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The securities were held in the name of a single individual.
The securities were held in person in the name of more than one individual.
The securities were held directly in the name of the company.
The securities were held on trust (such as a superannuation fund or trust account) and the trustee is an individual, joint owner, company or other.
A security holder who holds the securities is now deceased and the estate is making a claim.
If you are an Investment Manager, Asset Manager, Industry Super Fund, Pension Fund, Hedge Fund, or custodian or sponsor.
If you are an agent acting on behalf of various institutional investors.
If you are a Financial Planner, Accountant, Stock Broker or another service provider acting on behalf of more than one retail investor.
Companies with more than 1 director, or a director and company secretary are required to be executed by 2 of these authorised individuals. An email will be sent to the additional named person for them to separately review the PDS and electronically execute the Application Form.
If the Claimant is a natural person (e.g. "John Smith"), please list the date of birth below:
In this section, we ask you to provide details of the claimant's trading history in the securities which form part of your claim.
It is important these details are accurate. We suggest you refer to trade confirmation forms and contract notes when completing this section.
Please answer the following questions accurately in relation to your claim:
This is the agreement between the Claimant and Omni Bridgeway Limited. To become a client of Omni Bridgeway you must review and accept the terms of the Omni Bridgeway Funding Agreement (Funding Agreement).
We ask that you review the Funding Agreement carefully before entering into the Funding Agreement. If you have any questions about the terms of the Funding Agreement, please contact us at [email protected].
If you enter into the Funding Agreement, you will not have to pay anything, unless the Claims are successfully resolved, in which case the fees are recovered from the Resolution Sum. Omni Bridgeway will pay the other side's legal costs if the class action is unsuccessful and the Claims are lost.
A copy of the Funding Agreement will be emailed to you on completion of this process.
We note that the Funding Agreement is subject to a 21-day cooling off period, in which time you may terminate it by following the notice requirements, as set out in the terms of the Funding Agreement. You may use this cooling off period to obtain separate legal advice about the Funding Agreement if you wish to do so.
By selecting the 'tick boxes' and typing my name below, I confirm that:
This Application Form relates to the Product Disclosure Statement (‘PDS’) issued by Omni Bridgeway Investment Management Limited (ACN 642 086 593, AFSL 524023) (‘OBIML’) as the Responsible Entity (‘RE’), in relation to the Mesoblast Shareholder Litigation Funding Scheme (ARSN 656 647 586). Information about the Scheme can be found in the Product Disclosure Statement ('PDS') for the Scheme, of which this Application Form is part, or it can be downloaded here: https://portal.omnibridgeway.com/mesoblast-overview. Please read the PDS, this Application Form, the Claim Funding Terms at the end of the Scheme’s constitution, and the Scheme’s constitution itself carefully, as together those documents contain terms that will be binding on you if your application is accepted by the RE.
By selecting the 'tick boxes' and typing my name below, I/we declare and agree that I/we:
By electronically accepting the below conditions you will agree to register your potential claim for inclusion in the Mesoblast Class Action and for the purpose of any possible settlement.
A copy of the completed registration form will be emailed to you on completion of this registration process.
It is important that following your registration you send 3rd party supporting documentation, such as contract notes, for each of the share transactions included in your claim to [email protected].
I confirm that:
This is the retainer agreement between the Claimant and the Lawyers ("Retainer Agreement").
As you have accepted the terms of funding set out in the PDS, you will not have to pay any Lawyer's fees if the class action proceeds, unless claims are successfully resolved, in which case the fees are recovered from the Resolution Sum. There are no "out of pocket" fees payable by you.
A copy of the Retainer Agreement will be emailed to you on completion of this registration process.
By selecting the 'tick boxes' below and typing my name below, I confirm that: