ANNEX VI
Form for the communication of services passport notification
Competent authorities of the home Member State: | |
Name of the contact person: | |
Telephone number: | |
E-mail: | |
Address of the competent authorities of the host Member State: | |
[Date] | |
Ref: | |
Communication of services passport notification | |
[The communication shall include at least the following information: | |
name and reference number 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.] | |
[Contact details] | |