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1,the undersigned, being the NO holder or the person authorized to sign on behalf of the NO <br /> holder, declare that the information given in this N01 form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this day of djor I van)� <br /> (date) (month) (year) <br /> Signature of NO holder or person authorized to sign: ���� <br /> Name (typed or printed): �F. Ll, Y d <br /> Title/Position: p <br /> 1 YeS��en� <br /> M:\nun\oss\slb\MineralsForms\ProspectFm•m2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />