# ANNEX **Commission Implementing Regulation (EU) No 1248/2012 · binding · OJ L 352, 21.12.2012 · dated 19 Dec 2012 [in force]** *In force · Consolidated version of 27 October 2022 · Checked against EUR-Lex on 26 Oct 2026 · [Official source](https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:02012R1248-20221027)* FORMAT FOR APPLICATIONS FOR REGISTRATION AS A TRADE REPOSITORY AND FOR APPLICATIONS FOR EXTENSION OF REGISTRATION AS A TRADE REPOSITORY GENERAL INFORMATION

Date of application
Corporate name of trade repository
Legal address
The classes of derivatives for which the trade repository is applying to be registered
Name of the person assuming the responsibility of the application
Contact details of the person assuming the responsibility of the application
Name of other person responsible for the trade repository compliance
Contact details of the person(s) responsible for the trade repository compliance
Identification of any parent company

DOCUMENT REFERENCES (Article 1(3)) | Article of Commission Delegated Regulation (EU) No 150/2013 | Unique reference number of document | Title of the document | Chapter or section or page of the document where the information is provided or reason why the information is not provided | | --- | --- | --- | --- | | | | | | | | | | | | | | | |