(a)

the date of receipt of a complete and accurate passport application from the payment institution in accordance with Article 4;

(b)

the Member State in which the payment institution intends to operate;

(c)

the type of the passport application;

(d)

the name, the address and, where applicable, the authorisation number and the unique identification number of the payment institution in the home Member State in accordance with the formats set out in Annex I;

(e)

where available, the Legal Entity Identifier of the payment institution;

(f)

the identity and contact details of a contact person at the payment institution submitting the branch notification;

(g)

the address of the branch to be established in the host Member State;

(h)

the identity and contact details of the persons responsible for the management of the branch to be established in the host Member State;

(i)

the payment services to be provided in the host Member State;

(j)

the organisational structure of the branch to be established in the host Member State;

(k)

a business plan, including a forecast budget calculation for the first three financial years, which demonstrates that the branch is able to employ the appropriate and proportionate systems, resources and procedures to operate soundly in the host Member State;

(l)

a description of the branch's governance arrangements and internal control mechanisms, including administrative procedures and risk management procedures, which demonstrates that these governance arrangements, control mechanisms and procedures are proportionate, appropriate, sound and adequate with regard to the payment service business in the host Member State and comply with requirements on money laundering and terrorist financing under Directive (EU) 2015/849 of the European Parliament and of the Council (4).