SCHEDULEDESCRIPTION OF RETAINED INTEREST(c)(d)

NOTES:

(a)Insert name, and in the first case the address, of the person or body giving the notice.

(b)Insert whichever alternative is applicable.

(c)The nature of the retained interest and the coal or mine of coal in which it subsists should be accurately described. If it is found necessary to refer to a map or other document it should be attached to the notice and signed by the person signing the notice so as to identify it.

(d)Date and signature of the person or body giving the notice or a person duly authorised by that person or body.