Basic HTML Version
1595
Kanunları ve Tercümeleri
Name of the central authority: . . . . . . . . . . . . . . . . . . . . . . . . . ………….
Contact person, if applicable (title/grade and name):.. . . . . . . . . . ... . . . . . . . .
Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
File reference: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …………………………….
Tel. No: (country code) (area/city code) . . . . . . . . . . . . .. . . ………... . . . . ..
Fax No: (country code) (area/city code) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
E-mail (when available): . . . . . …………. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(e) The authority or authorities which may be contacted (in the case where point (c) and/or
(d) has been filled):
Authority mentioned under point (b)
Can be contacted for questions concerning:.. . . . . . . . . . . . . . . . . . . . . .
Authority mentioned under point (c)
Can be contacted for questions concerning: .. . . . . . . . . . . . . . . . . . . . . .
Authority mentioned under point (d)
Can be contacted for questions concerning: . . . . . . .. . . . . . . . . . .
(f ) Information regarding the natural or legal person on which the financial penalty has been
imposed:
1. In case of a natural person
Name:.. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………
Forename(s): . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . ………
Maiden name, where applicable: . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . ………
Aliases, where applicable: . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sex: . . . . .. . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . ………
Nationality: . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . ………
Identity number or social security number (when available): . . . .. . . . . . . . . . .
Date of birth: . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………
Place of birth:. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………
Last known address: .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ………
Language(s) which the person understands (if known):. . . . . . . . . . . . . . . . . . .
(a) If the decision is transmitted to the executing State because the person against whom the
decision has been passed is normally resident, add the following information:
Normal residence in the executing State:..............................................