FORM F2.

1
Candidate
____________________
(name)

DECLARATION OF ELIGIBILITY

I, the undersigned __________, authorized representative of ________________________,

(name/name and social residence/address of the candidate)
declare on oath, under the penalty of exclusion from the procedure and sanctions applied by making
false in public documents, that I am not in the situation referred to in art. 177 of the Law no. 99/2016 on the assignment of public procurement
contracts, public works and services concession contracts, up-to-date, and that I have not been convicted by final decision of a court for the
participation in activities of a criminal organization, criminal actions against the financial interest of EU, terrorism, corruption, fraud and/or money
laundering and exploiting of vulnerable persons respectively.

I declare that the information provided is complete and correct in every detail and I understand that the contracting authority has the right to
ask, for the verification and confirmation of the statements, any evidence available.
This statement is valid until _________________________.
(to specify date of expiry of the qualification period)

Date of filling......................

Candidate
_________________
(authorized signature)