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This Application Form is important. If you are in doubt as to how to deal with it, please contact your professional adviser without delay. You should read the entire NA carefully before completing this form. To meet the requirements of the Corporations Act, this Application Form must not be distributed unless included in, or accompanied by, the NA .

Number of Redeemable Preference Shares at $1 per Share or such lesser number of Shares which may be allocated to me/us

** Expand to read the Requirements
If investing via a Financial Adviser please provide the Managing Director the necessary verification otherwise you need to lodge the following information.


Original or Certified Copy of one of the following :
  • Australian or Foreign Drivers License (containing photograph).
  • Australian or Foreign Passport.
Original or Certified Copy of one of the following :
  • Australian or Foreign Birth Certificate
  • Australian or Foreign Citizenship Certificate plus an Original of one of the following that are not more than 12 months old
  • a notice from the Australian Taxation Office containing your name and address
  • a rates notice from local government or utilities provider
Foreign documents must be accompanied by Accredited Translation into English


Original or Certified Copy of
  • the Partnership Agreement
  • minutes of a Partnership Meeting
  • for one of the Partners, the Individual documents (see above)


A Full ASIC Extract i.e. including Director and Shareholder details


Original or Certified Copy of
  • the Trust Deed
  • list of Beneficiaries
  • Individual or Company details for the Trustee (see above)

Document Certification

People that can certify documents include the following
  • Lawyer
  • Judge
  • Magistrate
  • Registrar or Deputy Registrar of a Court
  • Justice of the Peace
  • Notary
  • Police Officer
  • Postmaster
  • Australian Consular or Diplomatic Officer
  • Financial Services Licensee or Authorised Representative with at least two years of continuous service
  • Accountant - CA, CPA or NIA with at least two years of continuous membership

Individual/Joint applications - refer to naming standards for correct forms of registrable title(s)

Are you Investing as

Individual Investor
Joint Investor
Company, Trust or SMSF

Investor Qualification

An issue of securities to the public usually requires a disclosure document (like a prospectus) to ensure participants are fully informed about a range of issues including the characteristics of the offer and the present position and future prospects of the entity offering the securities.

However an issue of securities can be made to particular kind of investors, in the categories described below, without the need for a registered disclosure document. Please tell us which category of investors applies:

Which option closely describes you?
I have net assets of at least $2,500,000 or a gross income for each of the last two financial years of at least $250,000 a year.
I have experience as to: the merits of the offer; the value of the securities; the risk involved in accepting the offer; my own information needs; the adequacy of the information provided.
I have no experience in property, securities or similar

Contact Details

You are not required to provide your TFN, but in it being unavailable we will be required to withhold tax at the highest marginal rate of 49.5%

Nominated Bank Account

Please enter your bank account details where you would like to receive any Dividend or other payments related to this investment

I/We confirm that I/We have not been provided Personal or General Financial Advice by Tech Baron PTY LTD which provides Technology services as platform operator. I/We have relied only on the contents of this NA in deciding to invest and will seek independent adviser from my financial adviser if needed. I/we as Applicant declare (i) that I/we have read the entire NA , (ii) that if an electronic copy of the NA has been used, that I/we obtained the entire NA , not just the application form; and (iii) that I/we have not obtained any personal financial advice from Tech Baron Pty Ltd or any of its employees. I/we agree to be bound by the NA and acknowledge that neither Tech Baron Pty Ltd nor any of its employees guarantees the performance of any offers, the payment of distributions or the repayment of capital. I/we acknowledge that any investment is subject to investment risk (as detailed in the NA ). I/we confirm that we have provided accurate and complete documentation requested for AML/CTF investor identification and verification purposes.

I am also interested in purchasing one of the properties being developed. Please have someone get in touch with me with details

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Estate Baron Masoct
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