Sch 1

Schedule 1

(regulations 7 and 16)

Form 1

APPLICATION TO PURCHASE SECURITIES OTHERWISE THAN BY PUBLIC TENDER

Image unavailable in extracted text hereby apply for $ ( dollars) of

* and herewith tender the sum of

dollars

in payment for the same, namely — $

Amount of securities purchased.....................

Amount of premium.............................

Accrued interest.............................._________

Total..............................._________

(Signatures)

Date

* Insert details of the securities.

Form 15

(regulations 16 and 23)

per cent., maturing , 19 .

TRANSFER AND ACCEPTANCE

Image unavailable in extracted text (Name, address and occupation must be given in full)

hereby assign and transfer unto

(Name, address and occupation must be given in full)

h executors, administrators, or assigns, the sum of $

their

( dollars) Image unavailable in extracted text

Image unavailable in extracted textInscribed Stock, and all Image unavailable in extracted text property and interest in and right to the same, and to the interest accrued thereon.

As witness hand this day of 19 .

Image unavailable in extracted text the abovenamed transferee(s) hereby accept the stock mentioned above transferred into Image unavailable in extracted text name.

As witness hand this day of 19 .

Form 22

(regulation 28)

REQUEST FOR TRANSMISSION

Commonwealth Government Registry of

Inscribed Stock at

Please have the undermentioned Transmission effected —

From who lately resided

at but who is now*

$ ( dollars)

of Image unavailable in extracted text

who reside(s) at

and Image unavailable in extracted text and claim(s) by transmission.