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Bijlage 3Portfoliotabellen : Afgiftebor<strong>de</strong>relKredietinstelling (BIC-co<strong>de</strong>) : | | | | | | | | | | | |Rapporteringsdatum 1 : | | | | | | | | | | |In te vullenCreatiedatum 1 : | | | | | | | | | | |Nummer van <strong>de</strong> informatiedrager : | | | | | | |°°°°°°°°°°°Naam van <strong>de</strong> kredietinstelling : .................................................................Naam van <strong>de</strong> verantwoor<strong>de</strong>lijke : ............................................ tel............... nr.........Handtekening voor ontvangstHandtekening van <strong>de</strong> afgever........................................ ........................................Ontvangstdatum 2 | | | | | | | | | | |1 Volgens jjjj mm dd - formaat.2 Voorbehou<strong>de</strong>n aan <strong>de</strong> NBB.

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