Essential requirements for registration with



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ESSENTIAL REQUIREMENTS FOR REGISTRATION WITH

ASNEF” AS ADHERED MEMBER

1 Letter to the Chairman of "ASNEF" requesting registration, placing on record knowledge of the Bylaws and commitment to abide by them and cooperate to achieve the purposes of the Association.
2 Completion of required documentation:

2.1 Adhered member data form.

2.2 SEPA direct debit mandate.

3 Copy of public deed of incorporation.


4 After registration is authorized, the entrance fee, currently 1,500 euros, and a monthly fee of 214.15 euros must be paid.

* NOTE: Registration with the Association does not imply alone considered participation in the ASNEF financial delinquency files.

ADHERED MEMBER DATA FORM
General Data

Individual or Corporate Name:


Taxpayer No.:

Address:


City or Town/Province:

Postal Code: / Country:

Telephone: / Fax:

E-mail:

Date of incorporation: /Share capital:
Contact person for ASNEF notices and notifications

Name and surnames:

E-mail:

Telephone:


Billing contact person

Name and surnames:



E-mail:

Telephone:



PRINCIPAL SHAREHOLDERS



INDIVIDUAL OR CORPORATE NAME

Shareholding %

































BOARD OF DIRECTORS

Chairman:

Deputy Chairman/Chairmen:

Managing Director:

Directors:

Secretary Director:

General Manager:

Administrative Manager:

Attorneys in Fact:

(add any others considered appropriate)


ACTIVITY



Description

%

*

Loans and credit facilities







Operating lease







Guarantees and Sureties







Insurance







Debt recovery /Portfolio purchase







Publishing







Energy







Telecommunications







Financial brokerage







Microloans







Education







Security







Distribution







House rentals







Stock credit







Others (add as many as considered appropriate)
























(*) If you are unaware of the percentage of each activity, mark with an X the activities that you perform.



SEPA direct debit mandate



Referencia de la orden de domiciliación (Mandate reference)




Identificador del acreedor

(Creditor Identifier)



G28516003

Nombre del acreedor

(Creditor´s name)



ASOCIACION NACIONAL DE ESTABLECIMIENTOS FINANCIEROS DE CREDITO (ASNEF)

Dirección

(Address)



Velázquez, 64-66 2ª planta

Código postal – Población – Provincia

(Postal Code - City – Town)



28001 Madrid

País

(Country)



España

Mediante la firma de esta orden de domiciliación, el deudor autoriza (A) al acreedor a enviar instrucciones a la entidad del deudor para adeudar su cuenta y (B) a la entidad para efectuar los adeudos en su cuenta siguiendo las instrucciones del acreedor. Como parte de sus derechos, el deudor está legitimado al reembolso por su entidad en los términos y condiciones del contrato suscrito con la misma. La solicitud de reembolso deberá efectuarse dentro de las ocho semanas que siguen a la fecha de adeudo en cuenta. Puede obtener información adicional sobre sus derechos en su entidad financiera.

By signing this mandate form, you authorise (A) the Creditor to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from the Creditor. As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within eight weeks starting from the

date on which your account was debited. Your rights are explained in a statement that you can obtain from your bank.




Nombre del deudor

Debtor’s name

(titular/es de la cuenta de cargo)




Dirección del deudor

Address of the debtor




Código postal - Población – Provincia

Postal Code - City - Town




País del deudor

Country of the debtor




Swift BIC (puede contener 8 u 11 posiciones)

Swift BIC (up to 8 or 11 characters)




Número de cuenta – IBAN

Account number - IBAN





X



Tipo de pago: Pago recurrente Pago único

Type of payment

Recurrent payment One-off payment
Fecha – Localidad

Date - location in which you are signing

__________________________________________________________________________________
Firma del deudor

Signature of the debtor

__________________________________________________________________________________

TODOS LOS CAMPOS HAN DE SER CUMPLIMENTADOS OBLIGATORIAMENTE.



UNA VEZ FIRMADA ESTA ORDEN DE DOMICILIACIÓN DEBE SER ENVIADA AL ACREEDOR PARA SU CUSTODIA.

ALL GAPS ARE MANDATORY. ONCE THIS MANDATE HAS BEEN SIGNED MUST BE SENT TO CREDITOR FOR STORAGE.


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