Division (6) Box F: Reply of the competent authorities

Indicate the content of the reply as follows:

1. (a)

   confirmation of the authenticity of this Information sheet and the of correctness of the information therein,

2. (b)

   other information supplied (to be detailed),

3. (c)

   additional comments.

Indicate the following:

1. (a)

   full name and address of the competent authorities,

2. (b)

   date, place and signature.