Disclosure of Pecuniary Interest

Under Private Health Facilities Regulation 2010

Licensee	Northern Cancer Institute Pty Limited
Premises Address	Floor 1 & 2, 38 Pacific Highway, St Leonards NSW 2065
Pecuniary Interest In Premises	As a lessee of the Premises, Licensee holds the lease in its own name
Pecuniary Interest in the Services Provided at the Premises and in the Licensee	The Medical Practitioners as stated herein have a Pecuniary Interest in the clinical and administrative services Provided at the Premises

Name of Practitioner	Type of Interest	Percentage of Pecuniary Interest
A/Prof Nick Pavlakis	Indirect	2.34%
Prof Stephen Clarke	Indirect	2.34%
Dr Sally Baron Hay	Indirect	2.74%
Dr Adrian Lee	Indirect	0.33%
Dr Connie Diakos Nurse Practitioner	Indirect	2.22%

Licensee	Northern Cancer Institute Pty Limited
Premises Address	Suite 3, Level 1, Building 149 Frenchs Forest Rd EastFrenchs Forest NSW 2086
Pecuniary Interest In Premises	As a lessee of the Premises, Licensee holds the lease in its own name
Pecuniary Interest in the Services Provided at the Premises and in the Licensee	The Medical Practitioners as stated herein have a Pecuniary Interest in the clinical and administrative services Provided at the Premises

Name of Practitioner	Type of Interest	Percentage of Pecuniary Interest
Prof Stephen Clarke	Indirect	2.34%
A/Prof Nick Pavlakis	Indirect	2.34%
Dr Sally Baron Hay	Indirect	2.74%
Dr Connie Diakos Nurse Practitioner	Indirect	2.22%

This Disclosure of Pecuniary Interest is current on this 14th Day of September 2018

Issued by the Order of the Board