Option Certificate Options Expiring at 5:00 Pm (Awst) on 5 April 2011 Exercisable in Accordance With the Terms and Conditions of Issue at an Exercisable Price of A$0.2695 Per Option

by Psivida
November 25th, 2009

Exhibit 4.7

 

LOGO

ACN 009 232 026

    

REGISTERED OFFICE

Level 12, BGC Centre

28 The Esplanade

Perth WA 6000

 

[NAME]

   Certificate Number

[ADDRESS]

  
   Security Number
   C0000000908

JURISDICTION OF INCORPORATION: WESTERN AUSTRALIA

  

 

OPTION CERTIFICATE

 

OPTIONS EXPIRING AT 5:00 PM (AWST) ON 5 APRIL 2011

EXERCISABLE IN ACCORDANCE WITH THE TERMS AND CONDITIONS OF ISSUE AT AN

EXERCISABLE PRICE OF A$0.2695 PER OPTION

 

Date

   Transaction Type    Quantity

5 April 2007

   Allotment   

THIS IS TO CERTIFY THAT THE ABOVE NAMED IS THE REGISTERED HOLDER OF OPTIONS OVER FULLY PAID SHARES IN PSIVIDA LIMITED ISSUED SUBJECT TO THE ATTACHED TERMS AND CONDITIONS AND THE CONSTITUTION OF THE COMPANY.

Signed in accordance with the constitution of the Company

 

Director      Company Secretary

Share Registry: Computershare Investor Services Pty Limited

GPO Box D182

PERTH WA 6840

Enquiries (within Australia) 1300 557 010

(outside Australia) 61 8 9323 2000

Facsimile 61 8 9323 2033

THIS CERTIFICATE MUST BE SURRENDED TO THE COMPANY ON TRANSFER OF ANY OF THE ABOVE OPTIONS.

 

 


LOGO

Application Form on Exercise of Unlisted Options Expiring 5 April 2011

To the Directors, pSivida Limited

 

   

I/We hereby exercise

        option(s) and hand you herewith my/our cheque for     

 

 

being 0.2695 cents per share on application for  

        ordinary shares in the capital of the Company.

I/We request that you allot me that number of shares and I/We agree to accept that number of shares on the terms below and the Constitution of the Company, and I/We authorise you to place my/our name on the register.

 

 

My/Our Holder Number (as shown on my/our Certificate) is

      

 

 

Sign Here—This section must be signed for your instructions to be executed

I/We authorise you to act in accordance with my/our instructions set out above.

 

Individual of Securityholder 1

 

     

Securityholder 2

 

     

Securityholder 3

 

     
                 

Director

      Director/Company Secretary      

Sole Director and

Sole Company Secretary

 

Note: when signed under Power of Attorney, the attorney states that they have not received a notice of revocation. Computershare Investor Services Pty Limited needs to sight a certified copy of the Power of Attorney.    Day/Date    Month    Year
     
              

 

 

 

Terms and

Conditions of

Options Attached