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ANNEX Template For The Identification Of Global Systemically Important Institutions (G-SIIs)

General Bank Data

Section 1: General Information

a. General information provided by the relevant supervisory authority:

(1) Country code

(2) Bank name

(3) Reporting date (yyyy-mm-dd)

(4) Reporting currency

b. General Information provided by the reporting institution:

(1) Reporting unit

(2) Accounting Standard

(3) Date of public disclosure (yyyy-mm-dd)

(4) Language of public disclosure

(5) Web address of public disclosure

Size Indicator

Section 2: Total Exposures

Amount

Interconnectedness Indicators

Section 3: Intra-Financial System Assets

Amount

Section 4: Intra-Financial System Liabilities

Amount

Section 5: Securities Outstanding

Amount

Substitutability/Financial Institution Infrastructure Indicators

Section 6: Payments made in the reporting year (excluding intragroup payments)

Amount

Section 7: Assets Under Custody

Amount

Section 8: Underwritten Transactions in Debt and Equity Markets

Amount

Complexity Indicators

Section 9: Notional Amount of Over-the-Counter (OTC) Derivatives

Amount

Section 10: Trading and Available-for-Sale Securities

Amount

Section 11: Level 3 Assets

Amount

Cross-Jurisdictional Activity Indicators

Section 12: Cross-Jurisdictional Claims

Amount

Section 13: Cross-Jurisdictional Liabilities

Amount

Ancillary data

Section 14: Ancillary Indicators

Amount

Section 15: Ancillary items

Amount