Terms Schedule

(Master Sub-Licensee)

Americas

This Terms Schedule includes factors to be considered by VRM Global Holdings Pty Ltd in respect to the grant of a Sub-License to the person or entity identified below. The Sub-License Agreement attached to this Terms Schedule if it commences operation will allow the Master Sub-Licensee to produce and to distribute the Outputs identified in Annexure A to the attached Sub-License.

Name of Entity or Person: (The Proposed Master Sub-Licensee)

Operating Premises Address:

Telephone Contact Number:

Email Contact:

Minimum Annual Input Quantity: 200,000 Litres/53,000 Gallons

License Fee: $5,000,000

I/We hereby apply to be a master sub-licensed user and distributor of VRM Biologik processes and a licensed manufacturer of and distributor of the Outputs described in and on the terms and conditions of the attached Sub-License Agreement.

Name

Position

I have read and agree to the sub-license agreement and apply to be a sub-licensee with rights to use intellectual property developed and owned by the VRM Biologik Group.

Terms Schedule

* Sub-License Agreement Terms and Conditions