Reference number:Date:FROM:Name of the applicant:Address:(Contact details of the designated contact person)Name:Telephone:Email:TO:Competent Authority:Address:(Contact details of the designated contact point if relevant)Address:Telephone:Email:Dear [insert appropriate name]In accordance with Article 4 of the Commission Implementing Regulation (EU) 2017/1945 of 19 June 2017 laying down implementing technical standards with regard to standard forms, templates and procedures for notification or provision of information provided for in Article 7(5) of Directive 2014/65/EU to ensure uniform conditions of application of Article 9(5) of that Directive, kindly find attached the notification request.— Person in charge of preparing the application:Name:Status/position:Telephone:Fax (if available):Email: