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Annex III

Annex III

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

Cancellation date

(yyyy-mm-dd)

2. Name of the issuer

2.1. ISIN code

2.2. Full name

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

Reporting date of the notification being cancelled

(yyyy-mm-dd)

Comment

CANCELLED NET SHORT POSITION IN SOVEREIGN DEBT

Cancellation date

(yyyy-mm-dd)

2. Name of the issuer

2.1. Country code

2.2. Full name

Position date of the notification being cancelled

(yyyy-mm-dd)

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

Equivalent nominal amount

Reporting date of the notification being cancelled

(yyyy-mm-dd)

Comment

CANCELLED POSITION IN UNCOVERED SOVEREIGN CREDIT DEFAULT SWAPS

Cancellation date

(yyyy-mm-dd)

2. Name of the issuer

2.1. Country code

2.2. Full name

Position date of the notification being cancelled

(yyyy-mm-dd)

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

Equivalent nominal amount

Reporting date of the notification being cancelled

(yyyy-mm-dd)

Comment

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