Form for the communication of services passport notification
ANNEX VISupplementary provisions
ANNEX VI Form for the communication of services passport notification Competent authorities of the home Member State: Name of the contact person: Telephone number: E-mail: Address of the competent authorities of the host Member State: [Date] Ref: Communication of services passport notification [The communication shall include at least the following information: — name and reference number of the credit institution; — competent authorities responsible for the authorisation and supervision of the credit institution; — statement on the credit institution's intention to carry out activities in the territory of the host Member State in the exercise of the freedom to provide services.] [Contact details]