MIE-A.4.7
| Description of the transaction(s) Details of the securities, including the code of the security (ISIN Number); the market(s) concerned; the original order's entry date/time, price and size; the times and sizes of the transaction(s); the type and characteristics of the order, etc. |
| Reasons for Suspicion Reasons for suspecting that the transaction(s) might constitute insider dealing/market abuse/ market manipulation |
| Identities of persons carrying out transaction(s) Names, addresses, telephone number, location, account number, client identification code used by the firm, etc. |
| Identities of any other persons known to be involved in the transaction(s) Names, addresses, telephone number, location, relation to person carrying out transaction, position held, role played, etc. |
| Capacity in which the person performing the transaction(s) acts e.g. broker, underwriter, agent, investment/fund manager, auditor, insider. |
| The ownership of securities before and after the execution of the transaction (of the concerned parties carrying out the transactions). |
| Any information which may be of significance (along with a list of any accompanying documents/evidence) |
| Details of the person making notification Name of person, name of firm, position held within firm, contact details, etc. |
| Signed ........... (person making report) Dated ........... (date of report) |
Amended: July 2021