Specimen Signature Form: Clearstream 6250 Client Form

Enter the Registered Company name (in full), the Address of the registered office, the City and the Country.

The Company confirms that such authority is valid for all the accounts opened or to be opened in its name in the books of Clearstream Banking S.A.

The Company confirms that such authority is valid only for the following account number(s):

First box: Mark the first box only if all of your accounts are managed by the same office. Second box: Mark the second box only if all the accounts listed are covered by the signatures on this form.

Please ensure that you have listed all relevant account numbers. Please use another form or forms for accounts not covered by the signatures on this form.

For each authorised signatory, enter the Name of the authorised signatory (please print in BLOCK CAPITALS), the Specimen signature and the Scope of authority: general/restricted (see Guidelines).

At least one signatory name is mandatory if he/she is authorised to sign alone.

At least two signatories are mandatory if they are authorised to sign jointly.

If completing by hand, please write names in BLOCK CAPITALS.

Please sign within the box to facilitate scanning of your signature.

General indicates authority to sign documentation binding the Company, including but not limited to deeds, contracts, agreements, power of attorney, requests for opening and closing of accounts, and any instructions or requests regarding day-to-day operational business. Restricted indicates authority to sign any instructions or requests regarding day-to-day operational business.

Please ensure that at least one signatory has general authority (if authorised to sign alone) or two have general authority (if authorised to sign jointly).

If necessary, additional restrictions may be specified for signatories with restricted authority, for example, password/access reset requests, audit requests etc. Individual or joint signatories: please enter any individual signatories first.

Under Individual or joint signatories, tick the appropriate box(es). For the first box, enter the numbers: the persons listed from number to number may act as individual signatories.

For the second box, enter the numbers: one person listed from number to number together with one person listed from number to number may act as joint signatories.

Any two of the persons listed as authorised may act as joint signatories.

If no box is marked, each signatory is assumed to be authorised to sign alone.

Under Supplement or replacement, please tick one box only.

The submission of this form supersedes The previous specimen signature form dated, or the official signature list dated.

This specimen signature form supplements The previous Client Specimen Signature Form dated, or the official signature list dated.

Authorised signature(s): Signature, Name, Title, Place, Date.

Should the appointers also be considered as authorised signatories, their names must be listed among the appointed persons.

Adequate proof of their authority to appoint signatories must be attached to the form and any attachments must be duly certified.

Certification must be done by a competent authority, whether under Luxembourg regulation or the national regulation of the client's jurisdiction (such as a notary, police officer, embassy, or a government administration such as the mayor's office).

Proof of the competence of an authority that is not under Luxembourg regulation must be attached.

Please return the completed form and attachments to Clearstream Banking S.A., Attention: Account Administration Luxembourg, 42, avenue JF Kennedy, L-1855 Luxembourg.