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(For completion by the Registrar/Stock Exchange) Name of Undertaking. Description of Security. Number or amount of Shares, Stock or other security and, in figures column only, number and denominations of units, if any. Words Figures ( Name(s) of registered holder(s) should be given in full; the address should be given where there is only one holder. If the transfer is not made by the registered holder(s) insert also the name(s) and capacity (e.g., Executor(s)), of the person(s) makin.

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