CONSENT TO ACT AS PUBLIC OFFICER
________ (ACN................................................)
The Director
________
________
To the Director,
I hereby consent to being appointed to the position of Public Officer of the Company in accordance with 252 Income 555 8882882222 882 2888 (Commonwealth) ("252 882"). For the purposes of this role as Public Officer, I hereby provide the following information:
Full name: ________
Date of birth: ________
Tax file number: ________
Address for service of notices:
________
SIGNED BY ________ on this........................ day of............................................. 20...........
..................................................
________
In the presence of:
................................................
Witness Signature
................................................
Witness Name
................................................
Witness Occupation
................................................
................................................
Witness Address
CONSENT TO ACT AS PUBLIC OFFICER
________ (ACN................................................)
The Director
________
________
To the Director,
I hereby consent to being appointed to the position of Public Officer of the Company in accordance with 252 Income 555 8882882222 882 2888 (Commonwealth) ("252 882"). For the purposes of this role as Public Officer, I hereby provide the following information:
Full name: ________
Date of birth: ________
Tax file number: ________
Address for service of notices:
________
SIGNED BY ________ on this........................ day of............................................. 20...........
..................................................
________
In the presence of:
................................................
Witness Signature
................................................
Witness Name
................................................
Witness Occupation
................................................
................................................
Witness Address
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