ANNEX II

SECTION A:

Addressee of the removal order:

……

Competent authority that issued the removal order:

……

File reference of the competent authority that issued the removal order:

……

File reference of the addressee:

……

Time and date of receipt of removal order:

……

SECTION B: Measures taken in compliance with the removal order

(Please tick the relevant box):

	the terrorist content has been removed
	access to the terrorist content has been disabled in all Member States

Time and date of the measure taken:

……

SECTION C: Details of the addressee

Name of the hosting service provider:

……

OR

Name of the legal representative of the hosting service provider:

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Member State of main establishment of the hosting service provider:

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OR

Member State of residence or establishment of the legal representative of the hosting service provider:

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Name of the authorised person:

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Email address of the contact point:

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Date:

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