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[insert date]

To:

[insert full name and address of lender]

Dear [insert full name of lender]

I am a director of [insert full name of borrower] (the Borrower).

I refer to the facility agreement dated [insert date of facility agreement] between the Borrower and [insert name of lender] (the Lender) as amended, novated, supplemented, restated or replaced from time to time in accordance with its terms (the Facility Agreement).

Unless defined otherwise in this certificate, or the context requires otherwise, all words or expressions defined in the Facility Agreement have the same meaning in this certificate.

I am authorised by the Borrower to give this certificate.

I certify as follows:

Relevant documents

Attached to this certificate are copies of each of the following:

1. 1. 1

      [the constitutional documents of the Borrower;

   1. 2

      [the PSC Register of the Borrower, which is correct, complete and not amended or superseded as at