Statement by the creator (or right holder)  Exceptionally, EFSA reserves the right, following submission of the final deliverable with  the above- mentioned “ Declaration on the list of pre- existing rights” to require the  Contractor to provide an additional “Statement by the creator (or right holder)” following  the template below. Concerning [ insert name of the relevant result ] delivered as part of the direct contract  [ insert title and number ] concluded between the contracting authority and [ name of the  contractor ]  I the undersigned [ insert name of the creator or authorised representative of the right holder ]  [representing [ insert name of the right holder ]] declare that I am the right holder of: [ identify the relevant parts of the result ] [which I created] [for which I received rights from [ insert name of other  right holder ]]. I am aware of the above direct contract, especially Articles [I.10 and II.13] concerning intellectual  property rights and exploitation of the results and I confirm that I transferred all the relevant rights  to [ insert name of contractor or other intermediary right holder ]. [As creator, I also confirm that I do not object to the following: I declare that [I have received full remuneration] [I agreed to receive remuneration by [ insert date ]]. (o) that my name be mentioned or not mentioned when the results are presented to the public; (p) that the results be divulged or not after they have been delivered in their final version to the  contracting authority; (q) that the results be adapted, provided that this is done in a manner which is not prejudicial to  my honour or reputation.] Place: Signature: Date:  41 