Právní předpis byl sestaven k datu 01.05.2002.
Zobrazené znění právního předpisu je účinné od 01.05.2002 do 31.03.2006.
Vyhláška, kterou se stanoví náležitosti žádosti o bankovní licenci, náležitosti žádosti o souhlas ČNB s nabytím nebo zvýšením kvalifikované účasti na bance, s osobou uzavírající ovládací smlouvu s bankou nebo s osobou provádějící právní úkon směřující k ovládnutí banky a náležitosti oznámení o snížení kvalifikované účasti na bance nebo o pozbytí postavení ovládající osoby vůči bance
166/2002 Sb.
1. xxxxxx x xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx bance, xxxx
2. statutárním xxxxxxx xxxx xxxxxx statutárního xxxxxx xxxxxxxxx xxxxx, xxxxx xx xxxxxx x xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx bance;
1. xxxxxxx xxxxx x xxxxxxxxxxxxxx xxxxxx na zakládané xxxxx, xxxx
2. xxxxxxx xxxxx, která je xxxxxxxxxxx orgánem nebo xxxxxx xxxxxxxxxxxx orgánu xxxxxxxxx xxxxx x xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx bance,
1. členem xxxxxxxxxxxx xxxxxx předkladatele,
2. statutárním xxxxxxx nebo xxxxxx xxxxxxxxxxxx xxxxxx xxxxxxxxx xxxxx, která xx xxxxxx x xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxxxxxx;
1. fyzické osoby, xxxxx xx xxxxxx xxxxxxxxxxxx orgánu xxxxxxxxxxxxx, xxxx
2. statutárním xxxxxxx xxxx xxxxxx xxxxxxxxxxxx xxxxxx xxxxxxxxx xxxxx, xxxxx xx osobou x kvalifikovanou xxxxxx xx xxxxxxxxxxxxx,
1. xxxxxxxx xx xxxxxxxx České xxxxxxx xxxxx převede xxxxxxx xxxxxxxxxx xx Xxxxx republiky xx xxxxxx xxxxxxxx xxxxxxxxxx xxxxxx, xxxxxxxxxx xxxxxxx x xxxxxxx xxxxxxx x požadované xxxx, x xxxxxxx a xxxxx xxxxxxxx stanovených Xxxxxx národní xxxxxx,
2. xxxx xxxxxxx bankovnímu xxxxxxx Xxxxx xxxxxxx xxxxx x Xxxxxxxxxxxx xxxxxxx svoji výroční xxxxxx,
|
Obchodní xxxxx
|
&xxxx;
Xxxxx xxxxx
xxxxx, XXX, xxxxx xxxxxx xxxxx
xxxxxxxxx x xxxxxxxxxxxx
|
&xxxx;
Xxxx
xxxxxxxxxx
xxxxxxxx
x&xxxx;xxx. Kč
|
Jmenovitá
hodnota
akcii
v tis. Xx
|
&xxxx;
Xxxxx xxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x xxx
|
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
Xxxxxx
xx
|
&xxxx;
xxxxx x
xxxxxxxxxx
xxxxxx
|
&xxxx;
xxxxxxxxx
xxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxxx akcie x&xxxx;xxx. Xx
|
&xxxx;
x xxx
|
||||
| &xxxx;
xxxxxx
|
&xxxx;
x toho xxxxxxxx
|
&xxxx;
xxxxxxxx xxxxx
|
&xxxx;
x xxxx xxxxxxxx
|
&xxxx;
xxxxxxxxxx xxxxx2)
|
&xxxx;
x toho xxxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
Jméno x xxxxxxxx fyzické xxxxx / Obchodní firma xxxx xxxxx xxxxxxxxx xxxxx
|
&xxxx;
Xxxxxx xxxxx
xx/ xxx.Xx
|
&xxxx;
Xxxxxxxxx xxxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
x xxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxx xxxxx
x&xxxx;xxx. Xx
|
&xxxx;
xxxxxxxxxx vklad2)
|
|
|
|
|
|
druh xxxxxx
|
&xxxx;
xxxxxxx xxxxxxx
x&xxxx;xxx. Xx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
XXXXXX
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
Název xxxxxxxx
|
&xxxx;
Xxxxxxx xxxxxxxxxx x&xxxx;xxxxx xxxxxxx x xxxxxxx
(xxxxxx xxx - xx)
|
&xxxx;
Xxxxxxxxxxxxx xxxxxx xxxxxxxx xxxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
| &xxxx;
xxxxxxxxx vkladů xx xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx úvěrů
|
|
|
|
investování xx cenných xxxxxx xx vlastní xxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxx (xxxxxxxx leasing)
|
|
|
|
platební xxxx x xxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx x správa platebních xxxxxxxxxx, xxxx. xxxxxxxxxx xxxxx, xxxxxxxxxx šeků
|
|
|
|
poskytování xxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx akreditivů
|
|
|
|
obstarávání inkasa
|
|
|
|
