ANNEX

ATTESTATION OF ACTIVITIES (REGULATION (EC) 561/2006 OR THE AETR) To be filled in by typing and signed before a journey. To be kept with the original control device records wherever they are required to be kept FALSE ATTESTATIONS CONSTITUTE AN INFRINGEMENT Part to be filled in by the undertaking (1) (2) (3) (4) (5) Name of the undertaking:S.C.

SER TRANSPORT S.R.L. Dorobanti, 120105, Buzau, Romania

Street address, postal code, city, country: Cart

Telephone number (including international prefix): 0040338101334 Fax number (including international prefix):0040338101334 E-mail address:ser_transport@yahoo.com

I, the undersigned: (6) (7) Name and first name Catalin

Gheorghe transport

Position in the undertaking:Coordonator

declare that the driver: (8) (9) (10) (11) Name and first name: Zinca

Constantin

Date of birth (day/month/year): 20/07/1967 Driving licence or identity card or passport number: XZ165212 who has started to work at the undertaking on (day/month/year): 04/10/2011

for the period: (12) (13) (14) (15) (16) (17) (18) X (19) from (hour/day/month/year): 08:00/02/12/2011 to (hour/day/month/year): was on sick leave*** was on annual leave*** was on leave or rest*** drove a vehicle exempted from the scope of Regulation (EC) 561/2006 or the AETR*** performed other work than driving*** was available***

06:00/02/01/2012

(20) Place: Signature: (21) (22)

Buzau (RO)

Date:

30.12.2011

I, the driver, confirm that I have not been driving a vehicle falling under the scope of Regulation (EC) 561/2006 or the AETR during the period mentioned above. Place:

Buzau (RO)

Date: 02.02.2011

Signature of the driver: