BALDWINS

Australian Lawyers & Consultants

Instructions to Baldwins to prepare Loan Agreement

Please complete and forward the following form to:

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

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

1. Name of Lender Company

_______________________________________________________________________

2. ACN:

_______________________________________________________________________

3. Address of Lender Company

_______________________________________________________________________

_______________________________________________________________________

4. Name of Borrower: ____________________________________________

5. If Borrower is a Trust, please advise:

(i) Name of Trust: _______________________________________________

(ii) Date Created: _______________________________________________

(iii) ACN of Borrower (if Trustee is a company): ______________________

6. Address of Borrower: __________________________________________________

______________________________________________________________________

7. Likely maximum borrowings (for stamp duty assessment purposes) in relation to each Loan Facility Agreement:
(eg. for loan period from 4/12/97 to 30/6/98: $ ________________)
(eg. for loan period after 1/7/98: $__________________________)

8. Does the Lender Company have more than one director? Yes or No (circle)

9. Names of Directors of Lending Company:

__________________________________________________

__________________________________________________

10. Do you want to secure the loan with a Mortgage? Yes or No (circle) If so, please provide Certificate of Title (to be the security).

11. Email address AND nominated person at your firm for any emails:

_______________________________________________________________________