Division 3 REFUSAL OF DOCUMENT (Article 12(4) of Regulation (EU) 2020/1784)

The addressee refused to accept the document due to the language used ☐

1. 3.1.1.

   Date of attempt of service:

2. 3.1.2.

   Date of refusal, if available:

The document is annexed to this certificate.

1. 3.2.1.

   Yes ☐

2. 3.2.2.

   No ☐