FORM 9

NOTARIAL SERVICE OF NOTICE OF A PROTEST FOR NON-ACCEPTANCE OR NON-PAYMENT OF A BILL, OR NOTE

(to be subjoined to the Protest)

And afterwards, I, the aforesaid protesting notary public, did serve due notice, in the form prescribed by law, of the foregoing protest for (non-acceptance or non-payment) of the (bill or note) thereby protested on (P.Q. or C.D.), the (drawer or endorser) personally, on the .................... day of ...................., 19........, (or, at his residence, office or usual place of business) in ...................., on the .................... day of ...................., 19........; (or, by depositing such notice, directed to the said (P.Q. or C.D.), at ...................., in Her Majesty’s post office in .................... on the .................... day of ...................., 19........, and prepaying the postage thereon).

In testimony whereof, I have, on the last mentioned day and year, at .................... aforesaid, signed these presents.