Signatory Authorization Approval Form

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Introduction

In order for Currenge to allow an individual to transact on behalf of a firm or a company, the Israeli law requires that the firm or the company pre-authorize in writing such an individual to do so prior to his or her transacting with Currenge.

Such an authorization may be given in two formats. The first optional format is a signed Board of Directors (BoD) decision, signed by the firm's or company's lawyer (and if foreign, approved by an Israeli lawyer), authorizing a specific identified individual(s) to transact with Currenge on behalf of the firm or company. The second optional format is a Signatory Authorization Approval Form, in the format of a pre-defined text, authorizing a specific identified individual(s) to transact with Currenge on behalf of the firm or company, and signed by a manager authorized by a Board of Directors decision to generally transact on behalf of the firm or company.

We can assist you to easily prepare the second option of a Signatory Authorization Approval Form. If you choose to use this form, please add an approved by an Israeli lawyer copy of the relevant Board of Directors approval to the Signatory Authorization Approval Form uploaded at Currenge's Website during the registration process. After filling out the Signatory Authorization Approval Form, we will send you an e-mail with an attached PDF file of the Signatory Authorization Approval Form, ready to be manually signed by your firm or company.

Document Preparation

Please fill out the following fields:

Date: «Automatically Filled Out»

To
Currenge Israel Ltd.
27 Sweden St., Haifa, 3491280
ISRAEL


Subject: Signatory Authorization Approval Form for
Transacting with Currenge Israel Ltd.

I,

with the legal identification number am an authorized signatory of registered in company, with registration number and address at registered on
authorize
with the legal identification number born on
to transact with Currenge Israel on the company's behalf.

Optional

I would also like to authorize
with the legal identification number born on
to transact with Currenge Israel on the company's behalf.

Company Control Owner

with the legal identification number
Kind regards,

Signature

Clicking send should create a PDF file of this letter, containing the information you just have filled out. This PDF file will be sent to your email as provided above.

Thank you.