tSi0075_2-03

LETTER OF APPLICATION FOR MEMBERSHIP

To: The Company Secretary

tScheme Ltd.

Regus House

Victory Way

Admirals Park

DARTFORD

Kent

DA2 6QD

Dear Sir

tScheme Limited (“the Company”)

I/We…………………………….
hereby apply for admission to membership of the Company.

I/We hereby undertake, if admitted to membership, to be bound by the Memorandum and Articles of Association of the Company and to subscribe to the tScheme Code of Conduct.

I/We also undertake to pay to the Company, if admitted to membership, the requisite joining fee and subscription and other fees applicable to membership.

I/We also undertake to be bound, as from the date hereof, by those provisions of the Rules of the Company that are applicable to applicants for membership of the Company; and, as from the date upon which I/we shall be admitted a member of the Company, by the remaining provisions of the Rules of the Company.

The primary representative of our organisation with the Company for policy and administrative matters will be:

(Name and contact Details)

The deputy representative of our organisation for the Company will be:

(Name and contact Details)

The lead technical representative of our organisation for the Company will be:

(Name and contact Details)

Signed on behalf of the applicant…………………………………..Date…………………

(Position of Signatory)

(Address of Applicant for Membership)