Form No. 13 attached to Decree 52/2024/NĐ-CP: Payment Intermediary Service License Issuance/ Reissuance Form
Form No. 13
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STATE BANK OF VIETNAM
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SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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No: .../GP-NHNN
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……., Date … month … year ……
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LICENSE
For the provision of payment intermediary services
GOVERNOR OF THE STATE BANK OF VIETNAM
Pursuant to the Law on the State Bank of Vietnam dated June 16, 2010;
Pursuant to Decree No. .../.../ND-CP dated... month... year... of the Government on cashless payments and its amendments (if any);
Pursuant to Circular No. …/…/TT-NHNN dated... month... year... of the State Bank of Vietnam on the provision of payment intermediary services and its amendments (if any);
Based on the Application for the issuance/renewal of the Payment Intermediary Service Operation License No. ... dated... month... year... and the attached documents of ...(1)...;
At the request of the Director of the Payment Department.
DECISION
Article 1: Issue a payment intermediary service operation license for:
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Organization name: ...(1)...
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Full name in Vietnamese/English (if any):
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Abbreviated name in Vietnamese and English, trading name (if any):
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Business code:
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Location of the main office:
Article 2: (The) payment intermediary services licensed/renewed:
Article 3: (Other) terms and conditions:
Article 4: During the provision of payment intermediary services, ...(1)... must comply with the regulations in Decree No. .../.../ND-CP dated... month... year... of the Government on cashless payments and its amendments (if any); Circular No. .../.../TT-NHNN dated... month... year... of the Governor of the State Bank of Vietnam on the provision of payment intermediary services and its amendments (if any); and other relevant legal provisions.
Article 5: Effective date
This license is valid for 10 years from the date of signing (for the case of issuing a license according to Article 24 of this Decree).
This license takes effect from the date of signing and replaces License No. ... dated... month... year... of the Governor of the State Bank of Vietnam on issuing the payment intermediary service operation license for ...(1)... (for the case of license renewal as per Clause 1, Article 25 of this Decree).
This license takes effect from the date of signing, valid until... month... year... and replaces License No. ... dated... month... year... of the Governor of the State Bank of Vietnam on issuing the payment intermediary service operation license for ...(1)... (for the case specified in Clause 2, Article 25 of this Decree).
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Recipients:
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As in Article 1;
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Leadership of the State Bank of Vietnam;
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IT Department, PC Department (for coordination);
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Inspection Department of the State Bank of Vietnam (for coordination);
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Transaction Department (for coordination);
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Branch of the State Bank of Vietnam... (for coordination);
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Archive: ...
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GOVERNOR
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Note: ...(1)... Name of the organization requesting the issuance or renewal of the payment intermediary service operation license.
Download detailed file here.