ANNEX II
UCITS ATTESTATION
(Article 2 of Commission Regulation (EU) No 584/2010 of 1 July 2010 implementing Directive 2009/65/EC of the European Parliament and of the Council as regards the form and content of the standard notification letter and UCITS attestation, the use of electronic communication between competent authorities for the purpose of notification, and procedures for on-the-spot verifications and investigations and the exchange of information between competent authorities (OJ L 176, 10.7.2010, p. 16)
is the competent authority in:
(name of the competent authorities of the UCITS home Member State)
(the UCITS home Member State)
Address:
Telephone number:
E-mail address:
Fax number:
that carries out the duties provided for in Article 97(1) of Directive 2009/65/EC.
For the purpose of Article 93(3) of Directive 2009/65/EC,
certifies that
(name of competent authority, as above)
(name of UCITS, i.e. the name of the common fund, unit trust or investment company)
is established in: (name of its home Member State)
was set up on: (date of approval of the fund rules or instrument of incorporation of the UCITS)
has registry number (if applicable UCITS registry number in its home Member State)
registered with (if applicable name of the authority responsible for the register)
is based at:
(for investment companies only, address of the UCITS’ head office)
is: (please tick appropriate one box)
either a common fund/unit trust
List of all compartments approved in the home Member State, if applicable
Serial no.
Name
1
2
3
…
managed by the management company:
(name and address of the management company)
or an investment company:
List of all compartments approved in the home Member State, if applicable
Serial no.
Name
1
2
3
…
that: (please tick appropriate one box)
either has designated a management company
(name and address of the designated management company)
or is self-managed
and fulfils the conditions set out in Directive 2009/65/EC
(The attestation shall be signed and dated by a representative of the competent authority of the UCITS home Member State in a manner that is accepted for the certification by that authority. The signatory shall state his or her full name and capacity.)