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| Noteholder:                        |          |
|------------------------------------|---------------|
| Note Amount:Outstanding Principal: | $_____$______ |
| Interest Rate:                     | __%           |
| Date of Note:                      | _____         |
| Maturity:                          | _____         |
| Accrued Interest:                  | $____         |

| Principal Being Converted:     | $_____   |
|--------------------------------|----------|
| Interest Being Converted:      | $_____   |
| Conversion Price:              | $_____   |
| Number of Shares to Be Issued: | -------- |

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| ● | It has the requisite authority to execute and deliver this Agreement and that the person executing and delivering this Agreement has been duly authorized by the Noteholder to do so; |
|---------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| ● | It is not, and has not been for the three months preceding the date hereof, an affiliate of the Issuer and will not hold more than 10% of the issued and outstanding Shares upon consummation of the conversion contemplated hereby; and |
|---------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| ● | It has not assigned or transferred, or purported to assign or transfer, the Note or any right or claim in connection therewith to any other person. |
|---------|-----------------------------------------------------------------------------------------------------------------------------------------------------|

| Agreed to and accepted by:                                                                                                                                                                                                           |                             |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|
|                                                                                                                                                                                                                                      |                             |
| UNIVERSAL DETECTION TECHNOLOGY                                                                                                                                                                                                       | NOTEHOLDER                  |
|                                                                                                                                                                                                                                      |                             |
|                                                                                                                                                                                                                                      |                             |
| /s/ Jacques Tizabi                                    | __________________________  |
| By: Jacques Tizabi, CEO                                                                                                                                                                                                              |                             |

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