Division TO BE COMPLETED BY THE SIGNATORIES IN CAPITAL LETTERS:
United Kingdom
‘I hereby certify that the information that I have provided in this form is correct and that I have not already supported this initiative.’
| German nationals residing outside the country only if they have registered their current permanent residence at their responsible German diplomatic representation abroad. | |||||
| Signature is not mandatory if the form is submitted online via the central online collection system as referred to in Article 10 of Regulation (EU) 2019/788 or an individual online collection system as referred to in Article 11 of the said Regulation. | |||||
| FULL FIRST NAMES | FAMILY NAMES | RESIDENCEf1(street, number, postal code, city, country) | DATE OF BIRTH | DATE | SIGNATUREf2 |
|---|---|---|---|---|---|
Annotations
Footnotes
- f1
-
German nationals residing outside the country only if they have registered their current permanent residence at their responsible German diplomatic representation abroad.
- f2
-
Signature is not mandatory if the form is submitted online via the central online collection system as referred to in Article 10 of Regulation (EU) 2019/788 or an individual online collection system as referred to in Article 11 of the said Regulation.