On the letterhead of the organization/ individual entrepreneur

Application
for Cancellation of the Electronic Signature Verification Key Certificate

_________________________________________________________________________________
(full name of the organization including the form of incorporation or full name of individual entrepreneur, OGRNIP)
represented by _________________________________________________________________________________
(title of the authorised representative of the EDI Participant Organization)*
_________________________________________________________________________________
(full name of the Head Officer of the EDI Participant Organization)*
due to ____________________________________________________________________________
(reason for cancellation (revocation) of ESVKC)

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 ESVKC owner
_________________________________________________________________________________
(Full name of the ESVKC owner)
in accordance with the Electronic Data Interchange Rules approved by the Authorized Body of Moscow Exchange.

You are requested to cancel this ESVKC on ____________________, 20___.

Position* and full name of the EDI Participant’s representative
Signature of the EDI Participant’s representative

___________________, 20___ (date)

L.S.

*   To be filled in when a power of attorney is issued on behalf of a legal person, public authority or local authority.