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Confidentiality and Escrow - page 15 / 16

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6

the following is a true, complete and up to date list of the duly elected and authorised Directors and Officers of the Applicant holding the positions specified opposite their names:

NamesPosition

……………………..………………………………

7

[Applicant] hereby confirms that those persons executing this Authorised Officer’s Certificate on behalf of [Applicant] have due authority and capacity to bind [Applicant].

SIGNED by [___]

duly authorised for an on behalf of [name of company]

SIGNED by [___]

duly authorised for an on behalf of

Version 1.4 –  2 December 200814

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