Page:OJ L No. 65 of 2016 - EN English.pdf/56

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L 65/53
EN
Official Journal of the European Union
11.3.2016

TEMPLATE 2

Permanent insiders section of the insider list

Date and time (of creation of the permanent insiders section) [yyyy-mm-dd, hh:mm UTC (Coordinated Universal Time)]

Date and time (last update): [yyyy-mm-dd, hh:mm UTC (Coordinated Universal Time)]

Date of transmission to the competent authority: [yyyy-mm-dd]

First name(s) of the insider Surname(s) of the insider Birth surname(s) of the insider (if different) Professional telephone number(s) (work direct telephone line and work mobile numbers) Company name and address Function and reason for being insider Included (the date and time at which a person was included in the permanent insider section) Date of birth National Identification Number (if applicable) Personal telephone numbers (home and personal mobile telephone numbers) Personal full home address (street name; street number; city; post/zip code; country)
[Text] [Text] [Text] [Numbers (no space)] [Address of issuer/emission allowance market participant/auction platform/auctioneer/auction monitor or third party of insider] [Text describing role, function and reason for being on this list] [yyyy-mm-dd, hh:mm UTC] [yyyy-mm-dd] [Number and/or text] [Numbers (no space)] [Text: detailed personal address of the insider
— Street name and number
— City
— Post/zip code
— Country]