BYRON ENERGY LIMITED ABN 88 113 436 141
Share Purchase Plan - Application Form
Record Date: | 7.00 pm (Sydney time) 29 December 2015 |
Opening Date | 12 January 2016 |
Closing Date: | 5.00pm (Sydney time) 29 January 2016 |
SPP Price: A$0.15 per New Share | |
Name & Address Name & Address Name & Address Name & Address Name & Address Name & Address
This is an important document which requires your immediate attention. If you are in doubt as to how to deal with this document please contact your professional adviser.
Before applying for shares in Byron Energy Limited (Company) under the Share Purchase Plan (SPP) you should read the SPP Terms and Conditions and the Declarations and Acknowledgments on the back of this Application Form. Terms not defined in this Application Form have the same meaning as in the SPP Terms and Conditions. By making a BPAY payment or completing and returning this Application Form with a cheque, bank draft or money order, you agree to be bound by the constitution of the Company and the SPP Terms and Conditions (including the eligibility requirements) and you make all of the acknowledgments, representations, declarations and certifications contained in the SPP Terms and Conditions.
This SPP is non-renounceable. Applications can only be accepted in the name printed on the Application Form. Custodians cannot use this form to apply for multiple parcels of shares on behalf of distinct beneficiaries. Please see over. If you do not wish to purchase shares under the SPP, there is no need to take any action.
Please nominate the value of the shares for which you are applying below. The number of new shares to be issued will be calculated by dividing your application amount by the SPP Price per share rounded up to the nearest whole number of shares as per the SPP Terms and Conditions.
Offer for A$15,000 (100,000 shares) | Offer for A$10,000 (66,667 shares) |
Offer for A$5,000 (33,334 shares) | Offer for A$2,000 (13,334 shares) |
Payment may only be made by BPAY, cheque, bank draft or money order. Cash will not be accepted via the mail or at the Byron Energy Limited Share Registry. Payments cannot be made at any bank.
The amount of your payment received by BPAY, cheque, bank draft or money order prior to the close, divided by the SPP Price, will be deemed to be the total number of shares you are applying for.
Payment Option 1 - BPAY
Biller Code: 117879
Ref:
Telephone & Internet Banking - BPAY®
Contact your bank, credit union or building society to make this payment from your cheque or savings account. More info: www.bpay.com.au
® Registered to BPAYLtd ABN 69 079 137 518
To pay via BPAY please contact your participating financial institution, and use the Biller Code and personalised Reference Number cited above.If paying by BPAY you do not need to return the Application Form, but will be deemed to have submitted an Application Form.
This form continues overleaf
Payment Option 2 - Cheque
Record cheque details below:
Drawer | Cheque No. | BSB No. | Account No. | Amount A$ |
Only cheques, bank drafts or money orders in Australian dollars and drawn on a bank or financial institution in Australia will be accepted.
Your cheque, bank draft or money order must be made payable to "Byron Energy Limited" and crossed "Not Negotiable".
Please ensure you submit the correct amount. Incorrect payments may result in your application being rejected or scaled down.
Payments must be made via cheque, bank draft or money order accompanying the Application Form.
Please provide a telephone number and contact name in case we need to contact you regarding your application.
Home telephone number | Work telephone number | Contact name |
Custodians cannot use this form to apply for multiple parcels of shares on behalf of distinct beneficiaries. To do so please contact Boardroom Pty Limited as below. To apply for New Shares on behalf of distinct beneficiaries, custodians must obtain a separate custodian certificate from Boardroom Pty Limited. Custodians must comply with the requirements of ASIC Class Order CO 09/425 and provide evidence satisfactory to the Company of the distinct holdings when accepting the offer. Each beneficial holder on whose behalf a custodian submits an application must be named in the custodian certificate and must have a registered address in either Australia or New Zealand at on the Record Date.
If unsure how to complete this form please contact the Byron Energy Limited Shareholder Information Line on 1300 737 760 or +61 2 9290 9600.
By lodging this form with your cheque, bank draft, money order or BPAY payment you acknowledge and confirm that you have read, understood and agree to and make all representations contained in the SPP Terms and Conditions. That is, by lodging this form with your cheque, bank draft, money order or BPAY payment you represent that the total application price for the following does not exceed $15,000:
the shares you are applying for under the this Application Form;
any other shares or interests you are applying for under this SPP; and
any other shares or interests in the class which you have instructed a custodian to acquire on your behalf under this SPP.
Any personal information collected by the Company on this application form will be dealt with in accordance with applicable privacy requirements.
NO SIGNATURE IS REQUIRED ON THIS FORM THIS OFFER IS NON-RENOUNCEABLE
Application Forms and cheques, bank drafts money orders or payment via BPAY must be received no later than 5.00pm (Sydney time) on 29 January 2016.You should allow sufficient time for this to occur. The postal acceptance rule does not apply to the SPP.
MAILING ADDRESS
Boardroom Pty Limited GPO Box 3993
SYDNEY NSW 2001
DELIVERY ADDRESS
Boardroom Pty Limited Level 12, 225 George Street
SYDNEY NSW 2000
