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.’
| 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 | PERSONAL IDENTIFICATION NUMBER/PERSONAL IDENTIFICATION DOCUMENT NUMBER | TYPE OF PERSONAL IDENTIFICATION NUMBER OR DOCUMENT | DATE | SIGNATUREf1 |
|---|---|---|---|---|---|
Annotations
Footnotes
- f1
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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.