STATEMENT OF ORIGIN FOR A SINGLE CONTRIBUTOR

I, ______________: 

(a) represent that either:

  (i) I am the only author and owner of the contributed software 
      (described as/entitled ____________________________), 
      which was neither derived nor copied from any other software,
  or 

 (ii) that any exception to (i) is software which was obtained under the 
      EPL (Eclipse Public License), 

and   

(b)  hereby agree to license this contributed software under the EPL.