Claimant Details

The person you enter in the fields below will be recorded as the claimant in this class action, unless this person is:
  1. an agent registering on behalf of the claimant; or
  2. an employee, director or secretary of a corporation registering that corporation as the claimant.
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Type of claimant

Please fill in your contact details below.

*verification code will be sent to your Email Above

Notice of Independent Legal Advice

By ticking ‘Accept ’ below, you confirm that you have been informed of your right to seek independent legal advice before entering into our Costs Agreement.

Cost agreement

In order to retain CAA to facilitate the action on your behalf, you need to accept the agreement below which comprises part of the online registration form. When you have done so, a copy of the agreement will be emailed to you for your records. Agreement Declaration
  • you are the Claimant, or you are otherwise duly authorised to act on the Claimant’s behalf;
  • you are entering into a legally binding agreement (the Retainer & Costs Agreement);
  • you accept the terms of the agreement by electronic acceptance;
  • this electronic acceptance has the same effect as if you had signed a hard copy version of the agreement; and
  • you expressly consent to this method of acceptance in accordance with s9(1) of the Electronic Transactions (Victoria) Act 2000.

Holding Details

Transactions

PLease complete the table below in relation to shareholding you have listed above. Please include detailsof all:

acquisitions of ordinary XXX shares from DD MMM YYYY to DD MMM YYYY (inclusive); and

disposals of shares from DD MMM YYYY to present


To add more rows to the table please click the . To remove rows click the .

Transaction Date Transaction Type Stock Code Number of Shares Unit Price

"If you wish to submit data in respect of further holdings, select 'Submit Further Holdings' below."

"If you have entered data for all relevant share transactions across all holdings, select 'Next'."


Claimant Declaration