Signature of Holder. Duly authorised on behalf of [CIBA SPECIALTY CHEMICALS CORPORATION/ CIBA SPECIALTY CHEMICALS PLC/ CIBA SPEZIALITATENCHEMIE HOLDING DEUTSCHLAND GMBH/ CIBA SPECIALTY CHEMICALS EUROFINANCE LTD.] [To be completed by recipient Paying Agent] Details of missing unmatured Coupons ...............................(3) Received by: ................................ [Signature and stamp of Paying Agent] At its office at: .................................
Signature of Holder. [END OF OPTIONS] Payment should be made by [complete and delete as appropriate]: • [currency] cheque drawn on a bank in [currency centre] and in favour of [name of payee] and mailed at the payee's risk by uninsured airmail post to [name of addressee] at [addressee's address].] OR • transfer to [details of the relevant account maintained by the payee] with [name and address of the relevant bank].] All notices and communications relating to this Put Option Notice should be sent to the address specified below. Name of holder: ................................................... Contact details: ................................................... ................................................... ................................................... Signature of holder: .................................................. Date: .................................................. [To be completed by Paying Agent:] Received by: ............................................ [Signature and stamp of Paying Agent:] At its office at .......................................... ............................................................. On ........................................................ THIS NOTICE WILL NOT BE VALID UNLESS ALL OF THE PARAGRAPHS REQUIRING COMPLETION HAVE BEEN DULY COMPLETED. SCHEDULE 5 FORM OF PUT OPTION RECEIPT ASTRAZENECA PLC ASTRAZENECA FINANCE LLC U.S.$10,000,000,000 Euro Medium Term Note Programme guaranteed by AstraZeneca PLC (in respect of notes issued by AstraZeneca Finance LLC) PUT OPTION RECEIPT2
Signature of Holder. 1 To be completed in duplicate in the case of shares where the holder is directly registered in the shareholders register with one copy to be sent to Quinsa and the other to be sent to the Share Transfer Agent. With respect to the Company shares directly registered on the Company share register, this form of withdrawal request must be sent to the Company, as share registrar, and the Share Transfer Agent at: THE COMPANY Quilmes Industrial (Quinsa) Société Anonyme, FAO Xxxxxxx Xxxxxxxx, 00, Xxxxx Xxx L-1660 Luxembourg; Fax: + 000 00 0000 The Share Tender Agent for the Offer is: THE BANK OF NEW YORK, LONDON By Mail: By Hand or Overnight Delivery: The Bank of New York Xxx Xxxxxx Xxxxxx Xxxxxx X00 0XX Attn: Xxxx Xxxxxx/Xxxxxx Xxxxx Phone +00 000 000 0000/+00 000 000 0000 Fax: +00 000 000 0000 In Luxembourg please contact: The Bank of New York (Luxembourg) S.A. Aerogolf Center 0X, Xxxxxxxxx X-0000 Senningerberg Luxembourg Attn: Xxxxx Xxx/Xxx Xxxxxx Phone: +000 00 00 00 0000 / +000 00 00 00 0000 Fax: +000 00 00 00 0000 The Bank of New York One Canada Xxxxxx Xxxxxx X00 0XX Attn: Xxxx Xxxxxx/Xxxxxx Xxxxx Phone +00 000 000 0000/+00 000 000 0000 Fax: +00 000 000 0000 In Luxembourg please contact: The Bank of New York (Luxembourg) S.A. Aerogolf Center 0X, Xxxxxxxxx X-0000 Senningerberg Luxembourg Attn: Xxxxx Xxx/Xxx Xxxxxx Phone: +000 00 00 00 0000 / +000 00 00 00 0000 Fax: +000 00 00 00 0000
Signature of Holder. Duly authorised on behalf of [ ] [To be completed by recipient Paying Agent] Received by: ................................................. [Signature and stamp of Paying Agent] At its office at: ................................................. On: .................................................
Signature of Holder. [To be completed by recipient Paying Agent] Details of missing unmatured Coupons (3) Received by: ……………………………. [Signature and stamp of Paying Agent] At its office at: ..................... On: ..............................................
Signature of Holder. Date: ................................................................ [To be completed by Paying Agent:] Received by: ................................................................ [Signature and stamp of Paying Agent:] ................................................................ At its office at ................................................................ ................................................................ On ................................................................ THIS NOTICE WILL NOT BE VALID UNLESS ALL OF THE PARAGRAPHS REQUIRING COMPLETION HAVE BEEN DULY COMPLETED. Schedule 6 Form of Put Option Receipt PUT OPTION RECEIPT2 CELLNEX TELECOM, S.A. EUR 10,000,000,000 Euro Medium Term Note Programme
Signature of Holder. Duly authorised on behalf of ........................... [To be completed by recipient Paying Agent, Transfer Agent or the Registrar] Details of missing unmatured Coupons ...............................(4) Received by: ................................ -------------------------------------------------------------------------------- 149 -------------------------------------------------------------------------------- [Signature and stamp of Paying Agent, Transfer Agent or the Registrar] At its office at: ................................. On: .................................
Signature of Holder. [END OF OPTIONS] Payment should be made by [complete and delete as appropriate]: - [currency] cheque drawn on a bank in [currency centre] and in favour of [name of payee] and mailed at the payee’s risk by uninsured airmail post to [name of addressee] at [addressee’s address].] OR - transfer to [details of the relevant account maintained by the payee] with [name and address of the relevant bank].] All notices and communications relating to this Put Option Notice should be sent to the address specified below. Name of holder: ………………………………………… Contact details: ………………………………………… ………………………………………… ………………………………………… Signature of holder: ………………………………………… Date: ………………………………………… [To be completed by Paying Agent/Transfer Agent/Registrar:] Received by: ………………………………………… [Signature and stamp of Paying Agent/Transfer Agent/Registrar:] At its office at ………………………………………… ………………………………………… On ………………………………………… THIS NOTICE WILL NOT BE VALID UNLESS ALL OF THE PARAGRAPHS REQUIRING COMPLETION HAVE BEEN DULY COMPLETED. SCHEDULE 5 FORM OF PUT OPTION RECEIPT INTERCONTINENTAL HOTELS GROUP PLC and IHG FINANCE LLC £4,000,000,000 Euro Medium Term Note Programme PUT OPTION RECEIPT2
Signature of Holder. .. All notices and communications relating to this Put Option Notice should be sent to the address specified below. Name of Holder: ..................................................................... Contact details: ..................................................................... ..................................................................... .....................................................................
Signature of Holder. Date: ________________________________ Name of Holder: ________________________________ Daytime telephone number: ________________________________ Facsimile number: ________________________________ Signature of Holder: By: ____________________________ Name: Title: To be completed by Paying Agent: Received by: ............................................ [Signature or stamp of Paying Agent:] At its office at ........................................…… ...........................................................…… On ......................................................... THIS NOTICE WILL NOT BE VALID UNLESS ALL OF THE PARAGRAPHS REQUIRING COMPLETION HAVE BEEN DULY COMPLETED
