ACN 150 597 541 PIN CHEQUE(S) HERE Shortfall Application Form Fill out this Application form if you want to apply for a Share in Kin Mining N.L. Please read the Prospectus lodged with ASIC on 31 July 2015 Follow the instructions to complete this Application form (see reverse). Print clearly in capital letters using black or blue pen. Number of Shortfall Shares you are applying for: Total amount payable x $0.10 per Share = A Write the name(s) you wish to register the Securities in (see reverse for instructions) Applicant 1 Name of Applicant 2 or < Account Designation > Name of Applicant 3 or < Account Designation > B Write your postal address here Number / Street Suburb/Town C D State CHESS participant – Holder Identification Number (HIN) ISSUER participant – Existing Security Reference Number (SRN) X I Postcode Enter your Tax File Number(s), ABN, ACN or exemption category Applicant 1 Applicant 2 Applicant 3 E Cheque payment details Please enter details of the cheque(s) that accompany this application. Name of drawer of cheque F Contact telephone number (daytime/work/mobile) Cheque No. BSB No. G Account No. Cheque Amount A$ Email address By submitting this Application form, I/We represent and warrant that I/we have read and understood the Prospectus to which this Application Form relates and declare that this Application is completed and lodged according to the Prospectus and the instructions on the reverse of this Application Form and declare that all details and statements made by me/us are complete and accurate. I/We agree to be bound by the constitution of Kin Mining N.L. and agree to the terms and conditions of the Offer under this Prospectus (including the representations, warranties and agreements contained in the Prospectus), and in particular, that I/we have not relied on any other information provided by the Company other as set out in this Prospectus when making my/our decision to invest. I/We represent, warrant and undertake to the Company that our subscription for the above Securities will not cause the Company or me/us to violate the laws of Australia or any other jurisdiction which may be applicable to this subscription for securities in the Company. Application forms and cheques must be received by the Share Registry by 5.00 pm WST 2 September 2015. Guide to the SHORTFALL Application Form YOU SHOULD READ THE PROSPECTUS CAREFULLY BEFORE COMPLETING THE APPLICATION FORM Please complete all relevant sections of the appropriate Application Form using BLOCK LETTERS. These instructions are cross-referenced to each section of the Application Form. INSTRUCTIONS A. B. C. D. E. F. G. Write your full name. Initials are not acceptable for first names. Enter your postal address for all correspondence. All communications to you from Kin Mining N.L. will be mailed to the person(s) and address as shown. For joint Applicants, only one address can be entered. If you are sponsored in CHESS by a stockbroker or other CHESS participant, you may enter your CHESS HIN if you would like the allocation to be directed to your HIN. NB: your registration details provided must match your CHESS account exactly. If you are ISSUER sponsored, you may enter your existing Security Reference Number (SRN) . Enter your Australian tax file number ("TFN") or ABN or exemption category, if you are an Australian resident. Where applicable, please enter the TFN /ABN of each joint Applicant. Collection of TFN's is authorised by taxation laws. Quotation of your TFN is not compulsory and will not affect your Application Form. Complete cheque details as requested. Make your cheque payable to “Kin Mining N.L” in Australian currency, cross it and mark it "Not Negotiable". Cheques must be made in Australian currency, and cheques must be drawn on an Australian Bank. Enter your contact details so we may contact you regarding your Application Form or Application Monies. Enter your email address so we may contact you regarding your Application Form or Application Monies or other correspondence. CORRECT FORMS OF REGISTRABLE TITLE ONLY legal entities can hold the Securities. The Application must be in the name of a natural person(s), companies or other legal entities acceptable to the Company. At least one full name and surname is required for each natural person. Examples of the correct form of registrable title are set out below. Type of Investor Correct Form of Registrable Title Incorrect Form of Registrable Title Trusts Mr John David Smith <J D Smith Family A/C> Mr Michael Peter Smith <Est Lte John Smith A/C> Mr John David Smith & Mr Ian Lee Smith John Smith Family Trust Mr John David Smith <Smith Investment A/C> John Smith Pty Limited <J Smith Super Fund A/C> Smith Investment Club Deceased Estates Partnerships Clubs/Unincorporated Bodies Superannuation Funds John Smith (deceased) John Smith & Son John Smith Superannuation Fund LODGMENT Mail or deliver your completed Application Form with cheque(s) attached to the following: In person Advanced Share Registry Services 110 Stirling Highway NEDLANDS WA 6009 Or post to Advanced Share Registry Services PO Box 1156 NEDLANDS WA 6909 It is not necessary to sign or otherwise execute the Application Form. If you have any questions as to how to complete the Application Form, please contact the Share Registry on (08) 9389 8033.
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