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EXHIBIT 99
REPURCHASE AGREEMENT
BIOMETRIC SECURITY CORP.
REQUEST FOR REPURCHASE
THE REPURCHASE OFFER WILL EXPIRE AT 5:00 P.M.,
VANCOUVER, B.C. TIME, , 1999.
Please complete and sign this document and return it to Biometric Security
Corp. at the address set forth below, on or before 5:00 P.M., Vancouver, B.C.
time, on , 1999, the expiration date of the Repurchase Offer.
Biometric Security Corp.
Suite 1940 -- 000 Xxxxxxx Xxxxxx
Xxxxxxxxx, Xxxxxxx Xxxxxxxx
Xxxxxx X0X 0X0
Ladies and Gentlemen:
The undersigned hereby acknowledges having received and carefully read the
repurchase offer (the "Repurchase Offer") described in the prospectus dated
, 1999 by Biometric Security Corp. (the "Company") to repurchase the
Repurchase Shares hereinafter identified which were held by the undersigned as
of November 10, 1998 (the "Repurchase Shares").
The undersigned was a record holder of the Repurchase Shares on November
10, 1998, and acknowledges and agrees that the results of any attempt by the
Company to verify that the undersigned was such a record holder shall be
determinative.
The undersigned hereby elects to accept the Repurchase Offer and requests
that the Company repurchase the Repurchase Shares in accordance with the terms
of the Repurchase Offer, and to pay the undersigned an amount equal to Cdn.
$ .
The undersigned hereby either (i) encloses the certificates identified
below, representing such of the Repurchase Shares as are now held by the
undersigned in certificated form, and/or (ii) represents to the Company that the
number of shares shown below are beneficially owned by the undersigned but held
by a nominee, in which event the undersigned agrees to cause such nominee to
deliver such shares to the Company within thirty (30) days after the postmarked
date of the mailing of this Repurchase Agreement to the Company, failing which
timely delivery to the Company, the offer of repurchase shall be deemed rejected
by the undersigned, or (iii) represents to the Company that the number of shares
shown below were beneficially owned by the undersigned, but were sold subsequent
to November 10, 1998 (with written evidence of disposition). In the event of (i)
and/or (ii) above, the undersigned acknowledges that the Company's obligation to
pay for tendered shares shall not arise until actual receipt of such shares by
the Company. In the event of (iii) above, the undersigned acknowledges that the
Company's obligation to pay with respect to shares that were beneficially owned
by the undersigned but sold subsequent to November 10, 1998, shall not arise
until actual receipt by the Company of written evidence of disposition. All
certificates representing shares of the Company's Common Stock must be duly
endorsed for transfer or accompanied by an assignment separate from the
applicable stock certificate. The enclosed certificates and/or number of
beneficially held shares shown below represent all, and not less than all, of
the Repurchase Shares that are held or were held by the undersigned. The
undersigned hereby represents that the undersigned is conveying all interests in
the Repurchase Shares free and clear of all liens and encumbrances of any kind,
and that no such interest has been previously or concurrently transferred in any
manner to any other person or entity.
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Certificate No. for shares of Common Stock
Number of shares of Common Stock owned beneficially as at November 10,
1998________.
Number of shares sold since November 10, 1998 (for each sale, indicate the date
sold and the sale price per share):
THE UNDERSIGNED:
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Print name of the undersigned and, (a) if Repurchase
Shares are held by a partnership, corporation, trust or
entity, the name and capacity of the individual signing
on its behalf, and (b) if Repurchase Shares are held as
joint tenants or as community property, name(s) of
co-purchaser(s).
Dated: __________, 1999 Signature
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Tax I.D./Soc. Sec. No.
Dated: __________, 1999 Signature
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Second Tax I.D./Soc. Sec. No.
Residence Address:
Street Address:
City, State/Province, Zip/Postal Code and Country:
Mailing Address (if different from residence):
Street Address:
City, State/Province, Zip/Postal Code and Country:
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