EX-99.3 4 e6687_ex99-3.htm EXHIBIT 99.3

 

 

EXHIBIT 99.3

 

NOTICE OF CONVERSION

 

(To be executed by the Holder in order to convert this Note)

 

To:

Renovaro Inc.

2080 Century Park E, Suite 906

Los Angeles, CA 90067

E-mail: nfuentes@renovarogroup.com

Attention: Nathen Fuentes

 

The undersigned hereby irrevocably elects to convert $ of the outstanding principal and/or accrued interest of the above Note into shares of Common Stock of Renovaro Inc., according to the conditions stated therein, as of the Conversion Date written below.

 

Conversion Date:  
Signature:_________________________  
Name:  
Address:  
Amount to be converted: $
Amount of Note unconverted: $
Conversion Price per share: $
Number of shares of Common Stock to be issued:  
Please issue the shares of Common Stock in the following name and to the following address:  
Issue to:  
Authorized Signature:  
Name:  
Title:  
Phone Number: