CENTRAL BANK OF CYPRUS EUROSYSTEM ANNEX IV OF THE

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ANNEX IV OF THE COMMISSION IMPLEMENTING REGULATION (EU) NO 926/2014

NOTIFICATION

FOR A CHANGE IN THE BRANCH PARTICULARS

COMMUNICATED TO THE CENTRAL BANK OF CYPRUS

PURSUANT TO POINTS (B), (C), or (D) OF ARTICLE 35(2) OF THE CRD IV,

WHERE THE CHANGE CONCERNS A PLANNED TERMINATION

OF THE OPERATION OF THE BRANCH,

IN ACCORDANCE WITH ARTICLE 36(3)

OF THE DIRECTIVE 2013/36/EU (“THE CRD IV”)

FULL NAME OF ACI:

Details of contact person:

Name:
Telephone number:
Fax number:
E-mail address:

Who should complete this form

An ACI incorporated in the Republic of Cyprus wishing to notify, in accordance with article 36(3) of the CRD IV, a planned termination of the operations of a branch established within the territory of another Member State under the right of establishment, should complete this form and submit it to the Central Bank of Cyprus, Supervision Department, Horizontal Functions 2 Section - Authorisations.

Completing the form

Please complete the present form electronically and sign the declaration at the end.
The space provided after each question in the form is not indicative of the extent of the expected answer. Where deemed necessary, a separate sheet of paper may be used, stating the number of the question on the top left part of the sheet of paper.
Each page of the form must bear the initials of the relevant person.

Form for the submission of a change in branch particulars notification which concerns a planned termination of the operation of a branch

Name of the contact person at the credit institution or branch:

Telephone number:

E-mail:

Address of the competent authorities of the home Member State:

Address of the competent authorities of the host Member State:

[Date]

[Ref:]

Submission of a change in branch particulars notification which concerns a planned termination of the operation of a branch

[The notification shall include at least the following information:

—	name and reference number of the credit institution;

—	name of the branch in the territory of the host Member State;

—	competent authorities responsible for the authorisation and supervision of the credit institution;

—	statement on the credit institution's intention to terminate the operation of the branch in the territory of the host Member State and the date by which the termination will be effective;

—	name and contact details of the persons who will be responsible for the process of terminating the operation of the branch;

—	estimated schedule for the planned termination;

—	information on the process of terminating the business relations with branch customers.]

[Contact details]

NOTIFICATION

FOR A CHANGE IN THE BRANCH PARTICULARS

COMMUNICATED TO THE CENTRAL BANK OF CYPRUS

PURSUANT TO POINTS (B), (C), or (D) OF ARTICLE 35(2) OF THE CRD IV,

WHERE THE CHANGE CONCERNS A PLANNED TERMINATION

OF THE OPERATION OF THE BRANCH,

IN ACCORDANCE WITH ARTICLE 36(3)

OF THE DIRECTIVE 2013/36/EU (“THE CRD IV”)

I confirm that the information included in this form is complete and accurate to the best of my knowledge and belief.

Name of authorised signatory:
Position:
Signature:
Date: (dd/mm/yy)

This form should be sent to:

CENTRAL BANK OF CYPRUS,

Supervision Department,

Horizontal Functions 2 Section -Authorisations,

P.O. Box 25529,

CY 1395 – Nicosia,

CYPRUS

TELEPHONE: ++357-22-714300

FACSIMILE: ++357-22-714940

E-MAIL: [email protected]

WEBSITE: www.centralbank.gov.cy

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