M&A Monitor Administration

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Name:

Trading company
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Company Dealt in
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Class of Relevant security
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Dealing Date
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Date of disclosure
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2a. Interests and short positions (following dealing)

	Long	%	Short	%
Tot:	-	-	-	-

Purchases & Sales

Purchases	Sales	NET
-	-	-

Derivatives & Options

Der.&Opt. Long	Der.&Opt. Short	NET
-	-	-

Company Name
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Broker Name
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Dealing Date
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Disclosure Date
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Total Number of Shares
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Volume Weighted Average Price
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Aggregate Currency
-

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