Share Purchase Plan Application

Application to Underwrite the SPP

(Sophisticated or Professional Investor Applicants Only)

Fill out the form below to place your firm bid to underwrite a specified amount. A fee will be payable based on the amount underwritten. Once complete Pure Hydrogen Corporation Limited’s lead manager will be in touch to confirm your allocation.

Name

Location

Phone Number

Investment Size

Sophisticated Investor

I confirm that I/we are a Sophisticated or Professional Investor within section 708(8) or s708(11) of the Corporations Act

Pure Hydrogen Limited Shareholder

I am a Pure Hydrogen Corporation Limited Shareholder