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Annex 2 - Identification Sheet.pdf

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Annex 2

IDENTIFICATION SHEET

Name:

_____________________________________________________

Official legal form

_____________________________________________________

Statutory registration number

________________________________________________

VAT No:

_____________________________________________________

Address: ____________________

_________________

________________

_____________________________________________________

Tel: _____________________________________________________

Fax: _____________________________________________________

E-mail: _____________________________________________________

Name of representative

authorised to sign:

_____________________________________________________

Title: ______________________

__________________

_____________

Contact person (if

different from above):

_____________________________________________________

E-mail: _____________________________________________________

Bank details:

Account holder:

_____________________________________________________

Bank name:

_____________________________________________________

Branch address:

_______________

__________________

____________________

_____________________________________________________

Sort code and account No: _____________________________________________________

BIC/SWIFT code, 11 digits:

_____________________________________________________

(obligatory)

IBAN (obligatory):

_____________________________________________________

Signature

_____________________________________________________

Unless contractor is a natural person.

Unless contractor is a body governed by

public law. Natural persons s

hould indicate the number of

their identity card or, fai

ling

that, of their passport or equivalent.

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For references, please go to https://www.eea.europa.eu/about-us/tenders/eea-ses-09-003/annex-2-identification-sheet.pdf or scan the QR code.

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