On behalf of ESSDA............................................................................ .

Application No..................

Hereby I apply for using the data file .............................(file`s name) archived in ESSDA, for following goals.................................................................................................................................................. ......................................................................................................................................................... .........................................................................................................................................................

.................................................... ........................................................ .................................................... ( applicant`s name and requisites)

"......".......................19.....

Hereby I allow to use the data deposited by me in ESSDA on following conditions: ........................................................................................................................... .......................................................................................................................... .........................................................................................................................

................................................. ................................................. ................................................ ( the name and requisites of the data owner)

"......" ...........................19....