SECTION 1 IDENTIFICATION – NAME CONTACT ADDRESS Telephone: CONTACT DETAILS E-mail address: Self: NATIONALITY Of firm (if applicable): CURRENT POSITION HELD SECTION 2 CRITERIA – Financial market participants / financial services TYPE OF intermediaries / financial consumers representatives BACKGROUND (You may indicate more than one Academics category in the column to the right) A minimum of 10 years of relevant experience in the financial Criterion 1 services sector and/or research related to financial stability YES NO and risk monitoring. Criterion 2 Available to participate in meetings at least twice a year. YES NO
SECTION 1 – IDENTIFICATION NAME CONTACT ADDRESS CONTACT DETAILS Telephone: E-mail address: NATIONALITY Self: Of firm (if applicable): CURRENT POSITION HELD SECTION 2 – CRITERIA TYPE OF BACKGROUND (You may indicate more than one category in the column to the right) Financial market participants / financial services intermediaries / financial consumers representatives Academics Criterion 1 A minimum of 10 years of relevant experience in the financial services sector and/or research related to financial stability and risk monitoring. YES NO Criterion 2 Available to participate in meetings at least twice a year. YES NO
esma22-106-1189_application_form_cema_gea.docx