ANNEX XIISupplementary provisions
ANNEX XII Standard form for the request for administrative notification according to Article 48 Text of image I. REQUEST FOR ADMINISTRATIVE NOTIFICATION Applicant authority Member State name address contact details of the official in charge Requested authority Member State name address contact details of the official in charge Date of transmission of the request Reference number applicant authority No of attachments to this request Details on the natural or legal person subject to the request Provide all information available for the identification of the addressee of the administrative notification Information on the subject of the instrument or decision to be notified Provide all possible information on the subject of the instrument or decision to be notified II. REPLY Applicant authority Member State name address contact details of the official in charge Requested authority Member State name address contact details of the official in charge Date of transmission of the request Reference number applicant authority Date of transmission of the reply Reference number requested authority Text of image No of attachments to this reply Requested notification Information on the requested notification: Date of notification to the addressee Indicate date in case of successful notification failure of notification Indicate reasons in case of failed notification Other information