel y on repla c eable rule s
X The compan y ha s a con stitu tion
A p ropo se d public co m p an y whic h h as a dopte d a “C on sti tu tion” m u st lodg e a c op y o f th e con st itu tion wi th this
appli cation.
If t he propo s ed c ompany is t o be a publi c c ompany li mi te d b y gu ara n tee , st a te the amount o f t he guaran t ee t hat ea c h
member agree s to in wri ting .
Re gi stere d o ff i ce
Y ou cannot u s e a PO B ox
address
T he amount of the member’s guaran tee is $ 1000000 (inser t amoun t)
At t he o ff i c e o f, C/ - (if appli c able)
Off i c e, unit, le v el
1

St ree t number and St ree t name
333 Thirty Three Street
S uburb/ City St at e/T erri tor y P o stc ode
Sydney New South Wales 3200
A SI C Fo rm 201 11 December 2012 Pa g e 2 of 8

2 Con tinued ... Fu rt h er d eta ils of t he c o mp an y
D o es th e co m p an y o ccup y th e p rem i ses ?
X Y e s
No
If no, name o f o c cupier
Occupier’s c ons en t (S ele ct bo x to indic at e t he st a temen t below is c orre ct )
Off i ce hou rs
F or a publi c c ompany
T he occ upier of the premis es has c ons en ted in wri ting t o t he us e of the s pec if i ed addre ss as the
address o f t he regi st ered o ff i c e o f t he c ompan y and ha s no t wi t hdrawn t hat c ons ent.
X a . Regi stered o ff i ce o f a publi c c ompany is open t o t he public ea c h bu s ine ss da y from a t lea st 10 am to 12
noon and 2 pm t o 4 pm .
b . Regi st ered off ice of a publi c c ompany is open to the public eac h bus ine ss da y f or a t lea st 3 hour s
be tween 9 am and 5 pm .
If b, in s er t hours open from am/pm c lo s e to am/pm
P rinc ip a l pl ace o f busin ess I f same as re gi stere d o ff i ce , wri te “ as a bo ve ”.
Off ic e , unit, le v el
As above
St ree t number and St ree t name
As above
S uburb /Ci ty St at e/T erri tor y P o stc ode
As above As above As above
Coun try (i f no t A u st ralia)
3 A ppoin t off ice hold er
A public company mu st ha v e a
minimum o f 3 direc tor s (2 re s iden t in
A u st ralia) and 1 secre tar y (re s iden t in
A u st ralia) .
Off i ce h eld
X Dire ct or S e c re t ary
A proprie t ary c ompany mu st ha v e
a minimum of 1 dire ct or (re s iden t in
A us tralia). T he o ff i c e o f s e c re t ary is
op tional , but if appoin t ed one mu st
reside in A u st ralia .
Off i ceholder(s ) appoin t ment da te s hall
be effec tive from t he beginning of the
day on whi c h t he c ompan y be c ome s
regis t ered .
F amil y name Giv en names
Mix Match Mix Match
F ormer name

NA
St ree t number and St ree t name
912 One Plus Seven Lane
S uburb/ City St a te /T erri t ory P ostc ode
Sydney New South Wales 3200
Count ry (if not A ust ralia)
Da t e o f bir th
02/08/1984
P la c e o f bir th (town /city ) (st at e/count ry )
Sydney New South Wales
A SI C Fo rm 201 11 December 2012 Pa g e 3 of 8

