Common use of Collection of Personal Information Clause in Contracts

Collection of Personal Information. 11.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the collection by the Issuer of the Purchaser's (and any beneficial purchaser’s) personal information for the purpose of completing the Purchaser’s subscription. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the Issuer disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, the Purchaser is hereby notified that: (i) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities purchased by the Purchaser and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, (ii) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) the Purchaser may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Appears in 5 contracts

Samples: Private Placement Subscription Agreement (Enertopia Corp.), Private Placement Subscription Agreement (Enertopia Corp.), Private Placement Subscription Agreement (Enertopia Corp.)

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Collection of Personal Information. 11.1 The Purchaser Subscriber consents to the disclosure by the Corporation to the Stock Exchange of all information contained herein relating to the Subscriber, including, without limitation, its name and residential address, the name and residential address of any beneficial holder, the number of Purchased Common Shares, the number of securities of the Corporation held before and after completion of the Offering and whether such Subscriber is an individual or a member of the Pro Group (as defined in the Corporate Finance Manual of the Stock Exchange) (collectively, the “Personal Information”). The Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the collection by fact the Issuer of Corporation is collecting the Purchaser's (and any beneficial purchaser’s) personal information Personal Information for the purpose of completing the Purchaser’s subscriptionpurchase by the Subscriber of the Purchased Common Shares. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the Issuer Corporation retaining the personal information Personal Information for as long as permitted or required by applicable law or business practices. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) further acknowledges and consents to the Issuer disclosing as fact that the Corporation may be required by applicable securities lawsSecurities Laws, stock exchange rules, Stock Exchange rules and XXX Investment Dealers Association of Canada rules to provide to such regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information Personal Information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser Subscriber represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, . The Corporation hereby notifies the Purchaser is hereby notified Subscriber that: (ia) pursuant to NI 45-106, delivery of the Issuer may deliver information pertaining to the Subscriber to the Ontario Securities Commission certain personal information pertaining to (the Purchaser“OSC”) is required, including such Purchaser’s as set out in Schedule I of Form 45-106F1 – Report of Exempt Distribution (“Form 45-106F1”), comprising the full name, residential address and telephone numbernumber of the Subscriber, the number and type of Securities securities of the Corporation purchased by the Purchaser and Subscriber, the total purchase price paid for of such Securitiessecurities, the prospectus exemption relied on by the Issuer upon in connection with such purchase, and the date of such distribution of (collectively, the Securities,“Ontario Personal Information”); (iib) such information the Ontario Personal Information is being collected indirectly by the Ontario Securities Commission OSC under the authority granted to it in securities legislation,; (iiic) such information the Ontario Personal Information is being collected for the purposes of the administration and enforcement of the securities legislation of the Province of Ontario, and; (ivd) the Purchaser may contact title, business address and business telephone number of the following public official in Ontario with respect to Ontario, as set out in Form 45-106F1, who can answer questions about the Ontario Securities CommissionOSC’s indirect collection of such information at the following address and telephone numberOntario Personal Information is as follows: Ontario Securities Commission, Suite 1903, Box 0000 Xxxxx Xxxxxx Xxxx, Xxxxxxx, Xxxxxxx X0X 0X0, 000-000-0000, Administrative Assistant to the Director of Corporate Finance Finance; and the Subscriber hereby authorizes the indirect collection of Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000Personal Information by the OSC.

Appears in 2 contracts

Samples: Subscription Agreement (Minera Andes Inc /Wa), Subscription Agreement (Minera Andes Inc /Wa)

Collection of Personal Information. 11.1 The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting): (a) acknowledges acknowledges, consents and consents authorizes the Corporation to collect the collection by the Issuer of the PurchaserSubscriber's (and any beneficial purchaser’s's) personal information for the purpose of completing the Purchaser’s subscription. The Purchaser Subscriber's subscription and determining the Subscriber's eligibility to purchase the Subscribed Units; (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribingb) acknowledges and consents to the Issuer Corporation retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser ; (c) acknowledges, consents and authorizes the Corporation to deliver to the Ontario Securities Commission and other Securities Regulators, the Company's registrar and transfer agent and any other parties involved in the Offering, including legal counsel, personal information (including, without limitation, full name, residential address, telephone number, securities held in the Corporation, number of and type of securities purchased, total purchase price, exemptions relied on its own behalf and, if applicable, on behalf and the date of distribution) pertaining to the Subscriber (and any person for whose benefit the Purchaser is subscribingbeneficial purchaser); (d) further acknowledges and consents to the Issuer disclosing as fact that the Corporation may be required by applicable securities lawsSecurities Laws, stock exchange rules, rules and XXX Investment Industry Regulatory Organization of Canada rules to provide regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, the Purchaser is hereby notified that:; (ie) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities purchased by the Purchaser and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, (ii) such acknowledges that this information is being collected indirectly by the Ontario Securities Commission and may be collected by other Securities Regulators (as applicable), under the authority granted to it them in securities legislation,applicable Securities Laws; (iiif) such acknowledges that this information is being collected by the Ontario Securities Commission for the purposes of the administration and enforcement of the securities legislation of Ontario, and; (ivg) acknowledges that the Purchaser may contact the following public official in Ontario with respect to who can answer questions about the Ontario Securities Commission’s 's indirect collection of such information at is the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Finance, Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx XxxxxxxXxxx, Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: 0X0, who may be contacted at (000) 000-0000; and (h) represents and warrants that it has the authority to provide the consents, acknowledgements and authorizations set out in this paragraph on behalf of all beneficial purchasers.

Appears in 2 contracts

Samples: Subscription Agreement (Stellar Pharmaceuticals Inc), Subscription Agreement (Stellar Pharmaceuticals Inc)

Collection of Personal Information. 11.1 The Purchaser Subscriber consents to the disclosure by the Corporation to the Stock Exchange of all information contained herein relating to the Subscriber, including, without limitation, its name and residential address, the name and residential address of any beneficial holder, the number of Purchased Units, the number of securities of the Corporation held before and after completion of the Offering and whether such Subscriber is an individual or a member of the Pro Group (as defined in the Corporate Finance Manual of the Stock Exchange) (collectively, the “Personal Information”). The Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the collection by fact the Issuer of Corporation is collecting the Purchaser's (and any beneficial purchaser’s) personal information Personal Information for the purpose of completing the Purchaser’s subscriptionpurchase by the Subscriber of the Purchased Units. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the Issuer Corporation retaining the personal information Personal Information for as long as permitted or required by applicable law or business practices. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) further acknowledges and consents to the Issuer disclosing as fact that the Corporation may be required by applicable securities lawsSecurities Laws, stock exchange rules, Stock Exchange rules and XXX Investment Dealers Association of Canada rules to provide to such regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information Personal Information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser Subscriber represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, . The Corporation hereby notifies the Purchaser is hereby notified Subscriber that: (ia) pursuant to NI 45-106, delivery of the Issuer may deliver information pertaining to the Subscriber to the Ontario Securities Commission certain personal information pertaining to (the Purchaser“OSC”) is required, including such Purchaser’s as set out in Schedule I of Form 45-106F1 – Report of Exempt Distribution (“Form 45-106F1”), comprising the full name, residential address and telephone numbernumber of the Subscriber, the number and type of Securities securities of the Corporation purchased by the Purchaser and Subscriber, the total purchase price paid for of such Securitiessecurities, the prospectus exemption relied on by the Issuer upon in connection with such purchase, and the date of such distribution of (collectively, the Securities,“Ontario Personal Information”); (iib) such information the Ontario Personal Information is being collected indirectly by the Ontario Securities Commission OSC under the authority granted to it in securities legislation,; (iiic) such information the Ontario Personal Information is being collected for the purposes of the administration and enforcement of the securities legislation of the Province of Ontario, and; (ivd) the Purchaser may contact title, business address and business telephone number of the following public official in Ontario with respect to Ontario, as set out in Form 45-106F1, who can answer questions about the Ontario Securities CommissionOSC’s indirect collection of such information at the following address and telephone numberOntario Personal Information is as follows: Ontario Securities Commission, Suite 1903, Box 0000 Xxxxx Xxxxxx Xxxx, Xxxxxxx, Xxxxxxx X0X 0X0, 000-000-0000, Administrative Assistant to the Director of Corporate Finance Finance; and the Subscriber hereby authorizes the indirect collection of Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000Personal Information by the OSC.

