ANNEX IVTEMPLATE FOR REPORTING INFORMATION FOR CONSISTENCY OF THE REPORTED DATA

Fuel — Single Suppliers

Entry

Joint Reporting (YES/NO)

Country

Supplier1

Fuel type7

Fuel CN code7

Quantity2

Average GHG intensity

Upstream Emission Reduction5

Reduction on 2010 average

by litres

by energy

1

CN code

GHG intensity4

Feedstock

CN code

GHG intensity4

sustainable (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 code2

GHG intensity4

Feedstock

CN code2

GHG intensity4

sustainable (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

Entry

Joint Reporting (YES/NO)

Country

Supplier1

Fuel type7

Fuel CN code7

Quantity2

Average GHG intensity

Upstream Emission Reduction5

Reduction on 2010 average

by litres

by energy

I

YES

YES

Subtotal

CN code

GHG intensity4

Feedstock

CN code

GHG intensity4

sustainable (YES/NO)

Component F.1 (Fossil Fuel Component)

Component B.1 (Biofuel Component)

Component F.n (Fossil Fuel Component)

Component B.m (Biofuel Component)

x

YES

YES

Subtotal

CN code2

GHG intensity4

Feedstock

CN code2

GHG intensity4

sustainable (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 Reporting

Country

Supplier1

Energy type7

Quantity6

GHG intensity

Reduction on 2010 average

by energy

NO

Joint Supplier Information

Country

Supplier1

Energy type7

Quantity6

GHG intensity

Reduction on 2010 average

by energy

YES

YES

Subtotal

Total energy reported and reduction achieved per Member State

Volume (by energy)10

GHG intensity

Reduction 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;

F18.

F1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9.

F1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10.

Total quantity of energy (fuel and electricity) consumed.