eFile for Leniency Application for LeniencyFILL OUT YOUR FORM IN 7 STEPS Please enable JavaScript in your browser to complete this form. - Step 1 of 7This form allows companies or individuals who have participated in anti-competitive practices to report their actions to the regulatory body. In return for their cooperation, they may receive leniency in the form of reduced fines or penalties. eFiling for leniency improves the efficiency and transparency of the process while maintaining the necessary confidentiality.I agree to ERCA's Privacy Policy *YesBy checking this box, I confirm that I fully agree with the ERCA's Privacy PolicyNextINSTRUCTIONSThis Form must be completed to the best of your ability and submitted to the ERCA Registry. Please attach any documents or relevant information to support your application. The information provided in this Form is confidential to the extent possible to enable ERCA consider your application. However, ERCA may disclose this information where necessary to assist in the discharge of its functions. ERCA will contact the applicant where it considers that it is necessary to disclose such information. However, for the avoidance of doubt, you have the right to identify which information you consider confidential by submitting a request for confidentiality together with this application.1. DETAILS OF APPLICANT, ENTERPRISE, OR AUTHORISED REPRESENTATIVEFull Name of Applicant or Authorised Representative *Phone NumberEmail Address *AddressName of Entreprise *Address of Entreprise *Entreprise WebsiteDescription of Industry * Visual Text If this application is being submitted jointly with other natural and/or legal person(s), please indicate and provide full details of the other applicants * Visual Text Legal Mandate Click or drag files to this area to upload. You can upload up to 99 files. Where this Form is completed by an Authorised Representative, please state the nature of your relationship with the beneficiary and whether you have the legal mandate to represent the beneficiaryPreviousNext2. FACTS OF THE CASEPlease state the facts in support of the existence of the cartel, for example information about an agreement or concerted practice. (Include details of the businesses and persons involved in the cartel) * Visual Text Indicate the industry and the Community Member States in which the cartel is operating * Visual Text Details of the company(ies) and person(s) involved * Visual Text Describe the activities of the cartel (this may include price fixing either directly or indirectly, market sharing, bid rigging and collusion to submit bids, coordination or limiting production etc.) Provide as much details as possible of the activities of the cartel * Visual Text Please indicate whether the cartel is still active * Visual Text Provide any other information or comments that you may have in relation to the cartel Visual Text Supporting Documents/Materials Click or drag files to this area to upload. You can upload up to 99 files. PreviousNext3. REASONS FOR APPLICATION FOR LENIENCYPlease explain why you are applying for Leniency * Visual Text PreviousNext4. PROCEEDINGS BEFORE REGIONAL/NATIONAL COMPETITION AUTHORITIESPlease indicate whether this alledged misconduct has ever been reported to any other Regional/National Competition Authority * Visual Text Please indicate whether any other Regional/National Competition Authority has been notified about your application to ERCA * Visual Text Please indicate whether the same application has been made to any other Regional/National Competition Authority * Visual Text PreviousNext5. SWORN DECLARATIONI declare that the information in this Application Form and all supporting documents I have attached are accurate and provided to ERCA in good faith. I am aware that it is an offence to provide false or misleading information to ERCA and that I am committed to cooperate fully and sincerely with ERCA until the conclusion of the investigation.Print Name *Position *Date *PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousConfirm and Submit ERCA Complaint Management System Introducing ERCA Statistical System
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