Appears in 2 contracts

Samples: Subscription Agreement (Minera Andes Inc /Wa), Subscription Agreement (Minera Andes Inc /Wa)

Collection of Personal Information. 11.1 10.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the collection by fact that the Issuer of is collecting and will use and disclose the Purchaser's (and any beneficial purchaser’s) ’s personal information for the purpose of completing fulfilling this Agreement and for the Purchaser’s subscriptionpurpose of complying with applicable securities laws. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the fact that the Issuer disclosing as may be required by the applicable securities laws, stock exchange rules, and XXX rules laws to regulatory authorities, provide the Regulatory Authorities or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), ) with any personal information provided by the Purchaser. 10.2 The Purchaser respecting itself acknowledges that this Agreement, including Appendix I hereto, contains personal information in respect of the Purchaser, including, among other things, the name, address and telephone number of the Purchaser, the number of Units being purchased, the total purchase price, the closing date and the exemption from prospectus and registration requirements of applicable securities legislation that the Purchaser is relying upon in purchasing such Units (and any beneficial purchasercollectively, the “Personal Information”). The Purchaser represents and warrants further acknowledges that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, the Purchaser is hereby has been notified thatby the Issuer: (ia) that the Issuer may intends to deliver the Personal Information to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address (and telephone number, the number of Securities purchased by the Purchaser any other securities regulatory authority or regulator and the total purchase price paid for such Securities, the prospectus exemption relied on by any stock exchange with which the Issuer and the date of distribution is required to file a Form 45-601F1 in respect of the Securities,private placement of Units); (iib) such information that the Personal Information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation,; (iiic) such information that the Personal Information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, ; and (ivd) of the Purchaser may contact title, business address and business telephone number of the following public official in Ontario with respect to Ontario, as set out below, who can answer questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone numberinformation: Ontario Securities Commission Suite 1903, Box 0000 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: (000) 000-0000 Facsimile: (000) 000-0000 Public official contact regarding indirect collection of information: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-00000000 and the Purchaser hereby authorizes the indirect collection of the information by the Ontario Securities Commission.

Appears in 2 contracts

Samples: Subscription Agreement (Kimber Resources Inc.), Subscription Agreement (Kimber Resources Inc.)

Collection of Personal Information. 11.1 12.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the collection by the Issuer and the Agent of the Purchaser's (and any beneficial purchaser’s) personal information for the purpose of completing the Purchaser’s subscription. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer and Agent retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the Issuer or the Agent disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 12.2 Furthermore, the Purchaser is hereby notified that: (i) the Issuer Company may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities Units purchased by the Purchaser and the total purchase price paid for such SecuritiesUnits, the prospectus exemption relied on by the Issuer Company and the date of distribution of the SecuritiesUnits, (ii) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) the Purchaser may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-00000000 13. 13.1 By executing this Subscription Agreement, the Purchaser (on its own behalf and, if applicable, on behalf of each beneficial purchaser on whose behalf the Purchaser is acting) acknowledges and expressly consents to: (a) the disclosure of Personal Information by the Issuer to the Exchange (as defined in Exchange Appendix 6A) pursuant to Form 4B; and (b) the collection, use and disclosure of Personal Information by the Exchange for the purposes described in Appendix 6A or as otherwise identified by the Exchange, from time to time. For the purposes of this Section 12, “Personal Information" means any information about the Purchaser, and includes information contained in Part II Items 8, 9, 10 and Part IV Item 3(a), as applicable, of Form 4B, and “Form 4B” means Exchange Form 4B entitled Private Placement Notice Form

Appears in 1 contract

Samples: Subscription Agreement (Crosshair Exploration & Mining Corp)

Collection of Personal Information. 11.1 12.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the collection by the Issuer and the Agent of the Purchaser's (and any beneficial purchaser’s) personal information for the purpose of completing the Purchaser’s subscription. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer and Agent retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the Issuer or the Agent disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 12.2 Furthermore, the Purchaser is hereby notified that: (i) the Issuer Company may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities FT Units purchased by the Purchaser and the total purchase price paid for such SecuritiesFT Units, the prospectus exemption relied on by the Issuer Company and the date of distribution of the SecuritiesFT Units, (ii) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) the Purchaser may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Appears in 1 contract

Samples: Subscription Agreement (Crosshair Exploration & Mining Corp)