poskytování xxxxxxxxxxxx xxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxxxxx xxxxxxxxxx xxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxx xxxxxx xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxxxx (xxxxx xxxxxxxxxx prostředků)
|
|
|
|
poskytování xxxxxxxxxx informací
|
|
|
|
obchodování xx xxxxxxx xxxx nebo xx xxxx klienta x&xxxx;xxxxxxxxxx hodnotami x xx xxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxxxxxxxx xxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx, xxxxx xxxxx xxxxxxx x&xxxx;xxxxxxxxx xxxxxxxxx xxxx
|
&xxxx;
|
&xxxx;
|
|
Jméno x xxxxxxxx fyzické osoby / xxxxxxxx firma xxxx xxxxx xxxxxxxxx xxxxx3)
|
&xxxx;
Xxxxx narození xxxxxxx xxxxx / XX/xxxxx xxxxxx xxxxxxxxx xxxxxxx xxxxx-xxxxxxxxxxx x&xxxx;xxxxxxxxx xxxx xxxxx xxxxxx xxxxxxxxx xxxxx4)
|
&xxxx;
Xxxxxx xxxxx trvalého xxxxxx xxxxxxx xxxxx/Xxxxx xxxxxxxxx xxxxx5)
|
&xxxx;
Xxxxxx xxxxxxxxx xxxxxxx xxxxx/Xxxx xxxxxxxxxx xxxxxxxxx xxxxx
|
&xxxx;
Xxxxx x xxxxxxxx fyzické xxxxx/Xxxxxxxx xxxxx xxxx název xxxxxxxxx xxxxx, xxxxx xx kontrolu xxx xxxxxx x&xxxx;xxxxxxxxxxxxxx účasti xx xxxxxxxxx xxxxx/xxx xxxxxxx xxxxxxx společnosti x xxxxx s kvalifikovanou xxxxxx na xxxx xxx vzniklé akciové xxxxxxxxxxx6)
|
&xxxx; | &xxxx;
Xxxxxx místa xxxxxxxx pobytu xxxxxxx xxxxx / Sídlo xxxxxxxxx xxxxx5)
|
&xxxx;
Xxxxxx xxxxxxxxxx xxxxxxxx6)
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxx a xxxxxxxx
|
&xxxx;
Xxxxxxxx firma xxxx xxxxx xxxxxxxxx xxxxx, xx xxxxx xxxxx xxxxxxx xx sl. 1 xxxxxx
|
&xxxx; | &xxxx;
Xxxxx5)
|
&xxxx;
Xxxxxxxxx xxxxxx9)
|
&xxxx;
Xxxxx, od xxxxxxx xx xxxxxx zastávána
|
|
1
|
2
|
3
|
4
|
5
|
6
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| &xxxx;
1. Xxxxxxxx xxxxx xxxx xxxxx xxxxx x&xxxx;xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx xxxxx xxxx již xxxxxxx xxxxxxx xxxx.
2. Xxxxx x xxxxxxxx xxxxxxxxxxxxx xxxx x&xxxx;xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx xxxxx xxxx již xxxxxxx xxxxxxx xxxxxxxxxxx 9),10)
4. Xxxxxxxxx funkce9)
5. Xxxxx, xx xxxxxxx je xxxxxx zastávána
6. Xxxxxxxx xxxxx xxxx název xxxx xxxxxxxxx osoby, xx xxxxx xxxxx xxxxxxx xx xx. 2 xxxxxx
8. Sídlo5)
9. Xxxxxxxxx xxxxxx9)
10. Datum, od xxxxxxx je xxxxxx xxxxxxxxx
|
|||||||||
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
&xxxx;
9
|
&xxxx;
10
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx;
1. Xxxxx x xxxxxxxx xxxxxxx xxxxx / Xxxxxxxx firma nebo xxxxx právnické xxxxx x&xxxx;xxxxxxxxxxxxxx účastí xx xxxxx xxxx xxx xxxxxxx xxxxxxx společnosti x xxxxx s kvalifikovanou xxxxxx této xxx xxxxxxx xxxxxxx společností
2. Xxxxxxxx xxxxx nebo xxxxx právnické xxxxx, xx níž má xxxxx xxxxxxx ve xx. 1 xxxxx
4. Xxxxx xxxxxxxxx osoby5)
5. Xxxxxxx podnikání právnické xxxxx
6. Xxxxxxxx xxxxxxx xxxxxxxxx xxxxx x&xxxx;xxx. Xx
7. Podíl xx xxxxxxxxx kapitálu xxxxxxxxx xxxxx x %
8. Xxxxx xx xxxxxxxxxxx xxxxxxx xxxxxxxxx xxxxx x %
|
|||||||
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx;
1. Obchodní firma xxxx xxxxx xxxxxxxxx xxxxx x&xxxx;xxxxxxxxxxxxxx xxxxxx xx xxxxxxxxx xxxxx xxxx xx xxx xxxxxxx akciové společnosti xxxxxxxx x xxxxxxx x osoby s kvalifikovanou xxxxxx xx této xxx xxxxxxx xxxxxxx xxxxxxxxxxx
2. Xxxxx x xxxxxxxx xxxxxxx xxxxx / Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx xxxxx, xxxxx xx xxxxxx xx xxxxx xxxxxxx ve sl. 1
4. Xxxxxx xxxxx trvalého pobytu xxxxxxx xxxxx / Xxxxx xxxxxxxxx osoby5)
|
||||||||
|
Podíl xx xxxxxxxxx jmění xxxx na xxxxxxxxxxx xxxxxxx x %17)
|
||||||||
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx;
xxxxx
|
&xxxx;
xxxxxxx
|
&xxxx;
xxxxxxxxxxxxxxx xxxxxxxxx xxxxx
|
||
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxx firma xxxx xxxxx
|
&xxxx;
XX/ xxxxx xxxxxx4)
|
&xxxx;
xxxxx5)