3 Con tinued ... A ppoin t a no t her off ice hold er
A public c ompany mu st ha v e a
minimum of 3 dire ct or s (2 re s iden t in
A us t ralia) and 1 s e c re t ary (re s iden t in
A us t ralia) .
A proprie tar y c ompany mu st hav e
a minimum o f 1 dire ct or (re s iden t in
A us t ralia) . T he o ff i c e o f s e c re t ar y is
op t ional , bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin tment dat e s hall
be e ff ect iv e f rom the beginning o f t he
day on whi c h the c ompany bec ome s
regis tered .
Off i ce h eld
Dire ct or
F amil y name
Arpi Mull
F ormer name
NA
St ree t number and St ree t name
12 Citi Manson Lane
S uburb /Ci ty
Sydney
Coun try (i f no t A u st ralia)
X S e cre t ar y
Giv en name s
Arpi Mull
St a te /T erri t ory P ostc ode
Da t e o f bir th
28/02/1988
P la c e of bir t h (t own /c ity ) (st at e/count ry )
Sydney New South Wales
3 Con tinued ... A ppoin t ano t h er o ffi ce hold er
A public c ompany mu st ha v e a
minimum of 3 dire ct or s (2 re s iden t in
A us t ralia) and 1 s e c re t ary (re s iden t in
A us t ralia) .
A proprie tar y c ompany mu st hav e
a minimum o f 1 dire ct or (re s iden t in
A us t ralia) . T he o ff i c e o f s e c re t ar y is
op t ional , bu t if appoin ted one mu st
reside in A ust ralia .
Off iceholder( s ) appoin tment dat e s hall
be e ff ect iv e f rom the beginning o f t he
day on whi c h the c ompany bec ome s
regis tered .

Off i ce h e ld
X Dire ct or S e c re t ary
F amil y name Giv en name s
Love Lime Love Lime
F ormer name
NA
St ree t number and St ree t name
8 star Road
S uburb/ City St a te /T erri t ory P ostc ode
Count ry (if no t A ust ralia)
Sydney NSW 3000
Da t e o f bir th
P la c e of bir t h (t own /city ) (st at e/count ry )
Sydney NSW
4 Id en t ify ul t i mate holding c om pa ny

Will th e co m p an y h ave an ul timate holding c o mp a n y upon re gi stration?
Y e s
If y e s, pro v ide the following de tail s of the ul t ima te holding c ompany
Company name
A CN /A R B N/AB N Coun try o f in c orporat ion (if not A ust ralia)
X No
A SI C Fo rm 201 11 December 2012 Pa g e 4 of 8

5 Sh are str uct ure ta bl e
De tails o f s hare s iss ued by t he c ompany. P lea s e s how all det ail s o f s hare s t ha t the c ompany ha s on iss ue at the time o f t his appli c a tion .
S ta nd ard s h are cod es
Re fer to the table f or t he s hare
c la ss c odes for s ect ion s 5 and 6.

S hare c la ss c ode F ull t itle S hare c la ss c ode F ull t itle
A A
B B ...e tc
E MP employ ee’s
FO U founder’s
LG life gov ernor’s
MA N management
ORD ordinary
RE D redeemable
P R F pre feren c e
CUMP c umulat iv e pre f eren c e
NC P non- c umulat iv e pre f eren c e
R E DP redeemable pre feren c e
NR P non-redeemable pre feren c e
CR P c umulat iv e redeemable pre f eren c e
NCRP non- c umulat iv e redeemable pre f eren c e
PA R P partic ipa t iv e pre f eren c e
If you are us ing t he st andard s hare c la ss c ode s y ou do no t need to pro v ide the full tit le f or t he s hare s, ju st the s hare c la ss c ode .

If you are no t u s ing the st andard s hare c la ss c ode, en ter a c ode o f no more t han 4 le tt ers and t hen s how the full
t itle . S hare F ull t itle if no t st andard T o tal number of
class code s hare s
T ot al amoun t
paid on t hes e
s hare s
T o tal amount
unpaid on the s e
s hare s
A 110 55000
B
PRE 700 1400000
A re an y of the s e s hare s iss ued ot her than f or c a s h?
Y e s
If y es, will s ome or all of the s hare s be iss ued
under a writt en c ont ra ct ?
Y e s
If y e s: P roprietary co m p ani es
X No
If no , con t inue t o S ect ion 6 Deta il s
of mem bers .
Lodge a F orm 207Z c er tifying t hat all stamp du tie s ha v e been paid .
Publi c c o mp a nies
Lodge a F orm 207Z and ei ther a F orm 208 or a c opy o f t he c on tra ct.
No
If no : P rop ri etary c o mp a nies
Con tinue t o S ection 6 Deta ils o f memb ers .
Publi c c o mp a nies
Lodge a F orm 208.
A SI C Fo rm 201 11 December 2012 Pa g e 5 of 8

6 Deta ils of members
Use t his se ction to no t ify the name and addre ss o f ea c h per s on who c on s en ts to bec ome a member.
If shares are join tly owned, pro v ide name s and address es o f all join t-owners on a s eparat e s hee t (annex ure) , c learl y indi c at ing the s hare c la ss and wit h whom
t he s hares are join tly owned.
Pl ease c o mpl ete a se p arate sect ion b e low fo r each memb er, p rin t additiona l c opies o f p a g e 7 if m o re memb ers are re quire d.
Memb er d eta ils and s h are holding
I ndicat e whet her the member is an
individual or a c ompany and pro v ide the :
• name o f t he indi v idual or c ompany
• address of the indi v idual
or company, and
• shareholding .
A ddress of indi v idual or c ompany
F amil y name Giv en names
OR
Compan y name
A CN /AR B N/ AB N
Off ic e , unit, le v el, or PO B o x number
100
St ree t number and St ree t name
S uburb /Ci ty St a te /T erri t or y P ostc ode
Coun try (i f no t A u st ralia)
Comple te ea c h c olumn f or ea c h s hare c la ss t he abo v e member has agreed , in wri ting , to ta k e up .
No te: B enef ic iall y held u s uall y means t ha t the owner o f t he s hare s is en tit led to the dire ct benef i t f rom the s hare s. F or e x ample, benef i ts c ould in c lude t he
en t itlemen ts to pay ments in rela tion t o an y di v idend s. S hare s held by a pers on a s tru st ee, nominee or on acc ount o f anot her per s on are non-benef i c iall y
held .
S hare c la ss Number o f A mount agreed to T ot al $ paid on A mount unpaid T o tal $ unpaid on F ull y paid B enef ic iall y
code s hare s t ak en up pay per s hare the s e s hare s per s hare t hes e s hare s (y/ n) held (y/ n)
A 10 1000 10000 NIL NIL Y N
A SI C Fo rm 201 11 December 2012 Pa g e 6 of 8

6 Con tinued ... Deta ils of ano t h er memb er
F amil y name Giv en names
Prix Dam Prix Dam
OR
Compan y name
A CN /AR B N/ AB N
Off ic e , unit, le v el, or PO B o x number
St ree t number and St ree t name
S uburb /Ci ty Sydney St at e/T erri tor y New South WalesP o stc ode 1004
Coun try (i f no t A u st ralia)
S hare c la ss Number o f A mount agreed to T ot al $ paid on A mount unpaid T o tal $ unpaid on F ull y paid B enef ic iall y
code s hare s t ak en up pay per s hare the s e s hare s per s hare t hes e s hare s (y/ n) held (y/ n)
A1 10 1000 10000 NIL NIL Y N
6 Con tinued ... Deta ils of ano t h er memb er
F amil y name Giv en names
OR
Compan y name
A CN /AR B N/ AB N
Off ic e , unit, le v el, or PO B o x number
St ree t number and St ree t name
S uburb /Ci ty St at e/T erri tor y P o stc ode
Count ry (if not A ust ralia)
S hare c la ss
code
Number o f
s hare s t ak en up
A mount agreed to
pay per s hare
T o tal $ paid
on the s e
s hare s
A mount unpaid
per s hare
T ot al $ unpaid
on t hes e s hare s
F ully paid
(y/ n)
B enef i c ially
held (y/ n)

A SI C Fo rm 201 11 December 2012 Pa g e 7 of 8

Dec larat ion b y a ppli ca nt
I/w e apply fo r re gi stration o f a c o mp a n y on th e b asi s o f th e in fo rmat ion in this fo rm a nd an y attac h me n ts . I/w e h ave th e
n ecessary wri tte n c on se n ts and a g reemen ts referre d to in th e a pplication c on cerning th e memb er and o ff i cehold ers
a nd I/w e s h all give th e c onsen ts and a g reemen ts to th e c o mp a n y after th e co m p an y b ec o mes re gistere d. Th e
in fo rmat ion p ro vid ed in this appli cation and in an y ann ex u res is tru e and c o rrect at th e time o f s igning.
Sign at ure of appli ca n t
P rovide famil y and gi v en name s OR
c orpora tion name (in c lude A CN /AR B N if
applicable)
If t he applican t is an indi v idual - 1
s igna t ure required .
If t he applican t is a c orpora tion - a dire ct or
or secret ary to s ign .
If t he agen t f or t he applic an t is a f irm –
a member /par t ner of the f irm to s ign
X P a yment ha s been
a tt a c hed Name o f
appli c an t
Mix Match
Capa c ity of appli c an t
Director and Shareholder
X I ndiv idual
Corpora tion
Name of off ic eholder
A gent f or indi v idual or c orporat ion
Name of agent
S igna ture o f appli c an t
Da t e s igned
[D D] / [M M] / [Y Y]
Lodg eme nt S end c omplet ed and s igned form s t o:
A ust ralian S ec uri tie s and In v estmen ts Commi ss ion ,
PO B ox 4000 , Gipp s land Mail Cent re VI C 3841
For mo re info rmat ion
Web www.as ic. gov . au
Need help? www .a s ic. gov. au/ que st ion
T elephone 1300 300 630

A SI C Fo rm 201 11 December 2012 Pa g e 8 of 8

Au strali an S ecu ri ties &
In vestmen ts Co mmission
Guid e:
Appli cation fo r regi stration as an Au strali an
comp any
This guid e do es not fo rm p art o f th e p rescr ib ed fo rm . I t is in c lud ed b y ASI C to assi st y ou in c o mpl et ing a nd lodging th e Fo rm 201 .
Fo rm 201
Corpora tion s Act 2001
117
Use this form to apply to ASI C for regis tra tion o f a company under the
Corpora
t
ions
A
c
t
2001 (C
t
h) (Corpora tions A ct) .
Re late d Fo rms
208 - No tifi cation o f de tails o f shares allo tt ed o ther than for
cash 207 Z - Cer tif ica tion o f compliance with stamp du ty law
Sign at u re T hi s form mu st be s igned b y:
• t he applic an t; or
• a per s on who ha s c on s en ted to be c ome a dire ct or or s ec re tar y or member o f t he c ompany; or
• t he agen t f or t he applic an t, being a pers on who ha s aut hori ty to s ign the form on behalf of the appli c an t (s ).
Lodg eme nt per iod Nil – t o be lodged when required .
Lodging fee A lodgemen t f ee applie s to thi s form .
F or in f orma t ion on f ees re fer to www .a s ic. go v. au/f orm s.
O ffi ce hold er a dd ress Off i c eholders ’ address es mu st be their u s ual c urren t re s iden t ial addre ss. A n al terna t iv e addre ss ma y only be
u s ed where we appro v e an appli c at ion under s 205D of the Corpora tion s Act.
Repl acea bl e r ul es a nd
c onst i t u t ion s
T he Corpora tion s Act c on tain s ‘repla c eable rule s ’ whic h apply to all c ompanie s— exc ept c ompanie s where t he s ole
member is al s o t he s ole dire ct or —and ma y be us ed to gov ern t he in ternal running of the c ompany. Companie s ma y
di s pla c e s ome o f t he repla c eable rule s b y a c on st itu tion and be go v erned by a c ombina tion o f repla c eable rule s f or
s ome t hing s and their own c on st itu tion f or o thers. W here the propos ed c ompany is to be go v erned b y a c ombina t ion
o f repla c eable rule s and a const itu tion , plea s e t ick t he bo x tha t s a ys ‘T he c ompany has a c onst it ut ion’ .
A c ompany wi th more t han one member /dire ct or ma y adopt a c on st itu tion pro v ided all per s on s who have agreed
t o be c ome a member o f t he c ompany agree to the term s and c ondit ion s.
If a wri tt en c onst it ut ion gov ern s t he c ompany, a c op y of the c on st it ut ion mu st als o be lodged . A public c ompany tha t
is: • a s uperannuation t rus tee , or
• for c hari table purpo s es only,
mu st ha v e a wri tt en c onstit ut ion .
Com p a ny n ames A name is av ailable unle ss it is iden tic al to :
• a name t hat is c urren t ly re s er v ed or regi st ered under t he Corpora t ion s Act for another bod y, or
• a name t hat is held or regi st ered on the bus ine ss names regi st er in re s pect o f anot her indi v idual or bod y who is
no t t he per s on appl y ing to ha v e the name, or
• is una cc ep t able for regi st ra t ion under t he Corpora t ion s Regula tion s 2001 .
If it is propos ed to regist er a name whic h is iden tic al to a regist ered bu s ine ss name(s ), we mu st be s a tisf i ed tha t t he
propo s ed c ompany is en tit led to the us e of the name under s 147. T here f ore eit her the owner, or s omeone regist ering
t he c ompany f or t he owner of the bus ine ss name, mu st be t he applic an t f or regi st ra tion and t he quest ion s regarding
t he bu s ine ss name(s ) s hown on the F orm 201 mu st be c omple ted .
T he in forma tion c onc erning iden t ic al bus ine ss name s on t he F orm 201 ma y in st ead be gi v en in a st at ement
a tt ac hed t o t he F orm 201 (a s an anne x ure) under t he heading ‘De c lara t ion Regarding Regi stered B u s ine ss
Name(s )’. B e s ure t o pro v ide t he s ame in forma tion a s is required on t he F orm 201. T he sta temen t mu st be d ate d
a nd signe d by t he
appli c an t a s being ‘t rue and c orre ct ’ as f ollow s:
‘I de c lare tha t t he in forma tion gi v en in thi s st at ement is true and c orre ct ’.
A SI C Fo rm 201 G uide 1 July 2014 P a ge 1 o f 2

