Form for submitting specialised FinTech related queries

This form is not intended for the submission of queries, suggestions, notifications or complaints by the public (the form for submitting enquiries, suggestions, notifications or complaints should be used for such purposes).

Before completing and sending in the form, please read the frequently asked questions about the purpose and operation of the contact point (the link will open in a new window).

The CNB processes personal data. More detailed information can be found in the Information about the processing of personal data available at https://www.cnb.cz/en/privacy-statement-and-disclaimer/information-about-the-processing-of-personal-data/.

Identification of applicant

Type of entity* FO – natural person PO – legal entity PFO – natural person – entrepreneur OVM – public authority

Public authority

Name of the public authority*

Natural person – entrepreneur

Natural person

Legal entity

Company
(in the case of a law firm please give the name of the client in the cell “Text of the application” below)*

Name*

Surname*

Title

E-mail address*

Phone number (international format)

Send reply* to e-mail to data box by mail

Street*

House number*

City/Town/Country*

Postcode (no spaces)*

ID of applicant’s data box*

CNB´s reference number

Your reference number

Submission

Subject of submission*

Text of the submission, including the identity of the person whom the query concerns*

Relation of the query to financial innovation*

Attachments

Notice: Only attachments in doc, docx, xls, xlsx, rtf, pdf, jpg, html, xml or msg format will be accepted. The size of each attachment must not exceed 1.5 MB.

Attachment No. 1

Browse

X

Attachment No. 2

Browse

X

Attachment No. 3

Browse

X

Declaration*

I declare that the information provided in the form is correct.

hidcheck

abc

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