ANNEX VI
Form for the communication of services passport notification
Competent authorities of the home Member State: |
Name of the relevant department: |
General email address of the relevant department (if any): |
Name of the contact person: |
Telephone number: |
E-mail:Email: |
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Address of the competent authorities of the host Member State: |
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| [Date]
| Ref:
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Communication of services passport notification
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[The communication shall include at leastcontain the following information: |
— name and national reference code of the credit institution available in the credit institution register maintained by the EBA; |
— LEI of the credit institution; |
— competent authorities responsible for the authorisation and supervision of the credit institution; |
— statement on the credit institution’s intention to carry out activities in the territory of the host Member State in the exercise of the freedom to provide services.] |
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[Contact details] |