| Current Registered Holder(s) and Address: |
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| Holder Ref: |
Designation: |
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| New Address: (BLOCK CAPITALS please) |
| Please change the address in the Register of all holdings relating to the above to: |
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| Please sign here: |
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| 1st Holder |
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2nd Holder |
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| 3rd Holder |
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4th Holder |
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| All registered holders, executors or administrators shown above must sign here. In the case of corporate bodies, signatories should show their representative capacity. |
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Please return this form when completed to:
CAPITA REGISTRARS
NORTHERN HOUSE, WOODSOME PARK, FENAY BRIDGE, HUDDERSFIELD, HD8 0LA |
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