ANNEX IIISupplementary provisions
ANNEX III 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 1. Cancellation date (yyyy-mm-dd) 2. Name of the issuer 2.1. ISIN code 2.2. Full name 3. Position date of the notification being cancelled (yyyy-mm-dd) 4. Net short position after threshold crossing contained at the notification being cancelled 4.1. Number of equivalent shares 4.2. % of issued share capital 5. Reporting date of the notification being cancelled (yyyy-mm-dd) 6. Comment CANCELLED NET SHORT POSITION IN SOVEREIGN DEBT 1. Cancellation date (yyyy-mm-dd) 2. Name of the issuer 2.1. Country code 2.2. Full name 3. Position date of the notification being cancelled (yyyy-mm-dd) 4. Net short position after threshold crossing contained at the notification being cancelled Equivalent nominal amount 5. Reporting date of the notification being cancelled (yyyy-mm-dd) 6. Comment CANCELLED POSITION IN UNCOVERED SOVEREIGN CREDIT DEFAULT SWAPS 1. Cancellation date (yyyy-mm-dd) 2. Name of the issuer 2.1. Country code 2.2. Full name 3. Position date of the notification being cancelled (yyyy-mm-dd) 4. Net short position after threshold crossing contained at the notification being cancelled Equivalent nominal amount 5. Reporting date of the notification being cancelled (yyyy-mm-dd) 6. Comment