ANNEX III Format of cancellation form for erroneous notifications (Article 2)

Format of cancellation form for erroneous notifications (Article 2)

POSITION HOLDER

First name

LAST NAME

Full company name

BIC code

(if the holder has one)

Country

Address

Contact person

First name

Last name

Phone number

Fax number

E-mail address

REPORTING PERSON

(if different)

First name

LAST NAME

Full company name

Country

Address

Contact person

First name

Last name

Phone number

Fax number

E-mail address

CANCELLED NET SHORT POSITION IN SHARES

2. Name of the issuer

4. Net short position after threshold crossing contained at the notification being cancelled

CANCELLED NET SHORT POSITION IN SOVEREIGN DEBT

2. Name of the issuer

CANCELLED POSITION IN UNCOVERED SOVEREIGN CREDIT DEFAULT SWAPS

2. Name of the issuer