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125WLA D01 Security Reference Number: (Found on your statement) Name of first named security holder Registered Address Registered Postcode Designation (if any) Number of CDIs representing shares to transfer If you would like to transfer your entire holding of CDIs representing shares, please tick this box. If you would like to transfer part of your holding, please enter the number of CDIs representing shares you would like transferred below: Number of CDIs Number of CDIs representing shares: representing shares in words: Details of the CREST Participant to whom your CDIs representing shares will be transferred: Name of the CREST Participant to CREST Participant ID to receive receive your CDIs representing shares: CDIs representing shares: Contact name of the above Telephone number of the CREST Participant above CREST participant Note: In order to complete this section of the form, you will need to have contacted a CREST Participant who has agreed to hold the CDIs representing receive shares on your behalf. The CREST Participant will be able to advise you of the details required in order to complete this section of the form. Please advise your broker that Computershare will contact them directly to agree the details of the CREST Delivery instruction upon receipt of this completed form. CDIs Representing Shares Nominee Account Withdrawal Form ISIN: FR0010533075 This withdrawal is in respect of CDIs representing shares please turn over

CDIs Representing Shares Nominee Account Withdrawal Form ... Documents... · 15WLA D01 DECLARATION I/We authorise Computershare Company Nominees Limited to transfer the CDIs representing

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Page 1: CDIs Representing Shares Nominee Account Withdrawal Form ... Documents... · 15WLA D01 DECLARATION I/We authorise Computershare Company Nominees Limited to transfer the CDIs representing

125WLA D01

Security Reference Number:(Found on your statement)

Name of first named security holder

Registered Address Registered Postcode

Designation (if any)

Number of CDIs representing shares to transfer

If you would like to transfer your entire holding of CDIs representing shares, please tick this box.

If you would like to transfer part of your holding, please enter the number of CDIs representing shares you would like transferred below:

Number of CDIs Number of CDIs representing shares: representing shares in words:

Details of the CREST Participant to whom your CDIs representing shares will be transferred:

Name of the CREST Participant to CREST Participant ID to receivereceive your CDIs representing shares: CDIs representing shares:

Contact name of the above Telephone number of theCREST Participant above CREST participant

Note: In order to complete this section of the form, you will need to have contacted a CREST Participant who has agreed to hold the CDIs representing receive shares on your behalf. The CREST Participant will be able to advise you of the details required in order to complete this section of the form. Please advise your broker that Computershare will contact them directly to agree the details of the CREST Delivery instruction upon receipt of this completed form.

CDIs Representing SharesNominee Account Withdrawal FormISIN: FR0010533075

This withdrawal is in respect of CDIs representing shares

please turn over

Page 2: CDIs Representing Shares Nominee Account Withdrawal Form ... Documents... · 15WLA D01 DECLARATION I/We authorise Computershare Company Nominees Limited to transfer the CDIs representing

125WLA D01

DECLARATIONI/We authorise Computershare Company Nominees Limited to transfer the CDIs representing shares within the company nominee into the CREST account stated above. I/We confirm that the CREST Participant has agreed to receive the CDIs representing shares and match the delivery instruction entered by Computershare. I/We agree that upon settlement of the CREST Delivery to move the CDIs representing shares into the CREST account as shown above, Computershare Company Nominees Limited will be released from all obligations, in respect of the CDIs withdrawn.

Signature of first named holder Date

Signature of joint holder (2) Date

Signature of joint holder (3) Date

Signature of joint holder (4) Date

IMPORTANTWithdrawal does not cancel or amend any other instructions you may already have sent to Computershare Investor Services PLC.