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I.the undersigned,being the N01 holder or the person authorized to sign on behalf of the N0I <br /> holder, declare that the information given in this N0I form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this 31 day of October 20 <br /> (date) (month) e <br /> Signature of NOI holder or person authorized to sign: <br /> Name (typed or printed): <br /> K e Abraha <br /> Title/Position: President <br /> M:\min\oss\slb\MineraisForms\ProspectForm1 <br /> 30 Aug 2017 <br /> Form 1—DRMS Use and Confidential File Page 14 of 14 <br />