Collection of Personal Information. 11.1 The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) acknowledges acknowledges, consents and consents authorizes the Corporation and the Agent to collect the collection by the Issuer of the Purchaser's Subscriber’s (and any beneficial purchaser’s) personal information for the purpose of completing the PurchaserSubscriber’s subscriptionsubscription and the Offering. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) acknowledges and consents to the Issuer Corporation and Agent retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) further acknowledges, consents and authorizes the Corporation and/or the Agent to deliver to the Ontario Securities Commission and any other securities commission or similar regulatory authority personal information (such as full name, residential address and telephone number) pertaining to the Subscriber (and any beneficial purchaser) and further acknowledges and consents to the Issuer disclosing as fact that the Corporation and/or the Agent may be required by applicable securities lawsSecurities Laws, stock exchange rules, rules and XXX Investment Industry Regulatory Organization of Canada rules to provide regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph Subscriber (on its own behalf and, if applicable, on behalf of all each beneficial purchasers. 11.2 Furthermore, purchaser for whose benefit the Purchaser Subscriber is hereby notified that: (iacting) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities purchased by the Purchaser and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, (ii) such acknowledges that this information is being collected indirectly by the Ontario Securities Commission (as applicable), and may be collected, used and disclosed by other Securities Regulators (as applicable), under the authority granted to it in securities legislation, applicable Securities Laws. The Subscriber (iiion its own behalf and, if applicable, on behalf of each beneficial purchaser for whose benefit the Subscriber is acting) such acknowledges that this information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) Ontario and further acknowledges that the Purchaser may contact the following public official in Ontario with respect to who can answer questions about the Ontario Securities Commission’s indirect collection of such information at is the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Finance, Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx XxxxxxxXxxx, Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: 0X0, who may be contacted at (000) 000-0000. The Subscriber represents and warrants that it has the authority to provide the consents, acknowledgements and authorizations set out in this paragraph on behalf of all beneficial purchasers. The Subscriber acknowledges and consents to the disclosure of the Subscriber's Personal Information (as defined below) (and, if applicable, the Personal Information of any beneficial purchaser for whose benefit the Subscriber is acting) to regulatory authorities (including the Ontario Securities Commission as described above) and Canadian stock exchanges on which the Common Stock may be listed, Canadian tax authorities, authorities pursuant to the PCMLTFA, the Corporation's registrar and transfer agent, and any of the other parties involved in the Offering, including legal counsel and that Personal Information may be included in record books in connection with the Offering. The Subscriber represents and warrants that it has the authority to provide the consents and acknowledgments set out in this paragraph on behalf of all beneficial purchasers for whose benefit the Subscriber is acting. For such purposes, “

Appears in 1 contract

Samples: Subscription Agreement (Neulion, Inc.)

Collection of Personal Information. 11.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit i) This Agreement requires that the Purchaser is subscribing) acknowledges and consents provide certain Personal Information to the collection Company. Such information is being collected by the Issuer of the Purchaser's (and any beneficial purchaser’s) personal information Company for the purpose of completing the purchase and sale of the Purchased Shares, which includes without limitation, determining the Purchaser’s subscriptioneligibility to acquire the Purchased Shares under applicable Securities Laws, preparing and registering share certificates representing the Purchased Shares and completing all filings required under applicable Securities Laws. The Purchaser’s Personal Information may be disclosed by the Company to: (a) any stock exchange, self regulatory organization or securities regulatory authority, and (b) the Company’s registrar and transfer agent. The Purchaser consents to the foregoing collection, use and disclosure of its Personal Information; and (on its own behalf and, if applicable, on behalf of any person for whose benefit ii) If the Purchaser is subscribing) resident in or otherwise subject to Ontario Securities Laws, the Purchaser authorizes the indirect collection of Personal Information pertaining to it by the OSC and acknowledges and consents to the Issuer retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the Issuer disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants agrees that it has been notified by the authority Company (A) of the delivery to provide the consents and acknowledgements set out in this paragraph on behalf OSC of all beneficial purchasers. 11.2 FurthermorePersonal Information pertaining to it, including, without limitation, the Purchaser is hereby notified that: (i) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone numbernumber of the Purchaser, the number and type of Securities securities purchased by the Purchaser and the total aggregate purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution in respect of the Securities, Purchased Shares, (iiB) that such information is being collected indirectly by the Ontario Securities Commission OSC under the authority granted to it in securities legislation, under applicable Securities Laws, (iiiC) that such information is being collected for the purposes of the administration and enforcement of Ontario Securities Laws, and (D) that the securities legislation title, business address and business telephone number of Ontario, and (iv) the Purchaser may contact the following public official in Ontario with respect to who can answer questions about the Ontario Securities CommissionOSC’s indirect collection of such the information at is the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Finance, the Ontario Securities Commission Commission, Xxxxx 0000, Xxx 000000, 00 Xxxxx Xxxxxx Xxxx XxxxxxxXxxx, Xxxxxxx, Xxxxxxx X0X 0X0 0X0, Telephone: (000) 000-0000, Facsimile: (000) 000-0000.

Appears in 1 contract

Samples: Share Purchase Agreement (Lorus Therapeutics Inc)

Collection of Personal Information. 11.1 12.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) Subscriber acknowledges and consents to the collection by fact that the Issuer of Company is collecting the PurchaserSubscriber's (and any beneficial purchaser’s) personal information for the purpose of fulfilling this Subscription Agreement and completing the Purchaser’s subscriptionOffering. The Purchaser Subscriber's personal information (on its own behalf and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) may be disclosed by the Company to (a) stock exchanges or securities regulatory authorities, (b) the Company's registrar and transfer agent, (c) tax authorities, and (d) any of any person for whose benefit the Purchaser other parties involved in the Offering, including legal counsel, and may be included in record books in connection with the Offering. By executing this Subscription Agreement, the Subscriber is subscribing) acknowledges and consents deemed to be consenting to the Issuer retaining foregoing collection, use and disclosure of the Subscriber's personal information (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) and to the retention of such personal information for as long as permitted or required by applicable law or business practicespractice. The Purchaser (on its own behalf and, if applicable, Notwithstanding that the Subscriber may be purchasing Shares as agent on behalf of any person for whose benefit an undisclosed principal, the Purchaser is subscribing) further acknowledges and consents Subscriber agrees to provide, on request, particulars as to the Issuer disclosing identity of such undisclosed principal as may be required by applicable securities laws, stock exchange rules, and XXX rules the Company in order to regulatory authorities, or to other authorities pursuant to comply with the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasersforegoing. 11.2 12.2 Furthermore, the Purchaser Subscriber is hereby notified that: (ia) the Issuer Company may deliver to the Ontario Securities Commission certain personal information pertaining to the PurchaserSubscriber, including such PurchaserSubscriber’s full name, residential address and telephone number, the number of Securities Shares purchased by the Purchaser Subscriber and the total purchase price paid for such SecuritiesShares, the prospectus exemption relied on by the Issuer Company and the date of distribution of the Securities,Shares; (iib) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation,; (iiic) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, ; and (ivd) the Purchaser Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000Suite 1903, Xxx 00Box 50, 00 Xxxxx Xxxxxx Xxxx XxxxxxxToronto, Xxxxxxx, X0X 0X0 Ontario M5H 3S8 Telephone: (000) 000-0000

Appears in 1 contract

Samples: Private Placement Subscription Agreement (Dundee Agricultural Corp)

