Common use of TO BE COMPLETED BY PARTICIPANT Clause in Contracts

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Type of Order (Check Creation or Redemption): Creation of FXS Redemption of FXS Number of Creation Units (CU) Transacted (One CU = 50,000 FXS):

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Type of Order (Check Creation or Redemption): Creation of FXS FXF Redemption of FXS FXF Number of Creation Units (CU) Transacted (One CU = 50,000 FXSFXF):

TO BE COMPLETED BY PARTICIPANT. Date: Time: Broker Name: Firm Name: DTC Participant Number: Fax Number: Telephone Number: Type of Order (Check Creation or Redemption): Creation of FXS FXCH Redemption of FXS FXCH Number of Creation Units (CU) Transacted (One CU = 50,000 FXSFXCH):