Page:OJ L No. 65 of 2016 - EN English.pdf/45

---

ANNEX

(a) CASE REFERENCE

— Case Identification Number

— Document Reference

— National Reference Number

— Summary

— Service

— Contact Person

— Date

(b) BASIC INFORMATION RELATING TO THE CASE

— Type of fraud

— Report type

— Means of transport

— Information quality

(c) DOCUMENTS

— Type

— Number

— Freight payment

— Date of issue

— Place of issue

(d) — DATA RELATING TO PERSONS INVOLVED

— Involvement

— First Name

— Surname

— Maiden Name

— Alias

— Sex

— Any particular and permanent physical characteristics

— Place of Birth

— Date of Birth

— Nationality

— Address

— Street

— Number

— PO Box

— Postal Code

— City

— Country

— Phone/Mobile

— Fax/Email