APPLICATION TO REGISTER A SYNDICATE (Company, Firm or Stud)

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APPLICATION TO REGITER A YNDICATE (Company, Firm or tud) COMPANY: Name of Company hereby applies for approval under the Rules of Racing to race horses as a yndicate DATE: /./ Under the Name: Office Address. Postal Address.. NOTE FOR COMPANY APPLICATION: This form must be accompanied by a copy of the AIC COMPANY EXTRACT (dated within seven days of this application), the CONTITUTION or CERTIFICATE OF INCORPORATION, and the prescribed fee. The syndicate must be renewed annually. It is the responsibility of the Registered Manager to advise the Registrar or Deputy Registrar of each horse part/owned/leased by this Company and supply the appropriate form and fee. FIRM OR TUD: Name of Firm of tud.. hereby applies for approval under the Rules of Racing to race horses as a yndicate If tud please state the number of mares returned in the last breeding season to the Australian tud Book.. NOTE FOR FIRM APPLICATION: This form must be accompanied by a copy of the Business name registration and the prescribed fee. The syndicate must be renewed annually. It is the responsibility of the Registered Manager to advise the Registrar or Deputy Registrar of each horse part/owned/leased by this Company and supply the appropriate form and fee The Registered Manager of the yndicate is.. Representatives /../ Details of any other application for, or registration of, this yndicate with any other Racing Authority. Please circle: Visa Mastercard Card Number / / / Expiry Date / CVN Amount $ _ Cardholder s Name: ignature of Cardholder: PLEAE RETURN TO THE BELOW ADDRE: Level 7, 51 Druitt t, ydney NW 2000 Ph: (02) 9551 7500 Fax: (02) 9551 7587 Email: syndicates@racingnsw.com.au Website: www.racingnsw.com.au Office Use Only: Cash/Cheque/Money Order/Credit Card Amount $ Date Received: Date Processed: Registration Officer:

ALL DIRECTOR AND OFFICER (Company) / MEMBER (Firm or tud) OF THE YNDICATE must complete their details below. Please ensure you have read the Personal Information and Privacy tatement prior to signing this form which includes reference to the Rules of Racing. By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached YNDICATE MANAGER DETAIL: PLEAE CIRCLE ONE: DIRECTOR OFFICER MEMBER/HAREHOLDER By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached. MEMBER DETAIL: PLEAE CIRCLE ONE: DIRECTOR OFFICER MEMBER/HAREHOLDER By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached

ALL DIRECTOR AND OFFICER (Company) / MEMBER (Firm or tud) OF THE YNDICATE must complete their details below Please ensure you have read the Personal Information and Privacy tatement prior to signing this form which includes reference to the Rules of Racing. By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached By signing this Application you are bound by the Australian Rules of Racing and the Personal Information and Privacy conditions as attached

APPOINTMENT OF REPREENTATIVE (OR RACING MANAGER) AR 1. Manager means the first-named person in the Certificate of Registration, Document of Description of Transfer or Lease (if leased) of a horse or if the horse is owned or leased by a yndicate, the person first-named in the Certificate of Registration of the yndicate, subject always to the provisions of AR 57 (1). If the horse is owned or leased by more than one yndicate, the first-named person appearing in the Certificate of Registration of the first-named yndicate shall be deemed to be the Manager. AR 57. (1) The Manager may be removed or replaced by a memorandum signed by the joint owners or lessees or yndicate members representing a majority interest in the horse. (2) The Manager of a horse shall, alone of the joint owners, lessees or yndicate members be entitled to: (a) enter, nominate, accept or scratch such horse for any race: (b) engage a jockey to ride such horse for any race; (c) received any prizemoney or trophy won by such horse; or (d) act for and represent the joint owners, lessees or yndicate members in relation to the horse in all respects for the purpose of these Rules. (3) The entry or nomination of every such horse for any race shall state thereon the name of the Manager. (4) The trainer of any such horse who enters, nominates, accepts or scratches such horse shall be deemed to have done so with the authority of the Manager and all the other nominators. PERONAL INFORMATION To assist in making ownership determinations, the Registrar must assess the fitness and propriety of each applicant. This assessment requires the collection of sensitive information. In order to protect each individual s privacy certain necessary information has not been requested on the application form, however, all applicants must read the following questions. 1 In the past 10 years, have you been convicted of, or is there a pending charge against you, for any offence involving: (a) Violence against a person; or (b) Dishonest or criminal activity 2 Have you ever been convicted under the Australian Rules of Racing or rules of any Principal Racing Authority? If any applicant should answer yes to any of these questions, the applicant must notify the Registrar in writing prior to the lodgment of the application. uch notification must include full details of the conduct in question. The Registrar will advise in writing within seven days of having received such notification. That advice should be retained by the applicant as evidence that the appropriate notification has been made. You are advised that should it be established that an individual has neglected or failed to truthfully respond to questions 1(a), 1(b), or 2, this application and any other application concerning the individual may be refused or cancelled at any time. If the notification has previously been advised to the Registrar, there is no need to do so again unless subsequent charges or convictions have been recorded against you since you submitted said notification to the Registrar. A Principal Racing Authority or the tewards may punish any person who makes any false or misleading statement or declaration in respect of any matter in connection with the administration or control of racing under AR175(gg). Inaccuracies or omissions may also lead to penalties and refusal or cancellation of the Registration of this horse (AR17) PRIVACY Your Personal Information The personal information collected on this form which is required to complete your application includes your name, birth date, address, contact details, email, mobile GT status, and bank account details. This information is required to: identify you assess your eligibility as an owner facilitate the administration of racing communicate with you enable payment of prize money Where information is not provided your application may be refused or delayed until the required information is provided. How your personal information is used The information collected about you will be shared with the PRA in each state and territory of Australia in order to: enable PRAs to fulfill their regulatory responsibilities promote and protect the integrity of the sport to ensure compliance with the Rules of Racing communicate with you including for promotional, marketing and publicity purposes Personal information may be disclosed to third parties such as government enforcement agencies, appeal bodies, race clubs, the Australian tud Book, wagering service providers, international racing bodies, industry associations such as Breeders, Trainers and Owners Associations or other authorities as required, but only for one or more of the purposes described above or if RIA believes that the disclosure is reasonably necessary for law enforcement either by or on behalf of an enforcement body or the disclosure is authorised or required by law. Names of horse owners are publicly available on certain websites and may also appear in race field lists, race books, form guides and similar publications where appropriate.

AIGNMENT AND LICENCE Due to the essential role that RIA plays in administering, promoting and reporting on thoroughbred horse racing, as well as providing racing materials, RIA must be able freely to use all intellectual property rights (including but not limited to copyright) that may subsist in the name, image, jockey silks and other indicia associated with this horse. In order to allow RIA to use these intellectual property rights without impediment, as a condition of the horse s registration, you agree that RIA owns all right, title or interest (including but not limited to copyright, goodwill and reputation) in the name, image, jockey silks or other indicia associated with that horse, whether existing before or after you sign this form. To the extent that you own any such intellectual property rights by force of law, you must assign them to RIA. You must also undertake to RIA that you will not apply to register as a trademark any such indicia or do anything that will or may adversely affect or otherwise limit the ability of RIA, the principal racing authorities or race clubs to administer, promote or report on thoroughbred racing (or authorise any other person to do so). You may request permission from RIA to register a trade mark associated with the horse, and RIA may accept or reject your request in its absolute discretion and subject to any conditions it deems necessary or desirable. In exchange for the agreement, assignment and undertakings, upon registration of the horse RIA will grant to you a non-exclusive, royalty-free and non-transferable licence to (a) use the name, image, jockey silks and other indicia associated with the horse where RIA owns the intellectual property in such indicia for any purpose related to racing, training, promoting and otherwise dealing with the horse, including merchandising; and (b) sub-license the same to any other person Version 090218