Litigation Funding Agreement Covid-19 Vaccine Class ActionFunding Agreement • April 27th, 2023 • New South Wales
Contract Type FiledApril 27th, 2023 JurisdictionName: Street Address: Phone: Email: SIGNED by or on behalf of and with the authority of the Applicant: SIGNATURE PRINT NAME DATE Please confirm the capacity in which you are signing this document: • In my personal capacity; • As executor or representative of the Estate of the Claim; or • As agent of the Claimant SIGNED on behalf of and with the authority of: SIGNATURE PRINT NAME DATE