| Company Name | : | Intech Solutions Pty Ltd |
| Software Name | : | IQ Standardiser |
| Software Version | : | 2.8 |
| Date Certified | : | Dec 2001 |
| List Processor's Name | : | James Smith |
| Date Processed | : | 15 Jan 2002 |
| PAF Version | : | 2002.1 |
| Name of Address List | : | Dummy List |
| Records Matched & DPID Appended | : | 5350 | (79%) | |
| Records Amended & DPID Appended | : | 1400 | (21%) | |
| Records Not Matched - No DPIDs | : | 50 | (1%) | |
| Total Records | : | 6800 | (100%) |
| Name of List Owner/Manager | : John Smith |
| Signature of Name of List Owner/Manager | : |
| Address | : |
| Phone Number | : |
| Date | : |