ANNEX IVSupplementary provisions
ANNEX IV ‘ANNEX XIX Form referred to in Article 2g(1) and (2) The form to be used for the communication of information on a Crypto-Asset Operator that is a Reporting Crypto-Asset Service Provider as defined in Section IV, subparagraph B(3), of Annex VI to Directive 2011/16/EU contains, in addition to the components listed in Section V, subparagraph F(2), of Annex VI to Directive 2011/16/EU, the following fields: — Member State of single registration in accordance with Article 8ad(7) of Directive 2011/16/EU; The format of the individual identification number referred to in Article 2g(3) The individual identification number consists of a 10-digit format, structured as CCXXXXXXXX, where 'CC' represents the ISO Country Code of the Member State where the identification number is issued and 'XXXXXXXX' is a unique sequence of alphanumeric characters, generated and assigned to the Crypto-Asset Operator either by the Member State or by the Crypto Asset Operator register. The individual identification number is allocated by the Crypto-Asset Operator register when not assigned by the Member State. Retention period for certain information deleted or removed from the Crypto-Asset Operator register referred to in Article 2g (4) Where the registration of a Crypto-Asset Operator that is a Reporting Crypto-Asset Service Provider as defined in Section IV, subparagraph B(3), of Annex VI to Directive 2011/16/EU, is revoked in accordance with Section V, subparagraph F(7), of Annex VI to Directive 2011/16/EU, the Member State of single registration shall delete the Crypto-Asset Operator from the Crypto-Asset Operator register. The Crypto-Asset Operator register shall retain the deleted information for no longer than 12 months from the date of deletion. Change of the Member State of single registration in the Crypto-Asset Operator register referred to in Article 2g(5) If the change in the information pursuant to Section V, subparagraph F(3), of Annex VI to Directive 2011/16/EU involves the change of the Member State of single registration, the current Member State of single registration triggers a transfer of the information of the registered Reporting Crypto-Asset Service Provider to the new Member State of single registration. The new Member State of single registration becomes the Member State of single registration where the information under Directive 2011/16/EU is to be reported. This Member State shall be the new point of contact for the Reporting Crypto-Asset Service provider for updating any information in accordance with Section V, subparagraph F(3), of Annex VI to Directive 2011/16/EU and this Regulation. The individual identification number allocated to the Reporting Crypto-Asset Service Provider at its first single registration remains the same throughout the process. This process shall not relieve the Reporting Crypto-Asset Service Provider from following domestic registration requirements in the new Member State of single registration. ’