SME Declaration

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Declaration on enterprise definiton as small and medium I. II.

Identification information Company name Address Unique registration code Name and title of general manager or equivalent Type of enterprise

Autonomous enterprise Please fill in the table below with the results of calculations made according to law !"#$%%! as amended and supplemented Partner enterprise Please fill in the table below with the results of calculations made according to law !"#$%%! as amended and supplemented Linked enterprise Please fill in the table below with the results of calculations made according to law !"#$%%! as amended and supplemented III. Information used for estanlishing the type of enterprise *1)

&he financial year of reference '$( )early medium Annual net turnover number of employees *thousands lei # thousands euro ( &otal assets *thousands lei # euro thousands(

I declare on oath that ....(enterprise name).... falls whithin small or medium enterprise, according to the information pro ided in this statement. +eclare on oath that the information in this statement is real. +ate........................ ,ignature of legal representative ...............................
*1) +ata is calculated in accordance with art. " of -aw !"#$%%! as amended and supplemented. '$( +ata on annual average number of employees. annual net turnover and total assets are made in the last financial year reported in annual financial statements approved by shareholders. If start/ups. data on annual average of employees. net annual turnover and total assets are determined and declared at your own ris0.

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