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Annex II

Annex II

ANNEX II

GENERAL INFORMATION OF THE APPLICANT

Full name of the applicant

Address of registered office within the Union

[Country, city, street address, postal code]

Website

Legal Entity Identifier (LEI) (where available)

Contact person(s)

Name

Title

Address

[Country, city, street address, postal code]

Email address

Telephone number

Legal form of the applicant

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