Приложение 2. Форма сертификата о происхождении товара на зерно

Приложение 2

к Положению о порядке выдачи

сертификатов о происхождении на некоторые

виды зерновой продукции, экспортируемой

в страны Европейского союза

ФОРМА СЕРТИФИКАТА О ПРОИСХОЖДЕНИИ ТОВАРА НА ЗЕРНО

1 Consignor

CERTIFICATE OF ORIGIN

for imports of products subject to special non-preferential import arrangements into the European Union

8013564

No .................................

2 Consignee (optional)

3 ISSUING AUTHORITY

4 Country of origin

NOTES

A. The certificate must be completed in typescript or by means of a mechanical data-processing system, or similar procedure.

B. The original of the certificate must be lodged together with the declaration of release for free circulation with the relevant customs office in the European Union.

5 Remarks

6 Item number - Markings and numbers - Number and kind of packages - DESCRIPTION OF GOODS

7 Gross and net mass (kg)

8 THIS IS TO CERTIFY THAT THE ABOVE PRODUCTS ORIGINATE IN THE COUNTRY INDICATED IN BOX 4 AND THAT THE INDICATIONS IN BOX 5 ARE CORRECT.

Place and date of issue

Signature

Issuing authority's stamp

9 RESERVED FOR THE CUSTOMS AUTHORITIES IN THE EUROPEAN UNION