Note that in box 6 a Member State should only be mentioned, if the authorisation is based on Article 4 of Regulation (EC) No 1236/2005.
Tabhair faoi deara gur cheart Ballstát a lua i mbosca 6 ach amháin i gcás ina bhfuil an t-údarú bunaithe ar Airteagal 4 de Rialachán (CE) Uimh. 1236/2005.