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Appendix 3ter:Designation and/or change of duration of designation of the Access Responsible Parties charged with off-take or injection and designation of the corresponding energy supplier (see Articles 8, 11 and 20) This document forms an integral part of the Access Contract with the reference: []

1. Designation /Change of duration of designation of the Access Responsible Party charged with monitoring of the Injected Energy:

[]

[]

Last month of designation of ARP

Name of Access Point + address of site

Access Point (EAN Code)

First month of designation of ARP

Table of Access Points

(month/year)

(month/year)

[]

[]

With regard to signing Appendices 9, 10 or 11, it is important to understand the term “Offtake Energy / Injected Energy” in these Appendices as being energy taken off and energy injected. 1. Company details of Access Responsible Party charged with injection: Company:

[]

EIC-Code:

[]

Head office:

[]

Company reg. no.:

[]

VAT no.:

[]

Represented by:

[]

This Access Responsible Party is designated by the Access Holder as the Access Responsible Party charged with injection for: each Access Point that is included in the Access Contract with the reference: [] each Access Point with the characteristics indicated in the table above: and this Access Responsible Party accepts this designation. (indicate above whichever applies)

Access Contract

Date

[●]/[●] V1/2012 !! For information purposes only !!

[●] [●]


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