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
&xxxx;
9
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx;
Xxxxx a xxxxxxxx xxxxxxx xxxxx / Obchodní xxxxx xxxx xxxxx xxxxxxxxx xxxxx x&xxxx;xxxxxxxxxxxxxx xxxxxx xx xxxxx nebo xxx xxxxxxx xxxxxxx xxxxxxxxxxx x osoby x&xxxx;xxxxxxxxxxxxxx xxxxxx xx xxxx xxx xxxxxxx xxxxxxx xxxxxxxxxxx
|
&xxxx;
Xxxxxxxx firma xxxx
xxxxx xxxxxxxxx xxxxx, xxxxx je xxxxxx
xxxxxxxxx xx xxxxxx x
xxxxx xxxxxxx ve xx. 1
|
&xxxx;
XX/xxxxx xxxxxx
xxxxxxxxx osoby
|
Sídlo
právnické
osoby5)
|
Předmět
podnikání
|
Základní
kapitál
právnické
osoby
v tis. Xx
|
&xxxx;
Xxxxx
xxxxxxxx
xxxxxxxx
xxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx osoby x&xxxx;xxxxxxxxxxxxxx xxxxxx na xxxxx xxxx xx již xxxxxxx xxxxxxx xxxxxxxxxxx x xxxxx x&xxxx;xxxxxxxxxxxxxx xxxxxx na xxxx xxx vzniklé akciové xxxxxxxxxxx
|
&xxxx;
Xxxxx x příjmení xxxxxxx xxxxx / Xxxxxxxx xxxxx nebo xxxxx xxxxxxxxx osoby, xxxxx je ve xxxxxx k osobě uvedené xx xx. 1 xxxxxx xxxxxxxxxx
|
&xxxx;
XX/xxxxx xxxxxx
xxxxxxxxx xxxxx
|
&xxxx;
Xxxxx
xxxxxxxxx
xxxxx5)
|
&xxxx;
Xxxxxxx
xxxxxxxxx
|
&xxxx;
Xxxxxxxx
xxxxxxx
xxxxxxxxx
xxxxx
x&xxxx;xxx. Kč
|
Datum
uzavření
ovládací
smlouvy
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| &xxxx;
Xxxxx x xxxxxxxx xxxxxxx osoby / Xxxxxxxx firma xxxx xxxxx xxxxxxxxx osoby x&xxxx;xxxxxxxxxxxxxx účastí xx xxxxx xxxx již xxxxxxx xxxxxxx xxxxxxxxxxx x xxxxx s kvalifikovanou xxxxxx xx této xxx xxxxxxx xxxxxxx xxxxxxxxxxx
|
&xxxx;
Xxxxxxxx firma xxxxxxxx xxxxxxxxx, v níž měla xxxxx xxxxxxx xx xx. 1 podíl xxxx xxxx osobou xxxxxxxxxx
|
&xxxx;
XX/xxxxx
xxxxxx
xxxxxxxx
xxxxxxxxx
|
&xxxx;
Xxxxx
xxxxxxxx
xxxxxxxxx5)
|
&xxxx;
Xxxx držení
majetkového
podílu/doba
platnosti
ovládací xxxxxxx
|
&xxxx;
Xxxxx xx
xxxxxxxxx
xxxxxxxx17)
x %
|
&xxxx;
Xxxxxxxxx
|
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xx
|
&xxxx;
xx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx; | &xxxx;
XXX
|
&xxxx;
XX
|
| &xxxx;
1. Xxxxxxx xxxxxxxx xxxxxx x na xxxxxxx xxxx? Xxxxx xx, xxxxxx na xxxxxxxxx xxxxx xxxxxxxxxxx.
|
&xxxx; | &xxxx; |
| &xxxx;
2. Xxxxxxxxxx xxxx xxxxxx xxxxxxxxx xxxxxxxxx práva xx xxxxxxxx xxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
3. Xxxxxxx xxxxxxx na xxxxxxx xxxxxxxx xxxxxxx xxxx jiného xxxxxxxx xxxxxxxxx práva x&xxxx;xxxxx xx xxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
4. Xxxx xxxxxxxx xxxxxxx x&xxxx;xxxxx xxxxxx, xx xxxxxx základě xxxx xxxxxxxxx osobou? Xxxx xxxx xxxx uzavřena xxxxxxx, na xxxxxx xxxxxxx xx xxxx xxxx xxxxxxxxx xxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
5. Xxxxxxx xx xxxxx x&xxxx;xxxxx xxxxx, xxxxx xxxxxxx akcie banky xxxx xx xxxxxx xxx převeden xxxxx xxxxxxxxxxx xxxx nebo xxxxx má xxxxxxx xxxxxxxxxx významný xxxx xx xxxxxx banky?
|
| &xxxx; | &xxxx; | &xxxx;
Xxxxx5)
|
&xxxx;
XX/xxxxx
xxxxxx3)
|
&xxxx;
Xxxxxxxxx
xxxxxx9)
|
&xxxx;
Xxxxxx, xx xxxxxx
xxxx xxxxxx
xxxxxxxxx
|
&xxxx;
Xxxxx xxxxxxxxx xxxxx
xxx xxxxxxx - xxxxxx x
xxx zaniknutí
|
|
Jméno x příjmení
|
..............
|
..............
|
..............
|
..............
|
..............
|
|
|
Datum narození4)
|
..............
|
..............
|
..............
|
..............
|
..............
|
|
|
Adresa xxxxx trvalého xxxxxx5)
|
&xxxx; | &xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
| &xxxx;
Xxxxxx xxxxxxxxx
|
&xxxx; | &xxxx;
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
| &xxxx;
Xxxxxxxxxx xxxxxx v bance23)
|
..............
|
..............
|
..............
|
..............
|
..............
|
|
|
Délka xxxxx xx xxxxxxxxx xxxxxxx x&xxxx;xxxxxx
|
&xxxx; | &xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
&xxxx;
..............
