11.3.2016
EN
Official Journal of the European Union
L 65/43
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