ANNEX IISupplementary provisions
ANNEX II Text of image EUROPEAN UNION SURVEILLANCE DOCUMENT 1 1. Consignee (name, full address, country, VAT number) 2. Issue number Holder’s copy 3. Proposed place and date of import 4. Authority responsible for issue (name, address and telephone No) 5. Declarant/representative as applicable (name and full address) 6. Country of origin (and geonomenclature code) 7. Country of consignment (and geonomenclature code) 8. Last day of validity 1 9. Description of goods 10. CN code and category 11. Quantity in kilograms (net mass) or in additional sets 12. Value in euro, CIF at Union frontier 13. Additional remarks 14. Competent authority’s endorsement Date: Signature: (Stamp) Text of image 15. ATTRIBUTIONS Indicate the quantity available in part 1 of column 17 and the quantity attributed in part 2 thereof 16. Net quantity (net mass or other unit of measure stating the unit) 19. Customs document (form and number) or extract No and date of attribution 20. Name, Member State, stamp and signature of the attributing authority 17. In figures 18. In words for the quantity attributed 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. Extension pages to be attached hereto. Text of image EUROPEAN UNION SURVEILLANCE DOCUMENT 2 1. Consignee (name, full address, country, VAT number) 2. Issue number Copy for the competent authority 3. Proposed place and date of import 4. Authority responsible for issue (name, address and telephone No) 5. Declarant/representative as applicable (name and full address) 6. Country of origin (and geonomenclature code) 7. Country of consignment (and geonomenclature code) 8. Last day of validity 2 9. Description of goods 10. CN code and category 11. Quantity in kilograms (net mass) or in additional sets 12. Value in euro, CIF at Union frontier 13. Additional remarks 14. Competent authority’s endorsement Date: Signature: (Stamp) Text of image 15. ATTRIBUTIONS Indicate the quantity available in part 1 of column 17 and the quantity attributed in part 2 thereof 16. Net quantity (net mass or other unit of measure stating the unit) 19. Customs document (form and number) or extract No and date of attribution 20. Name, Member State, stamp and signature of the attributing authority 17. In figures 18. In words for the quantity attributed 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. 1. 2. Extension pages to be attached hereto.