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Standard Client Account Opening Form - Bell Potter Securities

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18. Execution by the Applicant Including Limited Power of Attorney for Companies<br />

I/We acknowledge that I/we have received, read and agree to the Trading Terms and Conditions (pages 12-18), including the grant<br />

of the Limited Power of Attorney in Clause 27 (page 17) and unless I/we have elected not to be sponsored, agree to the CHESS<br />

Sponsorship Terms and Conditions (pages 19-23).<br />

DIRECTOR 1/SOLE DIRECTOR<br />

(Tick if Sole Director)<br />

Name of Director 1/Sole Director<br />

Signature<br />

Name of Witness<br />

Date<br />

Signature of Witness<br />

DIRECTOR 2/SECRETARY<br />

Name of Director 2/Sole Director<br />

Signature<br />

Name of Witness<br />

Date<br />

Signature of Witness<br />

FOR OFFICE USE ONLY<br />

<strong>Account</strong> No<br />

Executed For And On Behalf Of <strong>Bell</strong> <strong>Potter</strong> <strong>Securities</strong> Limited<br />

HIN<br />

Adviser Code<br />

Reference<br />

Classification<br />

Codes<br />

10

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