Template for Northern Ireland director’s undertaking declaration letter for ETII applications
Updated 31 January 2024
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Schedule 2: new Schedule 11
Schedule 11 - Supplementary EBDS Declaration
[** ] (the Applicant) [Note: insert Applicant’s registered company name and number, if applicable]
The Applicant submits this supplementary declaration in support of its ETII application dated [** ] (the Application), [application case number [** ]]. [Note: insert the date of the application. Also insert the case number assigned by the Secretary of State to the application, if already made known to the applicant, otherwise delete.]
To: The Secretary of State
I, [** ], being a [director] [qualifying representative] of the Applicant, refer to rule 24.5 of the Energy Bills Discount Scheme (Northern Ireland) Rules 2023 (the Rules) and submit this supplementary declaration on the Applicant’s behalf. [Note: delete ‘director’ or ‘qualifying representative’ according to whether the Applicant is or is not a company. See rule 24.5 of the Rules for who is a qualifying representative]
I hereby declare that [to the best of my knowledge]:
[Delete as necessary]
No organisation that is affiliated or engaged in a joint venture with the Applicant has submitted or proposes to submit an ETII application.
[Or]
Each of the following persons is affiliated or engaged in a joint venture with the Applicant and has submitted or proposes to submit an ETII application. [Insert (1) registered company name and number, if applicable, of persons that separately apply for ETII support; (2) their relationship to the Applicant; and (3) if known, the date of their ETII application and the case number assigned by the Secretary of State to their application]
I further declare that the Applicant has [***] employees.
[Insert the number of employees. The number provided can be approximate; it can also be based on figures reported for accounting or other official purposes during the last 12 months. If the beneficiary is part of a corporate group (i.e. a parent or subsidiary of other companies), you should provide employee numbers at group level (e.g. as reported in consolidated accounts).]
Signature of director or qualifying representative: …………………………………………
Name: [** ]
Position: [Director] [In case of a qualifying representative, insert in place of “director” the position that representative holds in relation to the applicant]
Dated: [** ]