‘ANNEX IIREQUIRED INFORMATION FOR REGISTERING A PROPOSED CITIZENS’ INITIATIVE

1.

The title of the proposed citizens’ initiative, in no more than 100 characters;

2.

The subject matter, in no more than 200 characters;

3.

A description of the objectives of the proposed citizens’ initiative on which the Commission is invited to act, in no more than 500 characters;

4.

The provisions of the Treaties considered relevant by the organisers for the proposed action;

5.

The full names, postal addresses, nationalities and dates of birth of the seven members of the citizens’ committee, indicating specifically the representative and the substitute as well as their e-mail addresses and telephone numbers2;

6.

Documents that prove the full names, postal addresses, nationalities and dates of birth of each of the seven members of the citizens’ committee;

7.All sources of support and funding for the proposed citizens’ initiative at the time of registration2.

Organisers may provide more detailed information on the subject, objectives and background to the proposed citizens’ initiative in an annex. They may also, if they wish, submit a draft legal act.’

‘ANNEX III

STATEMENT OF SUPPORT FORM — PART A (¹)(for Member States that do not require the provision of a personal identification number/personal identification document number)

STATEMENT OF SUPPORT FORM — PART B (¹)(for Member States that require the provision of a personal identification number/personal identification document number)

PART C

1.Requirements for the Member States that do not require the provision of a personal identification number/personal identification document number (statement of support form — Part A):

Member State	Signatories whose statement of support is to be submitted to the Member State concerned
Belgium	residents in Belgium Belgian nationals residing outside the country if they have informed their national authorities of their place of residence
Denmark	residents in Denmark Danish nationals residing outside the country if they have informed their national authorities of their place of residence
Germany	residents in Germany German nationals residing outside the country if they have informed their national authorities of their place of residence
Estonia	residents in Estonia Estonian nationals residing outside the country
Ireland	— residents in Ireland
Luxembourg	residents in Luxembourg Luxembourgish nationals residing outside the country if they have informed their national authorities of their place of residence
Netherlands	residents in the Netherlands Dutch nationals residing outside the country
Slovakia	residents in Slovakia Slovak nationals residing outside the country
Finland	residents in Finland Finnish nationals residing outside the country
United Kingdom	— residents in the United Kingdom

2.List of Member States that require the provision of one of the personal identification numbers/personal identification document numbers specified below and issued by the Member State concerned (statement of support form — Part B):

• BULGARIA

  • Единен граждански номер (personal number)

• CZECH REPUBLIC

  • Občanský průkaz (national identity card)

  • Cestovní pas (passport)

• GREECE

  • Δελτίο Αστυνομικής Ταυτότητας (identity card)

  • Διαβατήριο (passport)

  • Βεβαίωση Εγγραφής Πολιτών Ε.Ε./Έγγραφο πιστοποίησης μόνιμης διαμονής πολίτη Ε.Ε. (residence certificate/permanent residence certificate)

• SPAIN

  • Documento Nacional de Identidad (identity card)

  • Pasaporte (passport)

  • Número de Identidad de Extranjero, de la tarjeta o certificado, correspondiente a la inscripción en el Registro Central de Extranjeros (foreigner’s identification number (NIE), of the card or certificate, corresponding to the registration in the Foreigners’ Central Registry)

• FRANCE

  • Passeport (passport)

  • Carte nationale d’identité (national identity card)

• CROATIA

  • X1Osobni identifikacijski broj (personal identification number)

• ITALY

  • Passaporto (passport), inclusa l’indicazione dell’autorità di rilascio (including issuing authority)

  • Carta di identità (identity card), inclusa l’indicazione dell’autorità di rilascio (including issuing authority)

• CYPRUS

  • Δελτίο Ταυτότητας (identity card of the national or resident)

  • Διαβατήριο (passport)

• LATVIA

  • Personas kods (personal identification number)

• LITHUANIA

  • Asmens kodas (personal number)

• HUNGARY

  • személyazonosító igazolvány (identity card)

  • útlevél (passport)

  • személyi azonosító szám (személyi szám) (personal identification number)

• MALTA

  • Karta tal-Identità (identity card)

• AUSTRIA

  • Reisepass (passport)

  • Personalausweis (identity card)

• POLAND

  • Numer ewidencyjny PESEL (PESEL identification number)

• PORTUGAL

  • Bilhete de identidade (identity card)

  • Passaporte (passport)

  • Cartão de Cidadão (citizen’s card)

• ROMANIA

  • carte de identitate (identity card)

  • pașaport (passport)

  • certificat de înregistrare (registration certificate)

  • carte de rezidență permanentă pentru cetățenii UE (permanent residence card for EU citizens)

  • Cod Numeric Personal (personal identification number)

• SLOVENIA

  • Enotna matična številka občana (personal identification number)

• SWEDEN

  • Personnummer (personal identification number)’