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
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