APPLICANT DECLARATION, ACKNOWLEDGEMENTS AND CONSENTS

By signing this Beneficiary Application, I acknowledge and agree as follows:

1. Application for Registration

I apply to be registered as a beneficiary of the Nyamal People’s Direct Benefits Trust (“Trust”).

I acknowledge that the Trustee may require further information or documentation before determining my eligibility for registration and that registration is subject to the terms of the Trust Deed and any policies adopted by the Trustee from time to time.

2. Collection, Use and Disclosure of Personal Information

I consent to the Trustee collecting, storing, using and disclosing my personal information for purposes including:

• (a) assessing my eligibility for registration as a beneficiary of the Trust;
• (b) maintaining beneficiary records;
• (c) administering the Trust and any benefits, programs, distributions or services provided by or through the Trust;
• (d) verifying information provided by me;
• (e) complying with legal, regulatory, audit, reporting and governance obligations; and
• (f) any other purpose reasonably connected with the administration of the Trust.

I acknowledge and consent to the Trustee disclosing my personal information, including information relating to my registration status, where reasonably necessary for the above purposes.

3. Disclosure to Third Parties

Without limiting clause 2, I acknowledge and consent to the Trustee providing information relating to my application, registration or eligibility to third parties where reasonably necessary for the administration of the Trust, including:

• (a) the Nyamal PBC;
• (b) genealogists, anthropologists and heritage consultants;
• (c) legal, accounting and other professional advisers;
• (d) auditors;
• (e) service providers engaged by the Trustee;
• (f) government agencies and regulatory bodies; and
• (g) any other person or organisation engaged by the Trustee to assist in determining eligibility, maintaining beneficiary records or administering the Trust.

4. Other Native Title Trusts and Benefit Arrangements

I acknowledge and understand that:

• (a) registration as a beneficiary of the Trust; and/or
• (b) receiving benefits, payments, distributions or other assistance from the Trust,may affect my eligibility to receive benefits, distributions, payments or other entitlements from other Native Title trusts, Indigenous benefit trusts, compensation arrangements, charitable trusts, government programs or similar arrangements.

I acknowledge that it is my responsibility to seek and obtain independent advice regarding any consequences that may arise from my registration with the Trust or receipt of benefits from the Trust.

5. No Guarantee of Benefits

I acknowledge that registration as a beneficiary does not create any entitlement to receive a benefit, payment, distribution, grant, program assistance or other support from the Trust.

Any entitlement to benefits is subject to:

• (a) the Trust Deed;
• (b) any policies adopted by the Trustee;
• (c) the availability of funds; and
• (d) decisions made by the Trustee in accordance with its powers and duties.

6. Accuracy of Information

I declare that all information and documents provided by me in connection with this application are, to the best of my knowledge and belief, true, complete and correct.

I undertake to notify the Trustee as soon as reasonably practicable if any information relevant to my registration changes. If any information provided by me is false, misleading or incomplete, I acknowledge that the Trustee may take such action as it considers appropriate, including reviewing, suspending or cancelling my registration, or recovering any benefits paid in reliance upon that information.

7. Continuing Registration

I understand that the Trustee may review the Register of Beneficiaries from time to time and may be required to amend those persons on the Register.  Registration as a beneficiary of the Trust does not guarantee continuing registration, should the Trustee be required to do so.

8. Declaration

I declare that:

• (a) I have read and understood this Registration Application and the  consents contained within it;
• (b) I have had the opportunity to seek independent advice before signing this application;
• (c) I voluntarily provide the information contained in this application; and
• (d) I agree to be bound by the terms of this declaration.