Informatie
Formulier


Notification Form Notice & Takedown Procedure
Unlawful Content on the Internet Posted by Subscriber of Eweka

Note: all blank fields with an * are obligatory. The notice will only be dealt with if it has been correctly completed and contains, in any case, all obligatory data.

Indemnification and Conditions:
By completing this notification form the notifier indemnifies Eweka Internet Services B.V. and its affiliated companies for all damage and costs which Eweka or its affiliated companies suffer as a consequence of the dealing or complying with the notice and the notifier agrees to the applicability of the Conditions Notice Unlawful Content.

Agreement


1. Contact details notifier

Name: *

Address: *

E-mail address: *

Telephone number: *


2. Location of (allegedly) Unlawful Content

Exact location of (allegedly) unlawful content (URL, newsgroup, sub-location): *


3. Contact details provider of the information

Name:

Address:

E-mail address:


4. Type of complaint

Your complaint relates to: *
child pronography
discrimination
defamation, reputational damage
infringement of intellectual property rights:
    copyright
    trademark rights
    patent rights
infringement of another intellectual property right:
    
other forms of unfair competition, or infringement of another right:
    
disruption of communications (mail bombs, viruses, worms, etc.)
offence . Penal Code, Section
other:
    

Description of the (allegedly) unlawful content: *


5. Reason Unlawfulness

Give a detailed description why you think that this content is infringing / unacceptable / unlawful / a criminal act: *

Towards whom is this content infringing / unacceptable / unlawful / a criminal act?

Name: *

Address: *


7. Evidence of Unlawful content

The applicant attaches the following evidence, by means of which the unlawfulness or infringement is proven:

In case of infringement of intellectual property rights: name and address of the right-holder: *

Name:

Address:

If applicable: Evidence of the existence of the IP right and of the fact that the above-mentioned party is the right-holder with regard to the intellectual property rights concerned: *


8. Pending Proceedings

Are legal proceedings pending regarding this matter?* If so, before which judicial authority and in which phase are these proceedings?

Which parties are involved in these legal proceedings?

Has a judgment been rendered in the proceedings?

If so, please attach a copy of the judgment to this notification form.

If not, has a date for judgment been set, and, if so, what is the date?


9. Contact supplier

Have you contacted the subscriber who has posted the (alleged) unlawful content? *

If so, please provide a short description of the response of the subscriber *

If not, can you describe in a few words why you have not contacted this subscriber? *


10. Miscellaneous

Other circumstances you deem of importance for your notice:


Please enter the code showed above: