Application for quotation of securities - UBI

Application for quotation of +securities

Announcement Summary

For personal use only

Entity name

UNIVERSAL BIOSENSORS INC.

Announcement Type

New announcement

Date of this announcement

Friday November 12, 2021

The +securities to be quoted are:

+Securities previously issued under an +employee incentive scheme where the restrictions on transfer have ceased or are about to cease

Total number of +securities to be quoted

ASX +security		Number of +securities to
code	Security description	be quoted	Issue date
UBI	CHESS DEPOSITARY INTERESTS 1:1	4,166	14/12/2018

Refer to next page for full details of the announcement

Application for quotation of +securities

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Application for quotation of +securities

Part 1 - Entity and announcement details

For personal use only

1.1 Name of entity

UNIVERSAL BIOSENSORS INC.

We (the entity named above) apply for +quotation of the following +securities and agree to the matters set out in Appendix 2A of the ASX Listing Rules.

1.2	Registered number type	Registration number
ARBN	121559993
1.3	ASX issuer code
UBI
1.4 The announcement is
New announcement
1.5	Date of this announcement

12/11/2021

Application for quotation of +securities

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Application for quotation of +securities

Part 2 - Type of Issue

For personal use only

2.1 The +securities to be quoted are:

+Securities previously issued under an +employee incentive scheme where the restrictions on transfer have ceased or are about to cease

2.2 The +securities to be quoted are:

Additional +securities in a class that is already quoted on ASX ("existing class")

Application for quotation of +securities

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Application for quotation of +securities

Part 3B - number and type of +securities to be quoted (existing class) where issue has not previously been notified to ASX in an Appendix 3B

For personal use only

Additional +securities to be quoted in an existing class as a result of transfer restrictions ceasing on an existing class

FROM (Existing Class)

ASX +security code and description

UBIAC : COMMON STOCK

TO (Existing Class)

ASX +security code and description

UBI : CHESS DEPOSITARY INTERESTS 1:1

Please state the number of +securities previously issued under the	And the date the restrictions on
+employee incentive scheme where the restrictions on transfer have ceased	transfer have ceased or will cease
or are about to cease
4,166	11/11/2021

Issue date

14/12/2018

Will the +securities to be quoted rank equally in all respects from their issue date with the existing issued +securities in that class?

Yes

Application for quotation of +securities

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Application for quotation of +securities

Issue details

For personal use only

Number of +securities to be quoted

4,166

Are the +securities being issued for a cash consideration?

No

Please describe the consideration being provided for the +securities

Conversion of 4,166 restricted shares (UBIAC) into shares of common stock (UBI)

Please provide an estimate (in AUD) of the value of the consideration being provided per +security for the +securities to be quoted

0.000000

Any other information the entity wishes to provide about the +securities to be quoted

Application for quotation of +securities

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