By checking the ‘Yes’ box and submitting this form, I/we, being the person whose name appears in Item 1 of the Schedule (‘the Applicant’), hereby acknowledge and confirm the following in favour of Tymlez Group Limited ACN 622 817 421 (‘Tymlez Australia’) and Tymlez Holding B.V. (RSIN 856288664), a private company with limited liability (besloten vennootschap met beperkte aansprakelijkheid) organised under the laws of the Netherlands (‘Tymlez Holding’):
 
1.     that Tymlez Holding has incorporated Tymlez Australia, such that Tymlez Holding became a wholly-owned subsidiary of Tymlez Australia, to undertake the proposed initial public offering of ordinary shares in Tymlez Australia to list on the ASX;
 
2.     that I/we have tendered the amount referred to in Item 2 of the Schedule in subscription for ordinary shares in Tymlez Holding (‘the Investment’) and agree to be issued and allotted the number of shares in Tymlez Australia as stated in Item 3 of the Schedule (‘Shares’) at the issue price of A$0.10 per Share in full satisfaction of Tymlez Holding’s obligation to issue and allot shares to me/us in connection with the Investment; and
 
3.     that the Shares may be classified as ‘Restricted Securities’ and be subject to escrow restrictions in accordance with the ASX Listing Rules, and that I/we agree to enter into any restriction agreement in relation to the Shares as may be required under the ASX Listing Rules.

SCHEDULE

1. Applicant Name: 

2. Investment Amount: 

3. Shares: [TYMLEZ Shares Amount]