Name of scheme:

Balance of unallotted securities under scheme(s) from previous return:

Plus:  The amount by which the block scheme(s) has been increased since the date of the last return (if any increase has been applied for):

Less:  Number of securities issued/allotted under scheme(s) during period

Equals:  Balance under scheme(s) not yet issued/allotted at end of period:

Number and class of securities originally listed and the date of admission

Number and class of securities issued in second listing and the date of admission

Total number of securities in issue at the end of the period

Name of contact:

Telephone number of contact: