Please confirm by ticking as appropriate

The aid concerns (please tick as appropriate

Reasons for refusal: tick the appropriate box.

If yes, please tick the following appropriate box

If yes, please tick the following appropriate box

If yes, please tick the following appropriate box

If yes, please tick the following appropriate box

Scope of the notified scheme: Please tick as appropriate to confirm

You must complete the appropriate section below * Required

Type of benefit receiving (please click the appropriate box)

Please mark the appropriate box on the registration form.

tick the box to indicate whether the consignment has been selected for sampling and analysis.

If you wish to remain anonymous, please check the appropriate box on the form.

Laboratory tests: tick the box to indicate whether the consignment has been selected for sampling and analysis.

In the event of you not agreeing with such additional treatments, please untick the appropriate box accordingly.