ANNEX III
Format of cancellation form for erroneous notifications (Article 2)
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POSITION HOLDER |
First name LAST NAME Full company name |
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BIC code (if the holder has one) |
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Country |
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Address |
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Contact person |
First name Last name |
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Phone number |
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Fax number |
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E-mail address |
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REPORTING PERSON (if different) |
First name LAST NAME Full company name |
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Country |
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Address |
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Contact person |
First name Last name |
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Phone number |
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Fax number |
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E-mail address |
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CANCELLED NET SHORT POSITION IN SHARES |
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| 2. Name of the issuer |
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| 4. Net short position after threshold crossing contained at the notification being cancelled |
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CANCELLED NET SHORT POSITION IN SOVEREIGN DEBT |
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| 2. Name of the issuer |
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CANCELLED POSITION IN UNCOVERED SOVEREIGN CREDIT DEFAULT SWAPS |
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| 2. Name of the issuer |
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