Application
for Cancellation of the Electronic Signature Verification Key Certificate

_________________________________________________________________________________
(Applicant’s full name; name and OGRN of the EDI Participant)

Acting on the basis of the power of attorney ______________________________________________

In connection with___________________________________________________________________
(reason for ESVKC cancellation)
requests to cancel the ESVKC containing the following data:

serialNumber	ESVKC serial number	
ESVKC issuer name (DN)	INN=007702077840,OGRN=1027739387411,CN=MOEX CA,O=Moscow Exchange,L=Moscow,ST=RU Moscow,C=RU	
used by the owner of the ESVKC in accordance with the Rules of electronic document interchange approved by the authorized body of Moscow Exchange.
Please cancel this ESVKC with effect from _____   _______________ 20___.

Applicant’s full name
Signed by the Applicant

_____  ______________ 20____