STATEMENT-UNDERTAKING template



CONFIRMATION OF INTENT TO REGISTER

IN THE HFC REGISTRY

[Organisation name] would like to register in the Registry established under Article 17 of Regulation (EU) No 517/2014.

[first name, last name] [will be acting on behalf of or is an employee of] [Organisation name] and has the authority to perform the relevant activities in the Registry which shall be legally binding on [Organisation name].

I confirm that the information submitted in the accompanying Excel sheet (attachment 2) is correct.

In case the information presented in the Excel sheet (attachment 2) should change, I declare that we will ensure it is updated in the Registry as soon as these changes occur.

I confirm that I have the authority to make legally binding statements on behalf of [Organisation name] ([VAT number]).

[authorising person's first name, last name]

[authorising person's function]

Please only fill in/delete, as appropriate, the bracketed text in italics. Date and sign the document. Do not make any other changes to this document. Send scanned version to CLIMA-HFC-REGISTRY@ec.europa.eu.

-----------------------

Signature

Date

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download