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Class Action Retainer and Costs Agreement Sample Contracts

MAURICE BLACKBURN
Class Action Retainer and Costs Agreement • June 22nd, 2021

PLEASE COMPLETE NAME OF CLAIMANTbeing the person(s) who acquired an interest in shares of AMP during the period 10 May 2012 to 13 April 2018 inclusive, and/or American Depositary Receipts that represent AMP Shares between 7 June 2012 and 13 April 2018 (or such other periodas Maurice Blackburn may advise). SIGNATUREBeing the person(s) who acquired an interest in shares of AMP during the period 10 May 2012 to 13 April 2018 inclusive, and/or American Depositary Receipts that represent AMP Shares between 7 June 2012 and 13 April 2018 (or such other period as Maurice Blackburnmay advise), or that person’s duly authorised agent. DATE OF SIGNATURE:

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