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Collection of Personal Information. 11.1 The Purchaser Subscriber consents to the disclosure by the Corporation to the Stock Exchange of all information contained herein relating to the Subscriber, including, without limitation, its name and residential address, the name and residential address of any beneficial holder, the number of Purchased Common Shares, the number of securities of the Corporation held before and after completion of the Offering and whether such Subscriber is an individual or a member of the Pro Group (as defined in the Corporate Finance Manual of the Stock Exchange) (collectively, the “Personal Information”). The Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the collection by fact the Issuer of Corporation is collecting the Purchaser's (and any beneficial purchaser’s) personal information Personal Information for the purpose of completing the Purchaser’s subscriptionpurchase by the Subscriber of the Purchased Common Shares. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) acknowledges and consents to the Issuer Corporation retaining the personal information Personal Information for as long as permitted or required by applicable law or business practices. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser Subscriber is subscribingcontracting) further acknowledges and consents to the Issuer disclosing as fact that the Corporation may be required by applicable securities lawsSecurities Laws, stock exchange rules, Stock Exchange rules and XXX Investment Dealers Association of Canada rules to provide to such regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information Personal Information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser Subscriber represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 Furthermore, . The Corporation hereby notifies the Purchaser is hereby notified Subscriber that: (ia) pursuant to NI 45-106, delivery of the Issuer may deliver information pertaining to the Subscriber to the Ontario Securities Commission certain personal information pertaining to (the Purchaser“OSC”) is required, including such Purchaser’s as set out in Schedule I of Form 45-106F1 — Report of Exempt Distribution (“Form 45-106F1”), comprising the full name, residential address and telephone numbernumber of the Subscriber, the number and type of Securities securities of the Corporation purchased by the Purchaser and Subscriber, the total purchase price paid for of such Securitiessecurities, the prospectus exemption relied on by the Issuer upon in connection with such purchase, and the date of such distribution of (collectively, the Securities,“Ontario Personal Information”); (iib) such information the Ontario Personal Information is being collected indirectly by the Ontario Securities Commission OSC under the authority granted to it in securities legislation,; (iiic) such information the Ontario Personal Information is being collected for the purposes of the administration and enforcement of the securities legislation of the Province of Ontario, and; (ivd) the Purchaser may contact title, business address and business telephone number of the following public official in Ontario with respect to Ontario, as set out in Form 45-106F1, who can answer questions about the Ontario Securities CommissionOSC’s indirect collection of such information at the following address and telephone numberOntario Personal Information is as follows: Ontario Securities Commission, Suite 1903, Box 0000 Xxxxx Xxxxxx Xxxx, Xxxxxxx, Xxxxxxx X0X 0X0, 000-000-0000, Administrative Assistant to the Director of Corporate Finance Finance; and the Subscriber hereby authorizes the indirect collection of Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000Personal Information by the OSC.

Appears in 1 contract

Samples: Subscription Agreement (McEwen Robert Ross)

Collection of Personal Information. 11.1 12.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the collection by the Issuer and the Agent of the Purchaser's (and any beneficial purchaser’s) personal information for the purpose of completing the Purchaser’s subscription. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer and Agent retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) further acknowledges and consents to the Issuer or the Agent disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph on behalf of all beneficial purchasers. 11.2 12.2 Furthermore, the Purchaser is hereby notified that: (i) the Issuer Company may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities Units purchased by the Purchaser and the total purchase price paid for such SecuritiesUnits, the prospectus exemption relied on by the Issuer Company and the date of distribution of the SecuritiesUnits, (ii) such information is being collected indirectly by the Ontario Securities Commission under the authority granted to it in securities legislation, (iii) such information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) the Purchaser may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Appears in 1 contract

Samples: Subscription Agreement (Crosshair Exploration & Mining Corp)

Collection of Personal Information. 11.1 The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) acknowledges acknowledges, consents and consents authorizes the Corporation to collect the collection by the Issuer of the Purchaser's Subscriber’s (and any beneficial purchaser’s) personal information for the purpose of completing the PurchaserSubscriber’s subscriptionsubscription and the Offering. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) acknowledges and consents to the Issuer Corporation retaining the personal information for as long as permitted or required by applicable law or business practices. The Purchaser Subscriber (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Subscriber is subscribingacting) further acknowledges, consents and authorizes the Corporation to deliver to the Ontario Securities Commission and any other securities commission or similar regulatory authority personal information (such as full name, residential address and telephone number) pertaining to the Subscriber (and any beneficial purchaser) and further acknowledges and consents to the Issuer disclosing as fact that the Corporation may be required by applicable securities lawsSecurities Laws, stock exchange rules, rules and XXX Investment Industry Regulatory Organization of Canada rules to provide regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser Subscriber respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph Subscriber (on its own behalf and, if applicable, on behalf of all each beneficial purchasers. 11.2 Furthermore, purchaser for whose benefit the Purchaser Subscriber is hereby notified that: (iacting) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities purchased by the Purchaser and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, (ii) such acknowledges that this information is being collected indirectly by the Ontario Securities Commission (as applicable), and may be collected, used and disclosed by other Securities Regulators (as applicable), under the authority granted to it in securities legislation, applicable Securities Laws. The Subscriber (iiion its own behalf and, if applicable, on behalf of each beneficial purchaser for whose benefit the Subscriber is acting) such acknowledges that this information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) Ontario and further acknowledges that the Purchaser may contact the following public official in Ontario with respect to who can answer questions about the Ontario Securities Commission’s indirect collection of such information at is the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Finance, Xxxxx 0000, Xxx 00, 00 Xxxxx Xxxxxx Xxxx XxxxxxxXxxx, Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: 0X0, who may be contacted at (000) 000-0000. The Subscriber represents and warrants that it has the authority to provide the consents, acknowledgements and authorizations set out in this paragraph on behalf of all beneficial purchasers. The Subscriber acknowledges and consents to the disclosure of the Subscriber's Personal Information (as defined below) (and, if applicable, the Personal Information of any beneficial purchaser for whose benefit the Subscriber is acting) to regulatory authorities (including the Ontario Securities Commission as described above) and Canadian stock exchanges on which the Common Stock may be listed, Canadian tax authorities, authorities pursuant to the PCMLTFA, the Corporation's registrar and transfer agent, and any of the other parties involved in the Offering, including legal counsel and that Personal Information may be included in record books in connection with the Offering. The Subscriber represents and warrants that it has the authority to provide the consents and acknowledgments set out in this paragraph on behalf of all beneficial purchasers for whose benefit the Subscriber is acting. For such purposes, “

