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ANNEX IV TEMPLATE FOR REPORTING INFORMATION FOR CONSISTENCY OF THE REPORTED DATA

Fuel — Single Suppliers

EntryJoint Reporting (YES/NO)CountrySupplier1Fuel type7Fuel CN code7Quantity2Average GHG intensityUpstream Emission Reduction5Reduction on 2010 average
by litresby energy
1
CN codeGHG intensity4FeedstockCN codeGHG intensity4sustainable (YES/NO)
Component F.1 (Fossil Fuel Component)Component B.1 (Biofuel Component)
Component F.n (Fossil Fuel Component)Component B.m (Biofuel Component)
k
CN code2GHG intensity4FeedstockCN code2GHG intensity4sustainable (YES/NO)
Component F.1 (Fossil Fuel Component)Component B.1 (Biofuel Component)
Component F.n (Fossil Fuel Component)Component B.m (Biofuel Component)

Fuel — Joint Suppliers

EntryJoint Reporting (YES/NO)CountrySupplier1Fuel type7Fuel CN code7Quantity2Average GHG intensityUpstream Emission Reduction5Reduction on 2010 average
by litresby energy
IYES
YES
Subtotal
CN codeGHG intensity4FeedstockCN codeGHG intensity4sustainable (YES/NO)
Component F.1 (Fossil Fuel Component)Component B.1 (Biofuel Component)
Component F.n (Fossil Fuel Component)Component B.m (Biofuel Component)
xYES
YES
Subtotal
CN code2GHG intensity4FeedstockCN code2GHG intensity4sustainable (YES/NO)
Component F.1 (Fossil Fuel Component)Component B.1 (Biofuel Component)
Component F.n (Fossil Fuel Component)Component B.m (Biofuel Component)

Electricity

Joint ReportingCountrySupplier1Energy type7Quantity6GHG intensityReduction on 2010 average
by energy
NO
Joint Supplier Information
CountrySupplier1Energy type7Quantity6GHG intensityReduction on 2010 average
by energy
YES
YES
Subtotal

Origin — Single Suppliers8

Entry 1component F.1Entry 1component F.nEntry kcomponent F.1Entry kcomponent F.n
Feedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3Tonnes
Entry 1component B.1Entry 1component B.mEntry kcomponent B.1Entry kcomponent B.m
Bio PathwayAPI gravity3TonnesBio PathwayAPI gravity3TonnesBio PathwayAPI gravity3TonnesBio PathwayAPI gravity3Tonnes

Origin — Joint Suppliers8

Entry lcomponent F.1Entry lcomponent F.nEntry Xcomponent F.1Entry Xcomponent F.n
Feedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3TonnesFeedstock Trade NameAPI gravity3Tonnes
Entry lcomponent B.1Entry lcomponent B.mEntry Xcomponent B.1Entry Xcomponent B.m
Bio PathwayAPI gravity3TonnesBio PathwayAPI gravity3TonnesBio PathwayAPI gravity3TonnesBio PathwayAPI gravity3Tonnes

Place of Purchase9

EntryComponentRefinery/ Processing Facility NamesCountryRefinery/ Processing Facility NamesCountryRefinery/ Processing Facility NamesCountryRefinery/ Processing Facility NamesCountryRefinery/ Processing Facility NamesCountryRefinery/ Processing Facility NamesCountry
1F.1
1F.n
1B.1
1B.m
kF.1
kF.n
kB.1
kB.m
lF.1
lF.n
lB.1
lB.m
XF.1
XF.n
XB.1
XB.m

Total energy reported and reduction achieved per Member State

Volume (by energy)10GHG intensityReduction on 2010 average

Format Notes

The template for supplier reporting is identical to the template for Member State reporting.

Shaded cells do not have to be filled in.

1.Supplier identification is defined in point 3(a) of Part 1 of Annex I;

2.Quantity of fuel is defined in point 3(c) of Part 1 of Annex I;

3.American Petroleum Institute (API) gravity is defined pursuant to testing method ASTM D287;

4.Greenhouse gas intensity is defined in point 3(e) of Part 1 of Annex I;

5.UER is defined in point 3(d) of Part 1 of Annex I; reporting specifications are defined in point 1 of Part 2 of Annex I;

6.Quantity of electricity is defined in point 6 of Part 2 of Annex I;

7.Fuel types and corresponding CN codes are defined in point 3(b) of Part 1 of Annex I;

8.Origin is defined in points 2 and 4 of Part 2 of Annex I;

9.Place of Purchase is defined in points 3 and 4 of Part 2 of Annex I;

10.Total quantity of energy (fuel and electricity) consumed.