Rio Tinto plc. Application to convert bearer shares into registered ordinary shares
of the Company. For use by warrant holders in connection with the application ...
Rio Tinto plc Application to convert bearer shares into registered ordinary shares of the Company. For use by warrant holders in connection with the application for their rights under the Scheme of Arrangement that converted share warrants to bearer representing the Company’s ordinary shares into registered ordinary shares, that became effective on 31 May 2001.
I/We, _________________________________ of __________________________________________ ___________________________________________________________________________________ hereby confirm that I am/we are the holders of share warrants to bearer issued by Rio Tinto plc (formerly The RTZ Corporation PLC) representing ______________ ordinary shares of 10p each that have been specified below and hereby surrender the said warrants and apply for my/our name(s) to be entered into the Register of Members and that a certificate for registered ordinary shares be issued as follows:
Please complete registration details in BLOCK CAPITALS Full names: Title:
Designation (if any)
Address:
________________ _________________ _______________ (Name of signatory) Notes :
1. 2. 3. 4. 5. 6.
(Signature)
(E-mail – in case of query)
___________ (Date)
Please ensure that the name and address entered above are the details that you wish to be entered into the Register of Members. A separate Application Form must be completed for each entry into the Register of Members. If you wish your share certificate for registered ordinary shares to be mailed to an address other than the address set out above please provide a letter of instruction. In the case of a corporation this Application Form must be under its common seal or signed by an officer, attorney or other person duly authorised by the corporation. Warrant holders are strongly advised to retain photocopies of their share warrants and to use as secure a method of despatch as possible. Please return this form with your share warrants to Fiona Maccoll, Secretarial Department, Rio Tinto plc, 2 Eastbourne Terrace, London W2 6LG
Please list below share warrants to bearer lodged with this application Warrant numbers
