Notification form short position, Part 2
[Regeling vervallen per 01-06-2009]
Contact
[Regeling vervallen per 01-06-2009]
-
1. Name:
-
2. Address:
-
3. Postal code:
-
4. Town:
-
5. Country:
-
6. Telephone number:
-
7. Fax number:
-
8. E-mail:
|
I hereby confirm that this form has been filled out truthfully:
|
| |
| |
|
Name of contact
|
| |
|
Date
|
| |
|
Place
|
| |
| |
|
Signature
|
You are obliged to fill in and sign this form, and send it by fax or e-mail (scanned
version of this form) or postal mail to:
Netherlands Authority for the Financial Markets (AFM)
Disclosure & Registration Department
PO Box 11723
1001 GS Amsterdam
fax number: +31 (0)20 - 797 3822
e-mail: melden.en.registreren@afm.nl