|
| &xxxx;
Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx xxxxx, xx které xxxxxxxxxx osoba x&xxxx;xxxxxxxxxx 10 xxxxxx xxxxxxxx xxxxxx xxx xxxxxxxxx xxxxxxxxxxx
|
&xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
|
Označení organizační xxxxxx
|
&xxxx;
1
|
&xxxx; |
| &xxxx;
Xxxxx xxxxxxxxxxx xxxxxx
- xxxxx, XXX, xxxxx xxxxxx xxxxx xxxxxxxxx x xxxxxxxxxxxx
|
&xxxx;
2
|
&xxxx; |
| &xxxx;
Xxxxxxxxxx xxxx xxxxxxxxxxxx finančních xxxxxx
x&xxxx;xxx. Xx
|
&xxxx;
3
|
&xxxx; |
|
Název xxxxxxxx
|
&xxxx;
Xxxxxxx xxxxxxxxxx x&xxxx;xxxxx
xxxxxxx o xxxxxxx
(xxxxxx ano - xx)
|
&xxxx;
Xxxxxxxxxxxxx termín
zahájení xxxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
| &xxxx;
xxxxxxxxx xxxxxx xx xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx do cenných xxxxxx xx xxxxxxx xxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxx (finanční xxxxxxx)
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxx a xxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx a xxxxxx xxxxxxxxxx xxxxxxxxxx, xxxx. xxxxxxxxxx xxxxx, xxxxxxxxxx xxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxxxxxxxxx služeb
|
|
|
|
finanční xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxx funkce xxxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxxxx (nákup xxxxxxxxxx xxxxxxxxxx)
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xxxxxxxxxx xxxxxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxxxxx xx xxxxxxx xxxx xxxx xx účet xxxxxxx s devizovými hodnotami x xx xxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
xxxxxxxx xxxxxxxxxxxxxx schránek
|
|
|
|
činnosti, xxxxx xxxxx xxxxxxx s činnostmi xxxxxxxxx výše
|
|
|
| &xxxx;
Xxxxxxxx xxxxx
|
&xxxx;
1
|
&xxxx; |
| &xxxx;
Xxxxx vzniku
|
2
|
|
|
Stát xxxxxxxxxx
Xxxxx1)
- xxxxxxx
- xxx
- x-xxxx
|
&xxxx;
3
|
&xxxx; |
| &xxxx;
Xxxx xxxxxxxxxx xxxxxxxx
- x&xxxx;xxxx xxxx
- x&xxxx;Xx
|
&xxxx;
4
|
&xxxx; |
| &xxxx;
Xxxxx x xxxxxxxx xxxxxxx xxxxx/Xxxxxxxx xxxxx nebo xxxxx xxxxxxxxx osoby, xxxxx xxxxxxxx xxxxxxxx2) nad xxxxxxxxxx xxxxxx
|
&xxxx;
5
|
&xxxx; |
| &xxxx; | &xxxx;
6
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxx xxxxxxxx pobytu fyzické xxxxx/Xxxxx xxxxxxxxx xxxxx1)
|
&xxxx;
7
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxxxxxxx kontroly4)
|
8
|
| &xxxx;
Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx osoby, x&xxxx;xxx xx zahraniční xxxxx podíl
|
IČ/datum vzniku
právnické xxxxx3)
|
&xxxx;
Xxxxx
xxxxxxxxx
xxxxx1)
|
&xxxx;
Xxxxxxx
xxxxxxxxx
xxxxxxxxx osoby
|
Základní kapitál
právnické xxxxx
x&xxxx;xxx. Xx
|
&xxxx;
Xxxxx na
základním xxxxxxxx
xxxxxxxxx osoby x %
|
&xxxx;
Xxxxx xx
xxxxxxxxxxx
xxxxxxx xxxxx x %
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Jméno, xxxxxxxx xxxxxxx osoby / Xxxxxxxx firma xxxx xxxxx xxxxxxxxx xxxxx, která má xxxxx xx xxxxxxxxxx xxxxx
|
&xxxx;
Xxxxx xxxxxxxx
xxxxxxx osoby/IČ/
datum xxxxxx
xxxxxxxxx xxxxx3)
|
&xxxx;
Xxxxxx xxxxx
xxxxxxxx xxxxxx
xxxxxxx osoby/
Sídlo xxxxxxxxx
xxxxx1)
|
&xxxx;
Xxxxx xx xxxxxxxxx kapitálu x %
|
||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxx
|
&xxxx;
xxxxxxx
|
&xxxx;
Xxxxxxxxxxxxxxx xxxxxxxxx xxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxx xxxxx
xxxx xxxxx
|
&xxxx;
XX/xxxxx xxxxxx3)
|
&xxxx;
xxxxx1)
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxx x xxxxxxxx
|
&xxxx;
Xxxxx narození3)
|
Adresa xxxxx xxxxxxxx xxxxxx1)
|
&xxxx;
Xxxxxx občanství
|
Navrhovaná xxxxxx8)
|
&xxxx;
Xxxxx xxxxx
xx xxxxxxxxx xxxxxxx x&xxxx;xxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx; | &xxxx;
XXX
|
&xxxx;
XX
|
| &xxxx;
1. Xxxx x&xxxx;xxxx xxxxxxxxxx dokumentu xxxxxxxxxxx xxxxxxx xxxx xxxx xxxxxx xxxx xxxxxx xxxxxxx xxxx právnické xxxxx? X&xxxx;xxxxxxx xxxxxx xxxxxxxx xxxxxx na xxxxxxxxx xxxxx xxxxx xxxxxxxxx xxxxx x xxxxxxxxxxx xxxxxx, xxxxxx xxxxxxxxxx, xx x&xxxx;xxxxxxx xxxxxxxxx xx xxxxxx x&xxxx;xxxxx bude Xxxx xxxxxxxx, xxxxx by xx xxxx x&xxxx;xxxxxxx xx xxxxxxx x xxxxxxx, xxxxxxxx x xx xxxxxxxx xxxxxx xxxx xxxxxx xxxxxxxxx.
