BALDWINS

Australian Lawyers & Consultants

Instructions to Baldwins For Power of Attorney

For information and to make an appointment please contact:

Mr Joe. Lederman
Baldwins, Lawyers and Consultants
Level 6, 313 LaTrobe St
Melbourne
Victoria 3000
Australia

Phone: (+6 13) 9606 0022
Fax: (+6 13) 9606 0882
Email: mail@baldwins.com.au

A. Details of the Grantor

1. Full Name of the Grantor:

2. Address of the Grantor:

3. ACN of the Grantor (if Grantor is a company):

4. (If Grantor is a company),

(a) whether it will execute the Power of
Attorney by using a company seal:   YES/NO

(b) Number of Directors required for
execution of the Power of Attorney:

B. Details of the Attorney:

1. Full Name of the Attorney:

2. Address of the Attorney: