Type the following information into the form in the middle section below.
| Company | AVX |
| SRN/HIN/Holder Number | Your Shareholding Reference Number, ensuring that you use a Capital X or I and all 10 numbers following are listed. |
| Postcode(within Australia) | Postcode associated with the Registered Address on your Shareholding. |
| OR | |
| Country of Residence (outside Australia) | If your Shareholding is not registered with an Australian address please select your Country of residence from the list. Please note that only Shareholders with Registered Addresses in Australia, New Zealand and Indonesia are eligible to participate in the Share Purchase Plan. |
Your Share Purchase Plan Application Form is listed as SPP Applications dated 4 Dec 2009. To download your Form double click on the PDF file under ‘Download’