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Exhibit 99.4

CERTIFICATION

I, James J. Komadina, certify that:

1.        I have reviewed
this annual report on Form 40-F of International Tower Hill Mines Ltd.;

2.        Based on my
knowledge, this report does not contain any untrue statement of a material fact
or omit to state a material fact necessary to make the statements made, in light
of the circumstances under which such statements were made, not misleading with
respect to the period covered by this report;

3.        Based on my
knowledge, the financial statements, and other financial information included in
this report, fairly present in all material respects the financial condition,
results of operations and cash flows of the issuer as of, and for, the periods
presented in this report;

4.        The issuers other
certifying officer(s) and I are responsible for establishing and maintaining
disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e)
and 15d-15(e)) and internal controls over financial reporting (as defined in
Exchange Act Rules 13a-15(f) and 15d-5(f) for the issuer and have:

(a)       
Designed such disclosure controls and procedures, or caused such disclosure
controls and procedures to be designed under our supervision, to ensure that
material information relating to the issuer, including its consolidated
subsidiaries, is made known to us by others within those entities, particularly
during the period in which this report is being prepared;

(b)       
Designed such internal control over financial reporting, or caused such internal
control over financial reporting to be designed under our supervision, to
provide reasonable assurance regarding the reliability of financial reporting
and the preparation of financial statements for external purposes in accordance
with generally accepted accounting principles;

(c)        Evaluated the effectiveness of the
issuers disclosure controls and procedures and presented in this report our
conclusions about the effectiveness of the disclosure controls and procedures,
as of the end of the period covered by this report based on such evaluation; and

(d)        Disclosed in this report any
change in the issuers internal control over financial reporting that occurred
during the period covered by the annual report that has materially affected, or
is reasonably likely to materially affect, the issuers internal control over
financial reporting; and

5.        The issuers other
certifying officer(s) and I have disclosed, based on our most recent evaluation
of internal control over financial reporting, to the issuers auditors and the
audit committee of the issuers board of directors (or persons performing the
equivalent functions):

(a)        All significant deficiencies and
material weaknesses in the design or operation of internal control over
financial reporting which are reasonably likely to adversely affect the issuers
ability to record, process, summarize and report financial information; and

(b)        Any fraud, whether or not
material, that involves management or other employees who have a significant
role in the issuers internal control over financial reporting.

|Date: March 23, 2012 | By: | /s/
      James J. Komadina                 
|-------------------- | --- | --------------------------------------------
|                     |     | Name: James J. Komadina                     
|                     |     | Title: President and Chief Executive Officer

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