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This agreement is made on [insert day and month] 20 [insert year]

Parties

1. 1

   [insert name of Company] a company incorporated in [England and Wales] with registered number [insert company number] whose registered office is at [insert address] (Company); and

1. 2

   [insert name of the sponsor or nominated adviser] a company incorporated in [England and Wales] under number [insert company number] whose registered office is at [insert address] (the Placing Agent).

Recitals

1. 1. (A)

      The Company was incorporated under the Companies Act [insert relevant year] as a [public OR private] company limited by shares under registered number [insert registered number] on [insert date] under the name [insert name of Company on incorporation].[ On [insert date] the Company[ re-registered as a public company limited by shares and] changed its name to [insert new name of Company]].

   1. (B)

      As at the date of this Agreement the Company has an issued share capital of £[insert amount] divided into [insert number] ordinary shares of [insert nominal value of a share] pence each.

   1. (C)

      The