anx_II__table__5
(a) concerning the creditor | If applicable | Representative of the creditor in your Member State of residence | [Identity] Address | [Geographical address to be used by the consumer] Telephone number (*1) E-mail address (*1) Fax number (*1) Web address (*1) | If applicable | Registration | [The trade register in which the creditor is entered and his registration number or an equivalent means of identification in that register] If applicable The supervisory authority | (b) concerning the credit agreement | If applicable | Exercise of the right of withdrawal | [Practical instructions for exercising the right of withdrawal indicating, inter alia, the period for exercising the right, the address to which notification of exercise of the right of withdrawal should be sent and the consequences of non-exercise of that right] If applicable The law taken by the creditor as a basis for the establishment of relations with you before the conclusion of the credit contract | If applicable | Clause stipulating the governing law applicable to the credit agreement and/or the competent court | [Relevant clause to be set out here] If applicable | Language regime | Information and contractual terms will be supplied in [specific language]. With your consent, we intend to communicate in [specific language/languages] during the duration of the credit agreement. (c) concerning redress | Existence of and access to out-of-court complaint and redress mechanism | [Whether or not there is an out-of-court complaint and redress mechanism for the consumer who is party to the distance contract and, if so, the methods of access to it] (*1) This information is optional for the creditor.
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Source: EUR-Lex CELLAR · retrieved 2026-07-31 · Text as consolidated on 2023-12-30; changes after this date are not shown.