Appears in 1 contract

Samples: Subscription Agreement (Neulion, Inc.)

Collection of Personal Information. 11.1 The Purchaser Large Scale (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit Large Scale is acting) acknowledges, consents and authorizes the Purchaser is subscribing) acknowledges and consents Company to the collection by the Issuer of the Purchasercollect Large Scale's (and any beneficial purchaser’s's) personal information for the purpose of completing the Purchaser’s subscriptionissuance of the Note to Large Scale. The Purchaser Large Scale (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit the Purchaser Large Scale is subscribingacting) acknowledges and consents to the Issuer Company retaining the personal information for as long as permitted or required by applicable law Applicable Law or business practices. The Purchaser Large Scale (on its own behalf and, if applicable, on behalf of any person each beneficial purchaser for whose benefit Large Scale is acting) further acknowledges, consents and authorizes the Purchaser is subscribingCompany to deliver to the British Columbia Securities Commission and any other securities commission or similar regulatory authority personal information (such as full name, residential address and telephone number) pertaining to Large Scale (and any beneficial purchaser) and further acknowledges and consents to the Issuer disclosing as fact that the Company may be required by applicable securities lawsCanadian Securities Laws, stock exchange rules, rules and XXX Investment Industry Regulatory Organization of Canada rules to provide regulatory authorities, or to other authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Financing Act (Canada), any personal information provided by the Purchaser Large Scale respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph Large Scale (on its own behalf and, if applicable, on behalf of all each beneficial purchasers. 11.2 Furthermore, the Purchaser purchaser for whose benefit Large Scale is hereby notified that: (iacting) the Issuer may deliver to the Ontario Securities Commission certain personal information pertaining to the Purchaser, including such Purchaser’s full name, residential address and telephone number, the number of Securities purchased by the Purchaser and the total purchase price paid for such Securities, the prospectus exemption relied on by the Issuer and the date of distribution of the Securities, (ii) such acknowledges that this information is being collected indirectly by the Ontario Securities Commission (as applicable), and may be collected, used and disclosed by other securities regulators (as applicable), under the authority granted to it in securities legislation, applicable Canadian Securities Laws. Large Scale (iiion its own behalf and, if applicable, on behalf of each beneficial purchaser for whose benefit Large Scale is acting) such acknowledges that this information is being collected for the purposes of the administration and enforcement of the securities legislation of Ontario, and (iv) Ontario and further acknowledges that the Purchaser may contact the following public official in Ontario with respect to who can answer questions about the Ontario Securities Commission’s 's indirect collection of such information at is the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx Finance, Sxxxx 0000, Xxx 00, 00 20 Xxxxx Xxxxxx Xxxx XxxxxxxXxxx, Xxxxxxx, Xxxxxxx X0X 0X0 Telephone: 0X0, who may be contacted at (000) 000-0000. Large Scale represents and warrants that it has the authority to provide the consents, acknowledgements and authorizations set out in this paragraph on behalf of all beneficial purchasers. Without limiting the foregoing, Large Scale acknowledges and expressly consents to the collection, use and disclosure of Personal Information (as defined herein) by the TSX for the purposes identified by the TSX from time to time. Large Scale also acknowledges and consents to the disclosure of Large Scale's Personal Information (and, if applicable, the Personal Information of any beneficial purchaser for whose benefit Large Scale is acting) to the TSX and other regulatory authorities (including the British Columbia Securities Commission and the Ontario Securities Commission as described above), Canadian tax authorities, authorities pursuant to the PCMLTFA, the Company's registrar and transfer agent, and any of the other parties involved in the issuance of the Note to Large Scale, including legal counsel and that Personal Information may be included in record books in connection with the issuance of the Note. Large Scale represents and warrants that it has the authority to provide the consents and acknowledgments set out in this paragraph on behalf of all beneficial purchasers for whose benefit Large Scale is acting. For such purposes, "

