Source: OJ L, 2024/2494, 25.9.2024
Current language: EN
Annex IV
Form for provision of unsolicited exchange of information
Unsolicited exchange of information
Reference number:
Date:
FROM:
Submitting Body:
Address:
(Contact details of the contact point designated in accordance with Article 2 of Implementing Regulation (EU) 2024/2494)
Name:
Telephone:
Email:
TO:
Member State:
Receiving Body:
Address:
(Contact details of the contact point designated in accordance with Article 2 of Implementing Regulation (EU) 2024/2494)
Name:
Telephone:
Email:
Dear [insert appropriate name]
In accordance with Article 9 of Implementing Regulation (EU) 2024/2494, we are providing the following information we believe may be of assistance in carrying out your duties.
Information provided
…
…
…
[Please set out the details of the information provided, including if relevant a description of any supporting documents or material attached.]
The information provided is confidential and is disclosed to [Insert name of the submitting body] pursuant to [Insert provision of the applicable sectoral legislation] and on the basis that the information shall remain confidential in accordance with Article 10 of Implementing Regulation (EU) 2024/2494 and Article 100 of Regulation (EU) 2023/1114.
The [Insert name of the receiving body] shall observe the requirements of Article 10 of Implementing Regulation (EU) 2024/2494 with respect to the permissible uses of that information, and of Article 101 of Regulation (EU) 2023/1114 with respect to the processing and transfer of personal datameans personal data as defined in Article 4, point (1), of Regulation (EU) 2016/679;.
Yours sincerely,
[signature]
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