ANNEX IISupplementary provisions
ANNEX II Text of image European Union Certificate to EU Part I: Details of dispatched consignment I.1. Consignor Name Address Tel. No. I.2. Certificate reference No I.2.a. I.3. Central competent authority I.4. Local competent authority I.5. Consignee Name Address Postal Code Tel. No. I.6. Person responsible for the consignment in EU Name Address Postal Code Tel. No. I.7. Country of origin ISO code I.8. I.9. Country of destination ISO code I.10. I.11. Place of origin Name Approval number Address I.12. I.13. Place of loading I.14. Date of departure I.15. Means of transport Aeroplane Ship Railway wagon Road vehicle Other Identification: Document references: I.16. Point of import in EU I.17. I.18. Description of commodity I.19. Commodity code (HS code) I.20. Quantity I.21. Temperature of products Ambient Chilled Frozen I.22. Number of packages I.23. Identification of container/Seal number I.24. Type of packaging I.25. Commodities certified for: Human consumption Animal feeding stuff Further process I.26. I.27. For import into EU Text of image I.28. Identification of the commodities Batch number Treatment type Text of image COUNTRY PRE-EXPORT CHECK II. Health information II.a. Certificate reference No. II.b. In accordance with the provisions of Commission Implementing Regulation (EU) 2015/949 approving the pre-export checks carried out by on as regards the presence of , I undersigned, , authorised repre-sentative of the competent authority referred to in Article 1 of Implementing Regulation (EU) 2015/949 certifies that the commodities described in the Part I of this certificate have been produced, sorted, handled, processed, packaged and transported in line with good hygiene practices and have been subject to a pre-export check, as approved by Implementing Regulation (EU) 2015/949 and ensures that the commodities covered by this certificate will be transported to the European Union in a container, which is in line with good hygiene practices. From this consignment samples for analysis were taken on (date), subjected to laboratory analysis on (date) in the (name of laboratory), and the details of sampling, methods of analysis used and all results are attached. Notes This certificate is valid for four months after issuance. Part I: — Box reference I.11: Approval number: only if applicable. — Box reference I.19: Use the appropriate HS code of WCO or CN code. — Box reference I.20: Indicate total weight. — Box reference I.25: Further process means ‘subject to sorting or other physical treatment before human consumption’. Part II: Certification Official inspector Name (in capital letters): Qualification and title: Date: Signature: Stamp: