ANNEX ISupplementary provisions
ANNEX I MODEL REFERRED TO IN ARTICLE 2(1) INSTRUCTIONS FOR USE 1. Licence forms shall be made up in sets containing copy No 1, copy No 2 and the application, together with any extra copies of the licence, in that order. However, the licence issuing authority may require applicants to complete an application form only, instead of the sets provided for in the first subparagraph. 2. Where, as a result of a Union measure, the quantity for which the licence is issued may be less than the quantity in respect of which application for a licence was initially made, the quantity applied for and the amount of the security relating thereto must be entered only on the application form. 3. Forms for extracts of licences shall be made up in sets containing copy No 1 and copy No 2, in that order. 4. In Section 2 the Member State issuing the document shall be indicated using the corresponding country code. The licence issuing authority may add numbers identifying the document. Member State Country code Belgium BE Bulgaria BG Czech Republic CZ Denmark DK Germany DE Estonia EE Ireland IE Greece EL Spain ES France FR Croatia HR Italy IT Cyprus CY Latvia LV Lithuania LT Luxembourg LU Hungary HU Malta MT Netherlands NL Austria AT Poland PL Portugal PT Romania RO Slovenia SI Slovakia SK Finland FI Sweden SE United Kingdom UK 5. At the time of their issue, licences and extracts may bear an issue number in Section 23 (export licence) or Section 25 (import licence) allocated by the licence issuing authority. 6. Applications, licences and extracts shall be completed in typescript or by computerised means. 7. The licence issuing authority may allow applications to be handwritten in ink and in block capitals. Text of image EUROPEAN UNION — IMPORT LICENCE AGRIM 1 1 Licence issuing authority (name and address) 2 Licence issuing authority‘s embossment and perforation (1) No HOLDER’S COPY 3 4 Issued to (name, full address and Member State) 5 Authority issuing the extract (name and address) 6 Rights transferred to: with effect from |||| Stamp of the licence issuing authority: 7 Exporting country Compulsory Yes No 8 Country of origin Compulsory Yes No 10 Date of lodging original licence application ||| 11 Total amount of security 12 LAST DAY OF VALIDITY 1 13 PRODUCT TO BE IMPORTED ||| 14 Trade denomination (1) To be completed if the signature and the stamp do not appear in Section 25. (2) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (2) in figures 18 Quantity (2) in words 19 Tolerance % more 20 Special particulars 24 Special conditions 25 Issued at: on |||| under No Licence issuing authority’s signature and stamp: 26 Term of validity extended until |||| inclusive for (2) At on |||| Signature and stamp of licence issuing authority: Text of image 27 ATTRIBUTIONS Indicate the quantity available in part 1 of column 29 and the quantity attributed in part 2 thereof 28 Net quantity (net mass or other unit of measure stating the unit) 31 Customs document (form and No) or extract No and date of attribution 32 Name, Member State, stamp and signature of the attributing authority 29 In figures 30 In words for the quantity attributed 1 2 1 2 1 2 1 2 1 2 1 2 1 2 33 Extension pages to be attached hereto. Text of image EUROPEAN UNION — IMPORT LICENCE AGRIM 2 1 Licence issuing authority (name and address) 2 Licence issuing authority‘s embossment and perforation (1) No LICENCE ISSUING AUTHORITY’S COPY 3 4 Issued to (name, full address and Member State) 5 Authority issuing the extract (name and address) 6 Rights transferred to: with effect from |||| Stamp of the licence issuing authority: 7 Exporting country Compulsory Yes No 8 Country of origin Compulsory Yes No 10 Date of lodging original licence application ||| 11 Total amount of security 12 LAST DAY OF VALIDITY 2 13 PRODUCT TO BE IMPORTED ||| 14 Trade denomination (1) To be completed if the signature and the stamp do not appear in Section 25. (2) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (2) in figures 18 Quantity (2) in words 19 Tolerance % more 20 Special particulars 24 Special conditions 25 Issued at: on |||| under No Licence issuing authority’s signature and stamp: 26 Term of validity extended until |||| inclusive for (2) At on |||| Signature and stamp of licence issuing authority: Text of image EUROPEAN UNION — IMPORT LICENCE AGRIM 1 Licence issuing authority (name and address) APPLICATION 4 Applicant (name, full address and Member State) 7 Exporting country Compulsory Yes No 8 Country of origin Compulsory Yes No 11 Total amount of security 13 PRODUCT TO BE IMPORTED 14 Trade denomination (1) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (1) in figures 18 Quantity (1) in words 20 Special particulars Notes Place and date: Applicant’s signature: Text of image EUROPEAN UNION — EXPORT LICENCE AGREX 1 1 Licence issuing authority (name and address) 2 Licence issuing authority‘s embossment and perforation (1) No HOLDER’S COPY 3 4 Issued to (name, full address and Member State) 5 Authority issuing the extract (name and address) 6 Rights transferred to: with effect from |||| Stamp of the licence issuing authority: 7 Receiving country Compulsory Yes No 10 Date of lodging original licence application ||| 11 Total amount of security 12 LAST DAY OF VALIDITY 1 13 PRODUCT TO BE EXPORTED ||| 14 Trade denomination (1) To be completed if the signature and the stamp do not appear in Section 25. (2) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (2) in figures 18 Quantity (2) in words 19 Tolerance % more 20 Special particulars 22 Special conditions 23 Issued at: on |||| under No Licence issuing authority’s signature and stamp: 24 Term of validity extended until |||| inclusive for (2) At on |||| Signature and stamp of licence issuing authority: Text of image 27 ATTRIBUTIONS Indicate the quantity available in part 1 of column 29 and the quantity attributed in part 2 thereof 28 Net quantity (net mass or other unit of measure stating the unit) 31 Customs document (form and No) or extract No and date of attribution 32 Name, Member State, stamp and signature of the attributing authority 29 In figures 30 In words for the quantity attributed 1 2 1 2 1 2 1 2 1 2 1 2 1 2 33 Extension pages to be attached hereto. Text of image EUROPEAN UNION — EXPORT LICENCE AGREX 2 1 Licence issuing authority (name and address) 2 Licence issuing authority‘s embossment and perforation (1) No LICENCE ISSUING AUTHORITY’S COPY 3 4 Issued to (name, full address and Member State) 5 Authority issuing the extract (name and address) 6 Rights transferred to: with effect from |||| Stamp of the licence issuing authority: 7 Receiving country Compulsory Yes No 10 Date of lodging original licence application ||| 11 Total amount of security 12 LAST DAY OF VALIDITY 2 13 PRODUCT TO BE EXPORTED ||| 14 Trade denomination (1) To be completed if the signature and the stamp do not appear in Section 23. (2) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (2) in figures 18 Quantity (2) in words 19 Tolerance % more 20 Special particulars 22 Special conditions 23 Issued at: on ||||under No Licence issuing authority’s signature and stamp: 24 Term of validity extended until |||| inclusive for (2) At on |||| Signature and stamp of licence issuing authority: Text of image EUROPEAN UNION — EXPORT LICENCE AGREX 1 Licence issuing authority (name and address) APPLICATION 4 Applicant (name, full address and Member State) 7 Receiving country Compulsory Yes No 11 Total amount of security 13 PRODUCT TO BE EXPORTED 14 Trade denomination (1) Net mass or other unit of measurement indicating unit. 15 Description in accordance with the Combined Nomenclature (CN) 16 CN code(s) 17 Quantity (1) in figures 18 Quantity (1) in words 20 Special particulars Notes Place and date: Applicant’s signature: