Registration Form for Financial Vehicle Corporation (FVC) or Other Financial Institution (OFI)/Special Financial Institution (SFI)

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General information

Name of enterprise *

Chamber of Commerce registration number *

Date established *

Correspondence

Street/PO Box *

House number/PO Box number *

House number suffix

Postal code *

City/town *

Country *

Representative (if applicable)

Reporters normally report independently. However, a reporter can have their reports prepared by another (external) party (a representative).

Name of representative

Street/PO Box of representative

House number/PO Box number of representative

House number suffix of representative

Postal code of representative

City/town of representative

Country of representative

Contact 1

Initial(s) of contact 1 *

Surname prefix of contact 1

Surname of contact 1 *

Telephone number of contact 1 *

Email adres of contact 1 *

Contact 2

Initial(s) of contact 2

Surname prefix of contact 2

Surname of contact 2

Telephone number of contact 2

Email address of contact 2

FVC or OFI/SFI

Please note that you will not receive a copy of the information you submit. You can save a copy for your own records by saving it as a PDF before sending it via the Ctrl+P option on your keyboard. You need to do this separately for each of the pages.