| Payment account 2. Name of services 3. Description of the 4. Description of the services (English) in the official service in the official service (English) language (s) of the language(s) of the Member State Member State | 5. Description of the most common fees’ structure, the periodicity that is most commonly applied for the service, and if waivers are applied | 6. fees for Fees channel If yes, ___________ Fees channel If yes, ___________ | Please indicate if 7. ID are differentiated code different channels differentiated by of usage? no yes which channels: branch internet mobile other: differentiated by of usage? no yes which channels: branch internet mobile other: |