Form for the submission of services passport notification
ANNEX VSupplementary provisions
ANNEX V Form for the submission of services passport notification 1. Contact information Type of notification Services passport notification Host Member State in which the credit institution intends to carry out its activities: Name and reference number of the credit institution: Address of the head office of the credit institution: Name of contact person at the credit institution: Telephone number: E-mail: 2. List of the activities referred to in Annex I to Directive 2013/36/EU that the credit institution intends to carry out in the host Member State with the indication of the activities that will constitute the core business of the credit institution in the host Member State, including the intended commencement date for each core service activity No Activity Activities that the credit institution intends to carry out Activities that will constitute the core business Intended start date for each core activity 1. Taking deposits and other repayable funds 2. Lending including, inter alia: consumer credit, credit agreements relating to immovable property, factoring, with or without recourse, financing of commercial transactions (including forfeiting) 3. Financial leasing 4. Payment services as defined in Article 4(3) of Directive 2007/64/EC 4a Services enabling cash to be placed on a payment account as well as all the operations required for operating a payment account 4b Services enabling cash withdrawals from a payment account as well as all the operations required for operating a payment account 4c Execution of payment transactions, including transfers of funds on a payment account with the user's payment service provider or with another payment service provider: — execution of direct debits, including one-off direct debits — execution of payment transactions through a payment card or a similar device — execution of credit transfers, including standing orders 4d Execution of payment transactions where the funds are covered by a credit line for a payment service user: — execution of direct debits, including one-off direct debits — execution of payment transactions through a payment card or a similar device — execution of credit transfers, including standing orders 4e Issuing and/or acquiring of payment instruments 4f Money remittance 4g Execution of payment transactions where the consent of the payer to execute a payment transaction is given by means of any telecommunication, digital or IT device and the payment is made to the telecommunication, IT system or network operator, acting only as an intermediary between the payment service user and the supplier of the goods and services ( *1 ) 5. Issuing and administering other means of payment (e.g. travellers' cheques and bankers' drafts) insofar as such activity is not covered by point 4 6. Guarantees and commitments 7. Trading for own account or for account of customers in any of the following: 7a — money market instruments (e.g. cheques, bills, certificates of deposits) 7b — foreign exchange 7c — financial futures and options 7d — exchange and interest-rate instruments 7e — transferable securities 8. Participation in securities issues and the provision of services related to such issues 9. Advice to undertakings on capital structure, industrial strategy, and related questions and advice as well as services relating to mergers and the purchase of undertakings 10. Money broking 11. Portfolio management and advice 12. Safekeeping and administration of securities 13. Credit reference services 14. Safe custody services 15. Issuing electronic money 3. List of the services and activities that the credit institution intends to carry out in the host Member State, and which are provided for in Sections A and B of Annex I to Directive 2004/39/EC, when referring to the financial instruments provided for in Section C of Annex I of that Directive Financial Instruments Investment services and activities Ancillary services A 1 A 2 A 3 A 4 A 5 A 6 A 7 A 8 B 1 B 2 B 3 B 4 B 5 B 6 B 7 C1 C2 C3 C4 C5 C6 C7 C8 C9 C10 Note 1: Row and column headings are references to the relevant section and item number in Annex I to Directive 2004/39/EC (e.g. A1 refers to point 1 of Section A of Annex I). ( *1 ) Does the activity referred to in point 4g include the granting of credits in accordance with the conditions set out in Article 16(3) of Directive 2007/64/EC? ☐ yes ☐ no