<Enter your name & address> 1st September 2015 Invitation for Roche User Group Meeting 2015 Dear <Your name>, We are delighted to invite you to attend the Roche User Group Meeting between 22nd – 28th March 2015 at Millennium Hotel and Resort, Manuels Taupo. Roche will provide and cover your transportation, meal & accommodation expenses to attend the meeting. Any other expenses in connection with or during the event shall be your responsibility unless and to the extent Roche expressly agreed in advance in writing to reimburse such expenses and only if Roche is provided with original receipts for such expenses. With your acceptance of this invitation you confirm that it is in compliance with applicable laws and standards, and that you are not aware of any conflict of interest which would prevent you from accepting this invite. You agree that your employer has been properly informed about this invitation and approved it. As the Roche Group adheres to a multitude of global and local regulations and industry practices and standards, please be informed that the Roche Group is collecting data of any sponsorship in an internal register and reserves its right to disclose information regarding sponsorships, including the amount or value, the recipient, the purpose and the date of the support, where and when Roche deems appropriate. Thank you. I/We confirm my/our acceptance of your sponsorship on the aforementioned conditions. Sincerely, Roche Diagnostics New Zealand Ltd Lara Hashimoto General Manager Roche Diagnostics NZ Ltd Arvin Sharma Compliance Officer Diagnostics 15 Rakino Way, Mt Wellington Auckland 1060 Name & Signature : ___________________________ Designation : ___________________________ Date : ___________________________ Tel. 09 2764157 Fax 09 2768917