Canadian Ownership and Control Determination Regulations, 1984 (SOR/84-431)

The Nominee consents and undertakes on behalf of

(Client Identification No.)

(Client Identification No.),(Client Identification No.)

(Client Identification No.), and (Client Identification No.)

(the “Auditable Investors”) and on its own behalf to submit to an audit or examination of such of the documents, records and books of account of each of the Auditable Investors and such of the documents, records and books of account of the Nominee as relate to the Canadian ownership rate of the Nominee as relate to the Canadian ownership rate of the entity referred to in Part A of this Form and to give all reasonable assistance for that purpose to any person authorized by the Minister for that purpose. The Nominee also hereby certifies that it is duly authorized by each of the Auditable Investors to deliver this consent on behalf of each of the Auditable Investors.

DateName of NomineeAuthorized SignatureName and Office (print)