EFTA Document EFTA01388314

[Interim Exchange: Interim Exchange Date: Party A Interim Exchange Amount: Party B Interim Exchange Amount:I [Final Exchange: Final Exchange Date: Party A Final Exchange Amount: Party B Final Exchange Amount:) [Business Days for [first currency]:] [Business Days for [second currency[:] [Business Day Convention: Calculation Agent: ] [, subject to adjustment in accordance with the [Following/Modified Following/Preceding] Business Day Convention ] I. subject to adjustment in accorda