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Complete this form if you wish to register to participate in the class action

The class member named below registers to participate in the class action and to be bound by, and share in the benefit of any judgment or settlement of the class action.

If you have encountered any difficulties in completing the required fields and/or submitting the form, please email spotlessclassaction@slatergordon.com.au or call 1800 071 827


1. Class member details

(Not PO Box)


2. Contact details


3. Investment details for Spotless

(This is the name of the entity on the share register, if your Spotless securities were or are held under different registered names, please complete this page separately for each registered owner)
(If the holdings have multiple SRN/HIN/Account Numbers, please place a semicolon (;) between each. If you do not have access to these numbers, write “NA”)


4. Trade details for Spotless Securities


Securities acquisitions

Allowed file types: MS Word, MS Excel, PDF, JPG, PNG (Max 10MB)


Securities disposals

Allowed file types: MS Word, MS Excel, PDF, JPG, PNG (Max 10MB)


5. Spotless equity swap agreements

An equity swap is a derivative financial instrument whereby an investor gains exposure to the future share price movement of a security without acquiring a direct interest in ordinary shares.

(please provide supporting documents setting out details of each swap transaction in section 6 below)


6. Supporting documents

Please provide documentary evidence in support of the information you are providing with this form, including*:

  1. Holding statements and/or contract notes and/or transaction receipts, if available.
  2. Trade information in excel format, if the applicant is claiming on behalf of multiple funds.

*If you do not submit documentation, or only partially submit documentation in support of your claim, you may not be considered a registered group member for the purposes of the proceeding and you may not be eligible to participate in any settlement sum or Court award. We will contact you if we consider that the information you have supplied is insufficient.

Allowed file types: MS Word, MS Excel, PDF, JPG, PNG (Max 10MB)
Allowed file types: MS Word, MS Excel, PDF, JPG, PNG (Max 10MB)
Allowed file types: MS Word, MS Excel, PDF, JPG, PNG (Max 10MB)


7. Form completion

Thank you for your submission. If you wish to submit further supporting documents or information, please email spotlessclassaction@slatergordon.com.au