# Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens’ initiative, Annex VI: CERTIFICATE CONFIRMING THE NUMBER OF VALID STATEMENTS OF SUPPORT COLLECTED FOR … (NAME OF MEMBER STATE)

Extent: E+W+S+N.I.

… (name of competent authority) of … (name of Member State), having made the necessary verifications required by Article 12 of Regulation (EU) 2019/788 of the European Parliament and of the Council of 17 April 2019 on the European citizens' initiative, hereby certifies that … (number of valid statements of support) statements of support for the initiative having the registration number … (registration number of the initiative) are valid in accordance with the provisions of that Regulation.
Date, signature and official stamp

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Source: https://www.legislation.gov.uk/eur/2019/788/annex/VI (the official version)
Page: https://openlegislation.uk/eu-regulation-2019-788/annex-VI
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.

