— [Date of publication of the impact report]

— [Where applicable, the date of publication of the revised impact report]

— [Date of issuance of the bond(s) or tranches of the bond(s)]

— [The legal name of the issuer]

— [Where available, the legal entity identifier (LEI) of the issuer]

— [Website address providing investors with information on how to contact the issuer]

— [Where available, the name of the bond(s) assigned by the issuer]

— [Where available, the international securities identification numbers (ISIN) of the bond(s) and its/their tranches]

— [Where the impact report was assessed by an external reviewer, the identity and contact details of the external reviewer]

— [Where applicable, the name of the competent authority that has approved the bond prospectus(es)]

— [The following statement: “[This bond uses] [These bonds use] the designation ‘European Green Bond’ or ‘EuGB’ in accordance with Regulation (EU) 2023/2631 of the European Parliament and of the Council (1)].”]

— [Where bond proceeds have been allocated in accordance with Article 5 of that Regulation, the following statement: “[This European Green Bond makes] [These European Green Bonds make] use of the flexibility permitting a partial non-alignment with the technical screening criteria set out in the delegated acts adopted pursuant to Article 10(3), 11(3), 12(2), 13(2), 14(2) or 15(2) of Regulation (EU) 2020/852 of the European Parliament and of the Council (2) (‘the technical screening criteria’), as further described in Section 4 of this impact report.”]

— [Information on the manner in which the bond(s) has (have) contributed to the broader environmental strategy of the issuer.]

— [Where applicable, an explanation of any changes to the broader environmental strategy of the issuer since the publication of the European Green Bond factsheet.]

— [The environmental objectives referred to in Article 9 of Regulation (EU) 2020/852 pursued by the bond(s).]

— [Where the issuer is subject to Article 8 of Regulation (EU) 2020/852, a description of how, to what extent (e.g., expressed as a percentage change year-on-year) and in which financial periods bond proceeds have contributed to the issuer’s key performance indicators for taxonomy-aligned assets, turnover, capital expenditure and operating expenditure.]

— [Where the issuer is subject to an obligation to publish plans pursuant to Article 19a(2), point (a)(iii), or, where applicable, Article 29a(2), point (a)(iii), of Directive 2013/34/EU of the European Parliament and of the Council (3), or where the issuer voluntarily publishes transition plans:

— 

— [An estimate of positive and adverse environmental impacts in aggregated form.]

— [Information on the methodology and assumptions used to evaluate the impacts of projects, where the European green bond factsheet of the bond did not include this information.]

— [Information about the projects’ positive and negative environmental impacts and, where available, related metrics. Where this information is not available at project level, this must be explained.]

— [Where the issuer wishes to include it, information about whether and how the project has contributed to other sustainability aspects of the bond, including the social aspects of the transition towards climate neutrality, such as by providing new jobs, re-skilling and local infrastructure to communities affected by the transition of economic activities towards sustainability.]

— [Where bond proceeds are allocated in accordance with Article 5 of Regulation (EU) 2023/2631, the issuer shall report this information separately for those projects and activities.]

— [A link to the issuer’s website referred to in Article 15(1) of Regulation (EU) 2023/2631.]

— [Where applicable, a link to the issuer’s relevant reports, such as the consolidated management report or the consolidated sustainability report pursuant to Directive 2013/34/EU.]