Appointment Of Agent For Service Of Process By Foreign Banks And Foreign Insurance Sec Form Fn Page 2

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E. The Filer designates and appoints (Name of United States person serving as agent)
________________________________ (“Agent”) located at (Address in full in the United States and telephone number)
_______________________________________________________________________________________as the agent
of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in:
(a) any investigation or administrative proceeding conducted by the Commission, and
(b) any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in
any appropriate court in any place subject to the jurisdiction of any state or of the United States or any of its territories
or possessions or of the District of Columbia,
arising out of or based on any offering made or purported to be made in connection with the securities registered by the Filer
on Form (Name of Form) __________ filed on (Date) __________ or any purchases or sales of any security in connection
therewith. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced
by the service of process upon, and that service of an administrative subpoena shall be effected by service upon, such agent
for service of process, and that the service as aforesaid shall be taken and held in all courts and administrative tribunals to
be valid and binding as if personal service thereof had been made.
F. Each person filing this Form stipulates and agrees to appoint a successor agent for service of process and file an amended
Form F-N if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any
time until six years have elapsed from the date of the Filer’s last registration statement or report, or amendment to any such
registration statement or report, filed with the Commission under the Securities Act of 1933 or Securities Exchange Act of
1934. Filer further undertakes to advise the Commission promptly of any change to the Agent’s name or address during the
applicable period by amendment of this Form referencing the file number of the relevant registration form in conjunction
with which the amendment is being filed.
G. Each person filing this form undertakes to make available, in person or by telephone, representatives to respond to inquiries
made by the Commission staff, and to furnish promptly, when requested to do so by the Commission staff, information
relating to the securities registered pursuant to the form referenced in paragraph E or transactions in said securities.
The Filer certifies that it has duly caused this power of attorney, consent, stipulation and agreement to be signed on its behalf
by the undersigned, thereunto duly authorized, in the
City of ___________________
Country of ____________________
this ______________________ day _______________ 20 ____ A.D.
Filer:
By (Signature and Title):
__________________________ ____________________________________________________________________
This statement has been signed by the following persons in the capacities and on the dates indicated.
(Signature)_______________________________________________________________
(Title)___________________________________________________________________
(Date)___________________________________________________________________
Instructions
l. The power of attorney, consent, stipulation and agreement shall be signed by the Filer and its authorized Agent in the
United States.
.
The name of each person who signs Form F-N shall be typed or printed beneath his signature. Where any name is
signed pursuant to a board resolution, a certified copy of the resolution shall be filed with each copy of the Form. If
any name is signed pursuant to a power of attorney, a manually signed copy of each power of attorney shall be filed
with each copy of the Form.


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