|
&xxxx; | &xxxx; |
| &xxxx;
2. Xxx xx Xxx xxxxxxx xxxx xx xxxxxxx právnické osoby, xxxxx xxxx Xxxx xxxxxxxx, v minulosti prohlášen xxxxxxx, xxxxxxxxx xxx xxxxxxxx návrh xx xxxxxxxxxx xxxxxxxx xxx xxxxxxxxxx xxxxxxx xxxxxxxxx xxxxx? Xxxxxxxxx/x jste xxxxxxx xxxx statutární xxxxx xxxx xxxx xxxxxxxxxxxx xxxx xxxxxx xxxxxx xxxxxxxxx xxxxx xx dobu xx xxx xxx xxxx xxxxxxxxxxx konkurzu xx xxxxxxx xxxx xxxxxxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
3. Xxxxxxxxx/x xxxx xxxxxxx xxxx xxxxxxxxxx xxxxx nebo xxxx xxxxxxxxxxxx orgánu xxxx xxxxxx xxxxxx xxxxxxxxx xxxxx x&xxxx;xxxx xxx xxx před xxxxxxxxx xxxxxx xxxxxx xx xxxx xxxxxxxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
4. Xxxx Vám xxxxxxxxxxx xx xxxxxx povolení x&xxxx;xxxxxx podnikatelské xxxxxxxx xxxx xxxx xxxxxxxx xxxx xxxxxx xxxx xxxx xxxxxxx xxxxx xxxxxx xxxxxxx x&xxxx;Xxxx xxxxxx, xxxxxxxxxx xxxx xxxxxxxxxxx xx funkce, xxxxxxxx tato xxxxx, xxxxxxxxx xxxx xxxxxxxxxx xxxxxx souhlas xxxxxxxx xxxxxxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
5. Xxxxxxx Xxxx xxxxxxxx, xxxxxxx xx xxxx oprávnění k výkonu xxxxxxxxxxxxx xxxxxxxx x&xxxx;xxxxxx xxxxxx xxx xxxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
6. Xxx/x xxxx xxxxxxxx/x x&xxxx;xxxxxxxxxx sdružení, komory xxxx xxxxxxxx, xxxxxx xxxxxxxxxxxx? Xxxx Vám xxxxxxxxx žádost o Xxxx přijetí xx xxxxxx xxxxxxxx? Byl Xxx uložen disciplinární xxxxx x&xxxx;xxxxx xxxxxx xxxxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
7. Xxxxxxxxx/x xxxx xxxxxxx jako statutární xxxxx, xxxx xxxxxxxxxxxx xxxxxx xxxx xxxxxx xxxxxx xxxxxxxxx osoby, xxxxx byla xxxxxxxxx x&xxxx;xxxxxxxxxx sdružení, xxxxxx xxxx xxxxxxxx, xxxxxx xxxxxxxxxxxx? Xxxx xxxx xxxxxxxxx xxxxx zamítnuta xxxxxx x xxxx xxxxxxx xx takové xxxxxxxx xxxx xx xxx xxxxxx disciplinární xxxxx v rámci takové xxxxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
8. Xxx/x xxxx xxxxxxxxxx xxxxxxxx/x xx xxxxxxx xxx xxxx Xxx xxxx pravomocně xxxxxxx xxxxxx xxxx xxxxxxxxx x&xxxx;xxxxxxx škody xxx xxxxxxx xxxx xxxxxxxxx porušení xxxxxx xxxxxxxxxx, xxx xxxxxxxx xxxxxxxxx xxxxxxxxx nebo xxxxxxxx obdobného xxxxxxxxx xxxxxxx souvisejícího x&xxxx;xxxxxxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
9. Máte xxxxxxx xx xxxxxxxxxx xxxx xxxxxx xxxx xxxxx xxxxxx nebo xxxxxx xxxx nebo xxxxxxxxxx xx xxxxxx? Xxxxx xxxxxx xxxxxxx xxxx, xxxxxx xxxxxxxxxxx na xxxxxxxxx xxxxx x xxxxxxx xxxxxx xxxx xxxxxxxxxx xxxxxxx.
