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 [framework] [specific] contract, especially Articles [I.10 and  II.13] concerning exploitation of the results and intellectual property rights and I  confirm that I transferred all the relevant rights to [ insert name of contractor or other  intermediary right holder ]. I declare that [I have received full remuneration] [I agreed to receive remuneration  by [ insert date ]]. [As creator, I also confirm that I do not object to the following: (a) that my name be mentioned or not mentioned when the results are presented  to the public; (b) that the results be divulged or not after they have been delivered in their final  version to the contracting authority; (c) that the results be adapted, provided that this is done in a manner which is  not prejudicial to my honour or reputation.] Date, place, signature  2  Annex (c) – Statement by the creator (or right holder)  concluded between the contracting authority and [ name of the  contractor ]  Concerning [ insert name of the relevant result ] delivered as  part of the [framework] [specific] contract [ insert title and  number ]