ANNEX IIISupplementary provisions
ANNEX III Form for reply to request for consultation Text of image Reply to a request for consultation under Article 84 of Directive 2014/65/EU Reference number: Date: FROM: Member State: Competent authority receiving the request: Legal address: (Contact details of the contact point) Name: Telephone: Email: TO: Member State: Requesting competent authority: Address: (Contact details of the contact point) Name: Telephone: Email: Dear [insert appropriate name] In accordance with Article 84 of Directive 2014/65/EU, we examined your consultation request dated [dd.mm.yyyy] with reference [insert reference number]. Where relevant, please explain any clarification you may require in relation to the information requested or to any other aspect of the relevant authorisation procedure: If the information requested has been gathered, please provide that information here or explain how it will be provided, or make reference to the relevant annexes containing the information requested: Text of image If there is any other relevant or essential information, please provide that information here or explain how it will be provided, or make reference to the relevant annexes containing that information: [please provide any other essential information that could influence the granting of the authorisation] Confidentiality [please insert any necessary confidentiality warnings or any necessary restrictions on the permissible uses of information (in compliance with Union law)]. Yours sincerely, [signature]