Publications - Pathology Associates

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Firm Name (Regulated Institutional Investor)* Corporate Email* Corporate Office Telephone No.* URL to Co. website* Primary Regulator LEI Number(If Available) 1. I hereby certify that my employer is a licensed institutional investor, registered with the securities regulator or applicable financial authority in the country/jurisdiction where any product from Pathology Associates will be accessed. 2. I certify that access, if granted, will be for a single user only, limited to the individual listed above and utilised exclusively in the service of the above listed firm. 3. I agree that access will be terminated, without recourse or refund of any payments made, should I be found to be in violation of certifications 1. or 2. above. 4. I agree that Pathology Associates retains all rights to grant or deny access, at any time, in its exclusive judgement.

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