Member State:,
Quota holder:,
,
Product:,,
Quantities applied:,,
Quantities issued:,,
 For the marketing year 2010/2011, the levy referred to in Article 3 of Regulation (EC) No 967/2006 shall not apply to the quantities issued of this certificate, subject to the respect of the rules laid down in Commission Regulation (EU) No 222/2011, in particular in Article 2(5)(c) ,
Signature of the Competent authority of the Member State Date of issue,
This certificate shall be valid until the end of the month following the month of issue,