Sp ec i a l pu r po se co m pa ni es T he di fferen t types o f s pe c ial purpo s e c ompanie s t ha t c an be est ablis hed on regi st ra t ion are :
C h ari ta bl e pu rposes only
A c ompany who s e c on st it ut ion require s it t o pur s ue c hari table purpo s es only and t o appl y its in c ome in promo ting
t hos e purpos e s; and prohibits t he c ompany ma k ing di st ribu tion s t o its member s and pa y ing fee s to its dire ct ors; and
require s its dire ct or s to approv e all o ther pa y men ts the c ompany ma k es t o t hem.
H o me unit co m p an y A
proprie t ary c ompany:
• t ha t is the proprie tor of land on whi c h a building is ere ct ed and di v ided in to s eparat e re s iden tial area s and area s
f or c ommon u s age
• who s e member s are ent itled t o e xc lu s iv e o cc upa t ion of one or more of tho s e area s and u s e o f t he c ommon
area s, and
• whi c h operat es s olely t o f ac ili ta te the righ ts of tho s e member s in rela tion t o t heir exc lu s iv e occ upation o f
t ho s e re s iden t ial area s and main t enanc e of the c ommon area s.
Sup era nnu at ion tru stee c o mp a n y
A c ompany t ha t acts s olel y a s the tru st ee o f a regulat ed s uperannuat ion fund wi thin t he meaning o f s 19 of the
S
uperannua
t
ion
I
ndu
st
ry (
S
uper
v
i
s
ion)
Act
1993 and who s e c onst it ut ion prohibi ts t he di st ribu tion o f its in c ome or
proper ty among its members.
O t her ty pes o f c om p a ni es A no–liabili ty c ompany (NL) mu st be a publi c c ompany. T he Corpora t ion s Act limi ts t he a ct iv itie s of a NL c ompany to
mining purpos e s onl y and obliges a NL c ompan y ’s c on st itu tion t o st a te , amongst o ther t hing s, tha t its s ole obje cts
are mining purpos e s only.
A c ompany limi ted b y guaran t ee (LM GT ) mu st be a publi c c ompany. I n order for a LM GT c ompany t o quali fy a s
a ‘s pe c ial purpos e c ompany ’ as def i ned b y t he Corpora tion s (Re v iew F ee s ) Regula t ion s 2003 , its c on st itu tion
mu st c on tain , amongst ot her thing s, pro v is ion s whic h limi t its act iv it ie s t o c hari t able purpos e s only.
Sh ares i ss u e d ot h er t ha n f o r
cash o r und er a w ri tte n
c ontract
Fo r publi c c o mp a nies
If s hare s will be iss ued for ot her than c a s h, then a F orm 208
No
t
i
f
i
c a
t ion o
f de
t ail s o f s hare s allo tt ed o
t her t
han f or
c a s h, or a c opy o f t he ‘c on tra ct ’ mu st be lodged .
If t he s hare s will be iss ued under wri tt en c on tra ct, t hen a F orm 207 Z C
er
t
i
f
i
c a
t ion o
f c omplian c e wi t
h st amp du ty
law mu st al s o be lodged .
Fo r p rop ri etary c o mp a nies
If s hare s will be iss ued under wri tt en c on tra ct or iss ued for ot her than c a s h, a F orm 207 Z
Cer t i
f
i
c a t
ion o f
c omplian c e wi t h st
amp du ty law mu st be lodged .
How t o p ro vid e a ddi t ion a l
in f ormat ion
Pho to c opied Form 201 p ag es
If t here is in s uff ic ien t s pac e in an y s ect ion o f t he f orm , y ou ma y photo c opy t he rele v an t page( s ) and s ubmit a s par t
o f t his lodgemen t.
A nn exu res
If t here is in s uff ic ien t s pac e in an y s ect ion o f t he f orm , y ou ma y alt erna tel y s ubmit anne x ure s as part of thi s lodgement.
T o ma k e an y annex ure conf orm to the regulat ion s, y ou mu st
1 . u s e A 4 s iz e paper of whi te or ligh t pa st el c olour wi th a margin of at lea st 10mm on all
s ide s 2 . s how t he c ompany name and A CN or A RB N
3 . number t he page s c ons e c ut iv el y
4 . prin t or ty pe in B L OCK le tt er s in dar k blue or bla ck in k s o tha t t he do c ument is c learly legible when
phot oc opied 5. mark the annex ure wi th an iden t ifying le tt er or sy mbol eg a ,b ,c or 1 ,2 ,3 etc.
6 . endor s e t he anne x ure wi t h t he word s:
T hi s annex ure (mar k ) o f (number) pages re ferred to in f orm (form number and t itle)
7 . s ign and da te the annex ure
T he annex ure mu st be signed b y the s ame per s on( s ) who s igned t he f orm .
P ri vacy T he in forma tion pro v ided t o ASI C in thi s form ma y in c lude pers onal in f orma t ion . P lea s e re f er t o our pri v acy poli cy
(www. as ic. go v.au /pri v acy ) for more in forma tion abou t how we handle y our pers onal in f orma t ion , y our righ ts t o s ee k
acc ess to and c orre ct pers onal in f orma t ion , and t o c omplain abou t brea c he s of y our pri v a cy.
Lodg eme nt S end c omplet ed and s igned form s t o:
A ust ralian S ec uri tie s and In v est ments Commi ss ion ,
PO B ox 4000 , Gipp s land Mail Cen t re VI C 3841
For m o re in fo rmat ion
W eb www. as ic. gov .au
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A SIC Fo rm 201 G uide 1 July 2014 Pa g e 2 of 2