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| OVERVIEW |
| INTERNATIONAL REGISTRATION NUMBER | 1306964 |
| EFFECTIVE DATE OF MODIFICATION | 10/12/2017 |
| NOTIFICATION DATE | 11/09/2017 |
| HOLDER DETAILS |
| CLIENT IDENTIFIER | 852578 |
| NOTIFICATION LANGUAGE | ENGLISH |
| NAME | Dr. Egbert Wilms |
| ADDRESS | Witikonerstrasse 105, |
| | Zürich |
| COUNTRY | Switzerland |
| ENTITLEMENT NATIONALITY OF APPLICANT/TRANSFEREE/HOLDER | Benelux |
| ENTITLEMENT DOMICILED | CH |
| LEGAL NATURE | Not provided |
| LEGAL NATURE: PLACE INCORPORATED | Not provided |
| CORRESPONDENCE INDICATOR | YES |
| REPRESENTATIVE CANCELLED | YES |
| MISCELLANEOUS INFORMATION |
| IB DOCUMENT ID | 1100005001 |
| OFFICE REFERENCE | 79190780 |
| TRANSACTION TYPE | MAN - CHANGE OF REPRESENTATIVE |