|
&xxxx; | &xxxx; |
| &xxxx;
Xxxxxxxx xxxxx banky
|
|
|
Nominální xxxxxxx xxxxx xxxxx celkem x&xxxx;xxx. Xx
|
&xxxx; |
| &xxxx;
Xxxxxxxxx hodnota xxxxx xxxxx x&xxxx;xxxxxxxxxx xxxxxx xxxxxx v tis. Xx
|
&xxxx; |
| &xxxx;
|
&xxxx;
Xxxxxxxxx xxxxxxx xxxxx xxxxx x&xxxx;xxx. Kč
|
z xxxx
|
&xxxx;
Xxxxx xxxxx xxxxxxx xx xx. 2 xx základním kapitálu xxxxx x %
|
&xxxx;
Xxxxx xxxxx xxxxxxx ve xx. 3 na xxxxxxx hodnotě akcií xxxxx s hlasovacím právem x %
|
&xxxx;
Xxxxxxxxx xxxxx, xxxxxx prostřednictvím předkladatel xxxxxxxxx xxxxxxx xxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxx xxxxxxx xxxxx xxxxx x&xxxx;xxxxxxxxxx xxxxxx x&xxxx;xxx. Xx
|
&xxxx;
|
&xxxx;
|
&xxxx;
XX/xxxxx xxxxxx1)
|
&xxxx;
xxxxx2)
|
&xxxx;
xxxxx xxxxxxxxxxxxx xx základním kapitálu xxxxxxxxx xxxxx x %
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
Xxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
x tom:
|
|||||||
|
přímý xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
xxxxxxx xxxxx celkem
|
|
|
|
|
x
|
x
|
x
|
|
v xxx xxxxxxxxxxxxxxx:3)
|
|||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
|
Nominální xxxxxxx xxxxx x&xxxx;xxx. Xx
|
&xxxx;
x xxxx
|
&xxxx;
Xxxxx xxxxx xxxxxxx xx xx. 2 xx xxxxxxxxx kapitálu xxxxx x %
|
Podíl xxxxx xxxxxxx ve xx. 3 na xxxxxxx xxxxxxx xxxxx xxxxx s hlasovacím xxxxxx x %
|
Právnická xxxxx, xxxxxx prostřednictvím xxxxxxxxxxxx xx xxxxxxx xxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxx xxxxxxx akcií xxxxx x&xxxx;xxxxxxxxxx xxxxxx v tis. Xx
|
&xxxx;
|
&xxxx;
|
&xxxx;
XX/xxxxx vzniku1)
|
sídlo2)
|
podíl xxxxxxxxxxxxx xx xxxxxxxxx xxxxxxxx x %
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
|
Celkem
|
|
|
|
|
x
|
x
|
x
|
|
v tom:
|
|||||||
|
přímý xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
xxxxxxx xxxxx xxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
x xxx xxxxxxxxxxxxxxx:3)
|
|||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
Xxxxxxxxx hodnota x&xxxx;xxx. Xx
|
&xxxx;
x xxxx
|
&xxxx;
Xxxxx xxxxx xxxxxxx ve xx. 2 na základním xxxxxxxx banky v %
|
&xxxx;
Xxxxx xxxxx xxxxxxx xx sl. 3 xx xxxxxxx xxxxxxx xxxxx xxxxx s hlasovacím xxxxxx x %
|
Právnická xxxxx, jejímž prostřednictvím xxxxxxxxxxxx xx xxxxxxx xxxxx
|
||
| &xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxx xxxxxxx akcií xxxxx x&xxxx;xxxxxxxxxx právem x&xxxx;xxx. Kč
|
|
|
IČ/datum vzniku1)
|
sídlo2)
|
podíl xxxxxxxxxxxxx xx xxxxxxxxx xxxxxxxx v %
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
Xxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
x xxx:
|
|||||||
| &xxxx;
xxxxx xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
xxxxxxx podíl xxxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
x xxx xxxxxxxxxxxxxxx:3)
|
|||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
Jméno x xxxxxxxx xxxxxxx xxxxx/ Xxxxxxxx firma nebo xxxxx právnické osoby
|
|
|
Datum xxxxxxxx xxxxxxx osoby/IČ/datum xxxxxx xxxxxxxxx xxxxx1)
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxx xxxxxxxx pobytu xxxxxxx xxxxx/Xxxxx právnické xxxxx2)
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxxxxxx xxxxxxx xxxxx/Xxxx registrace xxxxxxxxx xxxxx
|
&xxxx; |
| &xxxx;
Xxxxx, xxxxx má xxxxxxxx4) nad xxxxxxxxxxxxxx (xxxxxxxxxx osobou)
|
|
|
- xxxxxxxx xxxxx xxxx název/jméno x příjmení
|
|
|
- XX/xxxxx xxxxxx/xxxxx xxxxxxxx1)
|
&xxxx; |
| &xxxx;
- xxxxx/xxxxxx xxxxx xxxxxxxx xxxxxx2)
|
&xxxx; |
| &xxxx;
- xxxxxx vykonávané kontroly
|
| &xxxx;
Xxxxxxxx xxxxx xxxx xxxxx právnické xxxxx, xx které xxxxxxxxxxxx xxxxxx
|
&xxxx;
XX/xxxxx xxxxxx1)
|
&xxxx;
Xxxxx2)
|
&xxxx;
Xxxxxxxxx funkce5)
|
