Supreme Court of Victoria - Neds/Ladbrokes Opt Out

NEDS/LADBROKES CLASS ACTION

NOTICE OF OPTING OUT BY GROUP MEMBER
ONLY COMPLETE THIS FORM IF YOU WANT TO OPT OUT OF THE NEDS/LADBROKES CLASS ACTION

IF YOU OPT OUT, YOU WILL NO LONGER BE A GROUP MEMBER.
INTERNAL - Class Action Name
INTERNAL - Class Action Inbox
example@example.com
INTERNAL - Email Recipients
Your name

First NameLast Name
I am a
Estate who is a group member:
Insert first and last name of group member
Power of Attorney for a group member:
Insert first and last name of group member
Solicitor acting for a group member:
Insert first and last name of group member
in the above group proceeding, and give notice under section 33J(2) of the Supreme Court Act 1986 (Vic) that I am opting out of this proceeding (if a group member) or on behalf of the group member whom I represent (if I am a representative of that group member).

Signature of group member, director of group member, Executor, power of attorney or solicitor for group member.
Should be Empty:

NEDS/LADBROKES CLASS ACTION