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Indemnity for Lost Share Certificate To the Directors of The original certificate s of this title relating to the under-mentioned securities of the above named company has/have been lost or destroyed. Neither the securities nor the certificate s of title thereto has/have been transferred charged lent or deposited or dealt with in any manner affecting the absolute title thereto and the person s named in the said certificate s is/are the person s entitled to be on the register in respect of such securities. I/we request you to issue a duplicate certificate s of title for such securities and in consideration of your doing so undertake jointly and severally to indemnity you and the company against all claims and demands and any expenses thereof which may be made against you or the company in consequence of your complying with this request and of the company permitting at any time hereafter of the said original certificate s. I/we undertake to deliver to the company for cancellation the said original certificate s should the same ever be recovered* PARTICULARS OF CERTIFICATE S LOST OR DESTROYED Particulars of Certificate Amount class of Securities Dated this Day of In favour of Signature s hereby We Join in the above indemnity and undertaking. Bank Insurance Company or Guarantee Society. Telephone 01202 780780 Address Rebbeck Brothers Ltd 10 Exeter Road The Square Bournemouth BH2 5AN Company No* 08810385 Email Web enquiry rebbeckbrothers. co. uk www. rebbeckbrothers. co. uk Directors Anthony Mellery-Pratt Timothy Mellery-Pratt Matthew Strong Jacky Hope-Inglis Regulated by RICS Trusted With Property Since 1845. I/we request you to issue a duplicate certificate s of title for such securities and in consideration of your doing so undertake jointly and severally to indemnity you and the company against all claims and demands and any expenses thereof which may be made against you or the company in consequence of your complying with this request and of the company permitting at any time hereafter of the said original certificate s. I/we undertake to deliver to the company for cancellation the said original certificate s should the same ever be recovered* PARTICULARS OF CERTIFICATE S LOST OR DESTROYED Particulars of Certificate Amount class of Securities Dated this Day of In favour of Signature s hereby We Join in the above indemnity and undertaking. I/we undertake to deliver to the company for cancellation the said original certificate s should the same ever be recovered* PARTICULARS OF CERTIFICATE S LOST OR DESTROYED Particulars of Certificate Amount class of Securities Dated this Day of In favour of Signature s hereby We Join in the above indemnity and undertaking. Bank Insurance Company or Guarantee Society. Telephone 01202 780780 Address Rebbeck Brothers Ltd 10 Exeter Road The Square Bournemouth BH2 5AN Company No* 08810385 Email Web enquiry rebbeckbrothers. Bank Insurance Company or Guarantee Society. Telephone 01202 780780 Address Rebbeck Brothers Ltd 10 Exeter Road The Square Bournemouth BH2 5AN Company No* 08810385 Email Web enquiry rebbeckbrothers. co. uk www. rebbeckbrothers. co. uk Directors Anthony Mellery-Pratt Timothy Mellery-Pratt Matthew Strong Jacky Hope-Inglis Regulated by RICS Trusted With Property Since 1845. .

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