Datum, xx xxxxxxx xx xxxxxx xxxxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
2. Xxxxx xxxxxxxx
3. Xxxxxxxxx xxxxxx5) x&xxxx;xxxxxxxxx xxxxx xxxxxxxxxxxxx
4. Xxxxx, xx xxxxxxx xx xxxxxxxxx funkce x&xxxx;xxxxxxxxx osobě xxxxxxxxxxxxx
5. Xxxxxxxx firma xxxx xxxxx právnické xxxxx, xx xxxxx xxxxx xxxxxxx xx xx. 1 působí
7. Xxxxx2)
8. Xxxxxxxxx xxxxxx5)
9. Datum, xx xxxxxxx je xxxxxx xxxxxxxxx
|
||||||||
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
&xxxx;
9
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx;
Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx xxxxx
|
&xxxx;
XX/xxxxx
xxxxxx1)
|
&xxxx;
Xxxxx2)
|
&xxxx;
Xxxxxxx
xxxxxxxxx
|
&xxxx;
Xxxxxxxx
xxxxxxx
x&xxxx;xxx. Xx
|
&xxxx;
Xxxxx xx xxxxxxxxx xxxxxxxx xxxxxxxxx xxxxx x %
|
&xxxx;
Xxxxx xx
xxxxxxxxxxx právech xxxxxxxxx xxxxx x %
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxx x xxxxxxxx xxxxxxx xxxxx/ Xxxxxxxx xxxxx xxxx xxxxx právnické xxxxx
|
&xxxx;
Xxxxx xxxxxxxx xxxxxxx xxxxx/XX/ xxxxx xxxxxx
xxxxxxxxx xxxxx1)
|
&xxxx;
Xxxxxx xxxxx xxxxxxxx xxxxxx fyzické osoby2)/
Sídlo xxxxxxxxx xxxxx2)
|
&xxxx;
Xxxxx na xxxxxxxxx xxxxxxxx9) v %
|
||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxxxxxxxx xxxxxxxxx osoby
|
||
|
|
|
|
přímý
|
nepřímý
|
obchodní xxxxx xxxx xxxxx xxxxxxxxx xxxxx
|
&xxxx;
XX/xxxxx
xxxxxx1)
|
&xxxx;
xxxxx2)
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
|
Obchodní xxxxx nebo xxxxx xxxxxxxxx xxxxx, xxxxx xx osobou ovládanou xx xxxxxx k předkladateli
|
&xxxx;
Xxxxx xxxxxxxxx osoby2)
|
Předmět xxxxxxxxx
|
&xxxx;
Xxxxxxxx xxxxxxx xxxxxxxxx xxxxx v tis. Xx
|
&xxxx;
Xxxxx xxxxxxxx ovládací xxxxxxx
|
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxx x xxxxxxxx xxxxxxx xxxxx/Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx osoby, xxxxx xx xx xxxxxx x&xxxx;xxxxxxxxxxxxx xxxxxx xxxxxxxxxx
|
&xxxx; |
Sídlo xxxxxxxxx xxxxx2)
|
&xxxx;
Xxxxxxx xxxxxxxxx
|
&xxxx;
Xxxxxxxx xxxxxxx právnické xxxxx x&xxxx;xxx. Xx
|
&xxxx;
Xxxxx uzavření xxxxxxxx xxxxxxx
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx, v níž xxx xxxxxxxxxxxx xxxxx xxxx xxxxx xxxx xxxxxx xxxxxxxxx
|
&xxxx;
XX/xxxxx
xxxxxx xxxxxxxx
|
&xxxx;
Xxxxx
xxxxxxxx
xxxxxxxxx2)
|
&xxxx;
Xxxx xxxxxx majetkového
podílu/doba xxxxxxxxx xxxxxxxx xxxxxxx
|
&xxxx;
Xxxxx xx
xxxxxxxxx
xxxxxxxx9) x&xxxx;%
|
&xxxx;
Xxxxxxxxx
|
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xx
|
&xxxx;
xx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx; | &xxxx;
XXX
|
&xxxx;
XX
|
| &xxxx;
1. Nakupujete xxxxx xxxxx vlastním jménem x na xxxxxxx xxxx? Xxxxx xx, xxxxxx na zvláštním xxxxx podrobnosti.
|
||
|
2. Xxxxxxxxxx xxxx budete xxxxxxxxx xxxxxxxxx práva xx xxxxxxxx třetí xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
3. Xxxxxxx převést xx xxxxxxx uzavřené smlouvy xxxx xxxxxx ujednání xxxxxxxxx xxxxx x&xxxx;xxxxx xx xxxxx xxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
4. Xxxx xxxxxxxx xxxxxxx x&xxxx;xxxxx osobou, xx xxxxxx xxxxxxx xxxx xxxxxxxxx xxxxxx? Xxxx xxxx xxxx xxxxxxxx xxxxxxx, na jejímž xxxxxxx xx xxxx xxxx xxxxxxxxx xxxxxx?
|
&xxxx; | &xxxx; |
| &xxxx;
5. Xxxxxxx xx xxxxx x&xxxx;xxxxx osobou, která xxxxxxx akcie xxxxx xxxx xx xxxxxx xxx xxxxxxxx xxxxx xxxxxxxxxxx xxxx nebo xxxxx xx možnost xxxxxxxxxx xxxxxxxx vliv xx xxxxxx banky? Xxxxx ano, xxxxxx xx v tabulce 9 xxxx xxxxxxx x xx xxxxxxxxx xxxxx xxxxx xxxxxxxxxxx xxxxxxxx xx xxxxxxx jednání xx xxxxx.
|
&xxxx; | &xxxx; |
| &xxxx;
6. Xxxx xxxxxxx xx xxxxxxxxxx xxxx bankám nebo xxxxx xxxxxx xxxx xxxxxx xxxx nebo xxxxxxxxxx xx xxxxxx? Xxxxx takové závazky xxxx, xxxxxx xxxxxxxxxxx xx xxxxxxxxx listu x xxxxxxx jejich xxxx předmětným xxxxxxx.
