Domestic Bonds of Canada Regulations (C.R.C., c. 698)

FORM IGovernment of Canada

Bond No Principal Sum $ Maturing

Registered in the name of

Know all men by these presents that I/we

(type or print name)

for value received, do hereby assign and transfer unto

(Name)

(Exact Post Office Address)

all right, title and interest in the bond(s) described above absolutely and the Bank of Canada is hereby authorized to make such entries in the books of registration as are required to give effect to such transfer.

Dated at this day of 19

Signature of Transferor is hereby guaranteed

*

*Signature of the registered owner must be guaranteed by a Canadian Chartered Bank or other financial institution acceptable to the Bank of Canada.