Form 1 — Consent to Act as Representative Agent

(Section 4 of the Republic of the Marshall Islands Decentralized Autonomous Organization Regulations, 2024)

I/We, __________________________________________, with address at

___________________________________________*

hereby consent to act as the Representative Agent of:

___________________________________________**

Daytime Telephone: ___________________________

E-mail: ___________________________

Dated at __________________________ this _____ day of ________________, 20

_______________________________________ Signed

_______________________________________ Name / Title

* Full mailing address.

** Official name of the DAO LLC, which must match the records of the Registrar.