ANNEX VISupplementary provisions
ANNEX VI CERTIFICATE CONFIRMING THE NUMBER OF VALID STATEMENTS OF SUPPORT COLLECTED FOR … (NAME OF MEMBER STATE) … (name of competent authority) of … (name of Member State), having made the necessary verifications required by Article 8 of Regulation (EU) No 211/2011 of the European Parliament and of the Council of 16 February 2011 on the citizens’ initiative, hereby certifies that … statements of support for the proposed citizens’ initiative having the registration number … are valid in accordance with the provisions of that Regulation. Date, signature and official stamp of the competent authority: