0001213900-21-060184 Sample Contracts

AMERICAN DEPOSITARY SHARES PURCHASE WARRANT ADvanced human imaging Limited
Advanced Human Imaging LTD • November 17th, 2021 • Services-prepackaged software • New York

THIS AMERICAN DEPOSITARY SHARES PURCHASE WARRANT (the “Warrant”) certifies that, for value received, _____________ or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date referred to above as the Initial Exercise Date (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) _____1 (the “Termination Date”) but not thereafter, to subscribe for and purchase from Advanced Human Imaging Limited., an Australian corporation with Australian Company Number 602 111 115 (the “Company”), up to ______ American Depositary Shares (“ADSs”), each ADS representing ____ ordinary shares, no par value, of the Company (the “Ordinary Shares”) (as subject to adjustment hereunder, the “Warrant Shares”) (the ADSs issuable hereunder, the “Warrant ADSs”). The purchase price of one Warrant ADS under this Warrant shall be equal to the Exercise Price, as defined in Section 2(

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