AGREEMENT SIGNATURE PAGE. SIGNED for and on behalf of THE STATE OF WESTERN AUSTRALIA acting through THE MINISTER FOR MINES AND PETROLEUM by an authorised officer with the Department of Energy, Mines, Industry Regulation and Safety Signature Signature of Witness Date: Date: SIGNED for and on behalf of: Recipients name Recipients ACN Printed full name of Director Printed full name of Witness Position: SignatureDate: Witness signatureDate: Full Name of Director/Secretary Printed full name of Witness Position: SignatureDate: Witness signatureDate: # Note: The execution clause will need to be amended depending on the nature of the Recipient. For example, a sole director company will be signed by the sole director and witnessed; a multi-director company will be signed by 2 directors or a director and a secretary or as provided for in its constitution and witnessed; and a joint venture will be signed by its operator on behalf of the joint venture participants and witnessed.
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Sources: Funding Agreement, Funding Agreement