4000 Indirect Main Form

TARGET2 form for collection of Static data
- Main form for Indirect PM Participants page: 1 of 3
A,B
BIC:
TEST BIC:
C,D,E
New
Modify
Delete
F,G,H
Production
Test & Training
Date:
I,J
Ref:
rel. Ref:
K,L
Activation date:
Responsible CB:
DE - Germany
1. RELATED DIRECT PARTICIPANT
11
Name of Direct Participant:
12
BIC of Direct Participant:
13
Legal Entity BIC of Direct Participant:
For use by
Central Banks
2. INDIRECT PARTICIPANT
Form No 4000
2.1 Legal Entity
21
Legal Entity BIC:
22
Legal Entity Name:
23
City:
© Deutsche Bundesbank, 11/2014
Geschäftsabwicklung Zahlungsverkehr und Kontenführung
Postfach 10 06 02, 60006 Frankfurt am Main, Germany
Web: www.target2.bundesbank.de
Enter Legal
Entity
TARGET2 form for collection of Static Data
Main form for Indirect PM participants
page: 2 of 3
New
Modify
BIC:
Delete
TEST BIC:
Activation date:
2.2 Administrative data
24
Name of Indirect participant
25,25b
Account Holder BIC:
BIC Addressee:
26,26b
Participant Type:
Type of Participation:
Credit Institution
27
28
Enter
Participant
Indirect
BIC published in TARGET2 directory
Institutional Sector Code:
- Select OR Enter -
S1
Do you want to modify, delete or create a new wildcard rule for
inclusion/exclusion of branch(es) as addressable BIC(s) in the
TARGET2 directory filling in Sub form 4013 “Addressable BIC Wildcard Rules”?
Form No 4000
YES
NO
© Deutsche Bundesbank, 11/2014
Geschäftsabwicklung Zahlungsverkehr und Kontenführung
Postfach 10 06 02, 60006 Frankfurt am Main, Germany
Web: www.target2.bundesbank.de
TARGET2 form for collection of Static Data
Main form for Indirect PM participants
page: 3 of 3
New
Modify
BIC:
TEST BIC:
Delete
Activation date:
The respective direct participant
BIC of direct participant:
Name of direct participant:
SSP form for
the for
registration
declares having the full capacity and authority to execute the TARGET2
form
and on
of
the
above
mentioned
credit
institution
as
indirect
participant
in
TARGET2.
By
behalf of the Direct participant requesting activation of the registration and hereby signing
requests
the form the direct participant allows the credit institution mentioned in this form to send
registration of the above-mentioned entities as Indirect Participants, as a consequence of
and receive payment orders which will be settled via the direct participant's PM account.
which payments from and to such Indirect Participants can be settled via the
above-mentioned PM account.
____________________________________________________________________
Date
Name
Signature
Date,
Name(s)
Signature(s)
Form No 4000
____________________________________________________________________
Date
Name
Signature
© Deutsche Bundesbank, 11/2014
Geschäftsabwicklung Zahlungsverkehr und Kontenführung
Postfach 10 06 02, 60006 Frankfurt am Main, Germany
Web: www.target2.bundesbank.de