APPLICATION TO CORRECT INFORMATION
- LEGAL ENTITY
PAGE
CODE
1 from 1
Α6-040
To:
Artemis Bank Information Systems Ltd
77 Strovolos Avenue,
Office 501, 2018 Strovolos, Nicosia
According to the relevant information provided in this application, please proceed to the necessary actions for the
correction of the Data ((i.e. Legal Actions, Court Decisions etc.) maintained in your Database and concern the
Legal Entity for which the necessary information and documents are included in this form. Please make all
necessary actions to correct the Data concerning myself, according to the Rules and Regulations Document of
Artemis.
Note: This service is provided free of charge.
APPLICANT’S (LEGAL ENTITY) INFORMATION
LEGAL ENTITY NAME:
BUSINESS NAME
(IF APPLICABLE):
COMPANY TEL.:
COMPANY REGISTRATION NUMBER
COUNTRY:
ADDRESS
STREET:
No.:
PREVIOUS OR OTHER ADDRESS (IF APPLICABLE)
STREET:
No.:
POSTAL
CODE:
CITY:
DISTRICT:
POSTAL
CODE:
CITY:
DISTRICT:
APPLICANT’S REPRESENTATIVE INFORMATION
SURNAME:
NAME:
CONTACT TEL.:
IDENTITY NUMBER
AND/OR
PASSPORT NUMBER
COUNTRY
ADDRESS
STREET:
POSTAL
CODE:
No.:
:
CITY:
DISTRICT:
DATA TO BE CORRECTED
LEGAL ACTION
COURT DECISION
OWNERSHIP TYPE (Owner or Guarantor)
:
LEGAL ACTION / COURT DECISION No.
:
FIELDS FOR CORRECTION
:
1
2
A decision of the Board of Directors of the Legal Entity thereby
affirming its representative is required, along with a copy of
the Certificate of Directors and Secretary of the Legal Entity
issued not more than one year ago. In the case where the
Articles of Association are older than one year, a recent
certificate of non modification from the responsible authority
should be attached.
BANK SUBMITTED
THE CASE
:
DOCUMENTS ATTACHED
:
I confirm the accuracy of the above
LEGAL ENTITY’S REPRESENTATIVE
COMPANY’S STAMP &
REPRESENTATIVE’S SIGNATURE
DATE :
FOR ARTEMIS INTERNAL USE ONLY:
Application Number:
Application’s Receipt Date:
Officer’s Name:
VERSION REVISION / DATE:
8.1 / 29.11.2012
Contact information
Tel.: 22 454777
Fax.: 22 420135
Email: [email protected]
http://www.artemis.com.cy
Αρ.
QS.1.10.019