Complaint form

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Personal data

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Contact details (if different from personal data)

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Personal details of the legal representative (if applicable)

Last name / Legal entity name *

First name *

Registration number & LEI

Address (street, number, floor / registered office)

Postcode

City

Country

Phone number

Email *

Information about the complaint

Investment/agreement reference(s) (ID, project name, transaction references)

Subject matter of complaint (free text)

Date(s) of facts/events generating the complaint

Description of damage/loss/detriment (if relevant)

Other comments or relevant info (optional free text)

Submission & confirmation

Place

Date

Signature

Attachments

Power of attorney (if representative). Contractual docs of investment. Other supporting docs.

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Complaint form

Personal data

Information about the complaint

Submission & confirmation

Attachments

EU:n hyväksymä joukkorahoitus-­palvelun tarjoaja

EU:n hyväksymä
joukkorahoitus-
palvelun
tarjoaja