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Annex II

Annex II

ANNEX II

Format of notification form for net short positions (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

NET SHORT POSITION IN SHARES

Reporting date

(yyyy-mm-dd)

2. Name of the issuer

2.1. ISIN code

2.2. Full name

Position date

(yyyy-mm-dd)

4. Net short position after threshold crossing

4.1. Number of equivalent shares

4.2. % of issued share capital

Date of previous notification

(yyyy-mm-dd)

Comment

NET SHORT POSITION IN SOVEREIGN DEBT

Reporting date

(yyyy-mm-dd)

2. Name of the issuer

2.1. Country code

2.2. Full name

Position date

(yyyy-mm-dd)

Net short position after threshold crossing

Equivalent nominal amount

Date of previous notification

(yyyy-mm-dd)

Comment

POSITION IN UNCOVERED SOVEREIGN CREDIT DEFAULT SWAPS

Reporting date

(yyyy-mm-dd)

2. Name of the issuer

2.1. Country code

2.2. Full name

Position date

(yyyy-mm-dd)

Net short position after threshold crossing

Equivalent nominal amount

Date of previous notification

(yyyy-mm-dd)

Comment

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