|
&xxxx; | &xxxx; |
| &xxxx;
1. Jméno a xxxxxxxx fyzické xxxxx/Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx xxxxx
2. Xxxxx xxxxxxxx fyzické osoby/IČ/datum xxxxxx právnické osoby1)
4. Xxxxx xx xxxxxxxxx xxxxxxxx xxxxx x %
5. xxxxx
6. xxxxxxx
7. obchodní xxxxx xxxx xxxxx xxxxxxxxx osoby
8. xxxxx2)
9. XX/xxxxx xxxxxx1)
10. Xxxxx xx akciích xxxxx x&xxxx;xxxxxxxxxx xxxxxx x %
11. xxxxx
12. xxxxxxx
13. xxxxxxxx xxxxx nebo xxxxx xxxxxxxxx xxxxx
14. xxxxx2)
15. XX/xxxxx xxxxxx1)
|
||||||||||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x xxxx
|
&xxxx;
|
&xxxx;
x xxxx
|
||||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxxxxxxxx právnické xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxxxxxxxx xxxxxxxxx xxxxx
|
||||
| &xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
&xxxx;
7
|
&xxxx;
8
|
&xxxx;
9
|
&xxxx;
10
|
&xxxx;
11
|
&xxxx;
12
|
&xxxx;
13
|
&xxxx;
14
|
&xxxx;
15
|
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; | &xxxx; |
| &xxxx;
Xxxxxx xx xxxxxxx
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
1. Jméno x xxxxxxxx xxxxxxx xxxxx/Xxxxxxxx xxxxx xxxx xxxxx xxxxxxxxx osoby
2. Xxxxx xxxxxxxx xxxxxxx osoby/IČ/datum xxxxxx xxxxxxxxx xxxxx1)
4. Xxxxx xx xxxxxxxxx xxxxxxxx xxxxx x %
5. xxxxx
6. xxxxxxx
7. xxxxxxxx xxxxx xxxx název xxxxxxxxx xxxxx
8. xxxxx2)
9. XX/xxxxx xxxxxx1)
10. Xxxxx xx akciích xxxxx x&xxxx;xxxxxxxxxx xxxxxx x %
11. xxxxx
12. xxxxxxx
13. xxxxxxxx xxxxx
14. xxxxx2)
15. XX/xxxxx xxxxxx1)
|
||||||||||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x toho
|
|
z xxxx
|
||||||||
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxxxxxxxx právnické xxxxx
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxxxxxxxxxxx xxxxxxxxx osoby
|
||||
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
|
Celkem xx xxxxxxx
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
x
|
&xxxx;
x
|
&xxxx;
x
|
| &xxxx;
Xxxxx x příjmení xxxxxxx xxxxx/Xxxxxxxx xxxxx xxxxxxxxx xxxxx
|
&xxxx;
Xxxxx narození xxxxxxx xxxxx/XX/xxxxx xxxxxx xxxxxxxxx osoby1)
|
Adresa místa xxxxxxxx pobytu xxxxxxx xxxxx/Xxxxx xxxxxxxxx
xxxxx2)
|
&xxxx;
Xxxxxxxx akcie xxxxx
|
&xxxx;
Xxxxxx
xxxxxx xxxxx
|
&xxxx;
Xxxxxxxxxxxxx datum xxxxxx xxxxx xxxxx
|
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
xxxxxx
|
&xxxx;
x xxxx akcie x&xxxx;xxxxxxxxxx xxxxxx
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
1
|
&xxxx;
2
|
&xxxx;
3
|
&xxxx;
4
|
&xxxx;
5
|
&xxxx;
6
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
&xxxx;
|
| &xxxx;
Xxxxxxxx xxxxx xxxxx
|
&xxxx; | |
| &xxxx;
Xxxx xxxxxxxxx nominální xxxxxxx akcií banky x&xxxx;xxx. Xx
- x&xxxx;xxxx xxxxx s hlasovacím právem
|
||
|
Výše xxxxxxxxxxx xxxxxx na xxxxx x %
- x&xxxx;xxxx xxxxx x&xxxx;xxxxxxxxxx xxxxxx
|
&xxxx; | |
| &xxxx;
Xxxxxxx xxxxx xx xxxxx po xxxxxxx x %
- z toho xxxxx xxxxx x&xxxx;xxxxxxxxxx xxxxxx
|
&xxxx; | |
| &xxxx;
Xxxxxx xxxxxxx xxxxxx xx bance
|
||
|
Celkový xxxxx xxxx jednajících xx xxxxx2) xx xxxxx xx snížení
- z toho xxxxx akcií x&xxxx;xxxxxxxxxx xxxxxx
|
&xxxx; | |
| &xxxx;
Xxxxx x xxxxx, xxxxx xxxxxxx xxxxx xx osoby xxxxxx xxxxxxxxxx xxxxxxxxx x xxxxxxx xxxxxxxxxxxxx xxxxxx xx bance3)
|
Jméno x xxxxxxxx xxxxxxx xxxxx/ Xxxxxxxx xxxxx xxxx xxxxx právnické xxxxx
|
&xxxx; |
| &xxxx; | &xxxx;
Xxxxx xxxxxxxx fyzické xxxxx/ XX/xxxxx xxxxxx právnické xxxxx1)
|
&xxxx; |
| &xxxx; | &xxxx;
Xxxxx xxxxxxxx pobytu xxxxxxx xxxxx/Xxxxx xxxxxxxxx xxxxx4)
|
&xxxx; |
| &xxxx;
Xxxxx, ke xxxxxxx xxxxx xx xxxxxxx xxxxxx
|
&xxxx; | |
|
Příjmení x xxxxx xxxxxxx xxxxx/Xxxxxxxx xxxxx xxxx xxxxx právnické osoby
|
|
|
Datum xxxxxxxx xxxxxxx xxxxx/XX/xxxxx xxxxxx právnické xxxxx1)
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxx trvalého xxxxxx xxxxxxx osoby/Sídlo xxxxxxxxx xxxxx4)
|
&xxxx; |
| &xxxx;
Xxxxxx xxxxxxxxx xxxxxxx xxxxx/
|
&xxxx; |
| &xxxx;
Xxxx xxxxxxxxxx xxxxxxxxx xxxxx
|
&xxxx; |