Hvis denne formular ligeledes anvendes i forbindelse med AOC–indehavere, føjes AOC–nummeret til referencen, ud over standardnummeret, og betingelse 5 erstattes af følgende supplerende betingelser:
If this form is also used for AOC holders, the AOC number shall be added to the reference, in addition to the standard number, and the condition 5 shall be replaced by the following extra conditions: