A third-country firm applying for the provision of investment services or performance of activities throughout the Union in accordance with the second subparagraph of Article 46(4) of Regulation (EU) No 600/2014 shall submit the following information to ESMA:

1. (a)

   full name of the firm, including its legal name and any other trading name to be used by the firm;

2. (b)

   contact details of the firm, including the head office address, telephone number and email address;

3. (c)

   contact details of the person in charge of the application, including telephone number and email address;

4. (d)

   website, where available;

5. (e)

   national identification number of the firm, where available;

6. (f)

   legal entity identifier (LEI) of the firm, where available;

7. (g)

   Business Identifier Code (BIC) of the firm, where available;

8. (h)

   name and address of the competent authority of the third country that is responsible for the supervision of the firm; where more than one authority is responsible for supervision, the details of the respective areas of competence shall be provided;

9. (i)

   the link to the register of each competent authority of the third country, where available;

10. (j)

    information on which investment services, activities, and ancillary services it is authorised to provide in the country where the firm is established;

11. (k)

    the investment services to be provided and activities to be performed in the Union, together with any ancillary services.