CREST Depository Interests (CDIs)

Complete all editable fields and the print the form Duplex (double sided). Forms must be signed by ALL named shareholders.
Name of Company in which Shares are held. The company name must be specified.
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Mondelez International Inc
Computershare Investor Services PLC
The Pavilions
Bridgwater Road
Bristol BS99 6ZZ
Telephone +44 (0)370 703 0039
Textphone 0370 702 0005
DX 78139 Bristol
www.investorcentre.co.uk
Name and Address of first named shareholder
and names of all other shareholders
Account Designation (if any)
Company Code (if known)
K F I
Shareholder Reference Number (SRN)
*
*
See next page for guidance when completing this form
*
*
Your SRN starts with ‘C’ ‘I’ or ‘G’ followed by 10 digits
CREST Depository Interests (CDIs) - Internal Transfer Form
Kindly Note: This form is issued only to the addressee(s) and is specific to the unique designated account printed hereon. This personalised form is
not transferable between different (i) account holders; or (ii) uniquely designated accounts. The Company and Computershare Investor Services PLC
accept no liability for any instruction that does not comply with these conditions.
A.
Number of CDIs to be Transferred
Number of CDIs
you wish to transfer.
In
Figures
In
Words
B. Signature of current Holder(s)/Executor(s) For details of who needs to sign this form, please see the notes on how to complete this form.
I/We certify that this transfer is made by way of a gift and no consideration money has been paid for the transfer.
Signature 1 (Please sign in the box below)
Signature 3 (Please sign in the box below)
Signature 2 (Please sign in the box below)
Signature 4 (Please sign in the box below)
In the event that we need to contact you regarding the processing of this form, please supply one of the following:Daytime Telephone Number
E-mail Address (if available)
Please note that these contact details will not be recorded by Computershare Investor Services PLC for any future use.
C.
Transferee(s) Details
For details of who needs to sign, please see the ‘how to complete’ notes on the reverse of this form.
Title, forenames & surname of first-named or sole shareholder
Signature
1.
House Number
Post Code
Existing SRN
(If you are a current Holder)
Designation (if any) Kindly note: This cannot comprise of a
word or name. If using initials then please separate by full stops.
Street/Road Name/
City/County
Title, forenames & surname of other named shareholders
Signature(s)
2.
3.
4.
Computershare Investor Services PLC is Registered in England & Wales, No 3498808, Registered Office, The Pavilions, Bridgwater Road, Bristol BS13 8AE.
Computershare Investor Services PLC is authorised and regulated by the Financial Conduct Authority.
SG151
129I0A D05
How to complete this form
Please use a black pen. Print in
CAPITAL letters inside the boxes
as shown in this example.
A B C
1 2 3
X
Complete and return this form if you wish to transfer your CDIs, currently held in the Company Nominee Account to another person or persons, who will also hold their CDIs in the
Company Nominee Account, in their name(s) or jointly with you.
A.
Number of CDIs to be Transferred
Enter the amount of CDIs in words and figures.
B.
Signature of current Holder(s)/Executor(s)
By signing this form in box B you are confirming that you are the sole/joint holders in the Company Nominee Account and you are instructing Computershare Company Nominees
Limited to transfer your interest in the company’s CDIs to the person(s) named in Box C.
Joint Holding:
Power of Attorney:
C.
The signatures of all joint holders, executors or administrators are required. If the holder is under 18, a parent or legal guardian must sign
and state their capacity.
To sign under Power of Attorney, you must have already lodged an original or certified copy of the Power of Attorney with the registrar.
If you have not previously lodged this document for notation, please attach it to this form when you return it.
Please note that Computershare Investor Services PLC requires a photocopy Power of Attorney to be certified under the Powers of
Attorney Act 1971. It must be certified in ink on every page by the donor, or by a solicitor or stockbroker, to state that it is a true and
complete copy of the original. Computershare Investor Services PLC cannot accept a photocopy that has not been certified in ink on
every page.
Transferee(s) Details
This form must be signed by all persons who wish the CDIs to be held on their behalf in the Company Nominee Account
The name(s) shown in section C will be the only name(s) that will appear on the new account held within the Company Nominee Account. If you are one of the current holders and
you wish to remain as a named person on the new Nominee Account, you MUST write your name in one of the four holder boxes overleaf. If the transferee(s) already hold CDIs in
a Company Nominee Account, please quote the Shareholder Reference Number (SRN), which can be found on their Share Account Statement or dividend confirmation.
If you wish your account to carry a designation, please enter a maximum of 8 characters.
All written notices and other written communications will be sent to the first-named shareholder.
By signing section C of this form, you are declaring that you have read the Company Nominee Account Terms and Conditions and agree to be bound by them to the extent that
they apply to you. Copies of these terms and conditions are obtainable by phoning the shareholder helpline detailed at the head of this form or at
www.computershare.co.uk/nominee.
Details of how to register your bank account details to receive any dividend payment due will be sent with the new shareholder welcome pack.
If you are still unable to complete the attached document or are unsure of what action you need to take, please call our helpline on
the number detailed at the head of this form.
Please return this form to: Computershare Investor Services PLC
The Pavilions
Bridgwater Road
Bristol
BS99 6ZY
Computershare Investor Services PLC is Registered in England & Wales, No 3498808, Registered Office, The Pavilions, Bridgwater Road, Bristol BS13 8AE.
Computershare Investor Services PLC is authorised and regulated by the Financial Conduct Authority.
129I0A D05