Appears in 1 contract

Samples: Convertible Note Purchase Agreement (Chan Kwok Keung Charles)

Collection of Personal Information. 11.1 13.1 The Purchaser (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) Subscriber acknowledges and consents to the collection by fact that the Issuer of Company is collecting the Purchaser's (and any beneficial purchaser’s) Subscriber’s personal information for the purpose of fulfilling this Subscription Agreement and completing the Purchaser’s subscriptionOffering. The Purchaser Subscriber's personal information (on its own behalf and, if applicable, on behalf of any person for whose benefit the Purchaser is subscribing) acknowledges and consents to the Issuer retaining the personal information for as long as permitted of those on whose behalf the Subscriber is contracting hereunder) may be disclosed by the Company to (a) stock exchanges or required by applicable law or business practices. The Purchaser securities regulatory authorities (on its own behalf andincluding the British Columbia Securities Commission, if applicablethe Ontario Securities Commission and the Securities and Exchange Commission), on behalf of any person for whose benefit (b) the Purchaser is subscribingCompany's registrar and transfer agent, (c) further acknowledges and consents to the Issuer disclosing as required by applicable securities laws, stock exchange rules, and XXX rules to regulatory Canadian tax authorities, or to other (d) authorities pursuant to the Proceeds of Crime (Money Laundering) and Terrorism Terrorist Financing Act (Canada), (e) any of the other parties involved in the offering of the Units, including legal counsel and may be included in record books in connection with the Subscription. By executing this Subscription Agreement, the Subscriber is deemed to be consenting to the foregoing collection, use and disclosure of the Subscriber's personal information provided (and, if applicable, the personal information of those on whose behalf the Subscriber is contracting hereunder) and to the retention of such personal information for as long as permitted or required by law or business practice. Notwithstanding that the Purchaser respecting itself (and any beneficial purchaser). The Purchaser represents and warrants that it has the authority to provide the consents and acknowledgements set out in this paragraph Subscriber may be purchasing Units as agent on behalf of an undisclosed principal, the Subscriber agrees to provide, on request, particulars as to the nature and identity of such undisclosed principal, and any interest that such undisclosed principal has in the Company, all beneficial purchasers. 11.2 as may be required by the Company in order to comply with the foregoing. Furthermore, the Purchaser Subscriber is hereby notified that: (ia) the Issuer Company may deliver to the British Columbia Securities Commission, the Ontario Securities Commission Commission, the SEC and/or any other securities commission certain personal information pertaining to the PurchaserSubscriber or the beneficial owner (if applicable), including such PurchaserSubscriber’s (or beneficial owner’s, if applicable) full name, residential address and telephone number, the number of Securities shares or other securities of the Company owned by the Subscriber or the beneficial owner (if applicable), the number of Units purchased by the Purchaser Subscriber or the beneficial owner (if applicable) and the total purchase price paid for such SecuritiesUnits, the prospectus exemption relied on by the Issuer Company and the date of distribution of the SecuritiesUnits, (iib) such the personal information is being collected indirectly by by, among others, the Ontario Securities Commission under the authority granted to it in securities legislation, (iiic) such information is being collected for the purposes of the administration and enforcement of the securities legislation of OntarioOntario and other applicable jurisdictions, and (ivd) the Purchaser Subscriber may contact the following public official in Ontario with respect to questions about the Ontario Securities Commission’s indirect collection of such information at the following address and telephone number: Administrative Assistant to the Director of Corporate Finance Ontario Securities Commission Xxxxx Sxxxx 0000, Xxx 00, 00 20 Xxxxx Xxxxxx Xxxx Xxxxxxx, Xxxxxxx, X0X 0X0 Telephone: (000) 000-0000

Appears in 1 contract

Samples: Subscription Agreement (Manas Petroleum Corp)

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