ANNEX II
Form for the communication of branch passport notification
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Competent authorities of the home Member State: |
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Name of the relevant department: |
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General email address of the relevant department (if any): |
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Name of the contact person: |
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Telephone number: |
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Email: |
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Address of the competent authorities of the host Member State: |
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[Date] |
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Ref: |
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Communication of branch passport notification |
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[The communication shall contain the following information: |
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— name and national reference code of the credit institution as available in the credit institution register maintained by the EBA; |
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— LEI of the credit institution; |
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— competent authorities responsible for the authorisation and supervision of the credit institution; |
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— statement on the credit institution’s intention to carry out activities in the territory of the host Member State, including the date of receipt of the branch passport notification containing information that is assessed to be complete and correct; |
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— name and contact details of the persons responsible for the management of the branch; |
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— name and contact details of the Union deposit guarantee and investor protection schemes of which the institution is a member and which cover the activities and services of the branch.] |
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[Contact details] |
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