ANNEX VISupplementary provisions
ANNEX VI CERTIFICATE OF ORIGIN OR PROVENANCE AND CHARACTERISTICS OF THE WINE PRODUCTS, THE VINTAGE YEAR OR THE GRAPE VARIETY(IES) FROM WHICH THE PRODUCTS ARE PRODUCED AND THE PDO OR PGI OF WINES OF THE UNION (Articles 11(1) and 12(1)) PART I Relevant information referred to in Article 11(1) or Article 12(1)(a) Information to be mentioned in box 17l of the accompanying document or on the commercial document used in accordance with Article 21(6) of Directive 2008/118/EC or with Article 12(1)(a) of this Regulation I, undersigned, responsible for the products listed here, certify that they were produced and bottled in [Member State or European Union] and that: (1) they fulfil the requirements for labelling and presentation in respect of: (a) protected designation of origin (PDO) or protected geographical indication (PGI) No […, …] registered in the ‘E-Bacchus register’ set up by the Union, in accordance with Article 18 of Regulation (EC) No 607/2009; (b) the vintage year, in accordance with the rules provided for in Article 120 of Regulation (EU) No 1308/2013; (c) the wine-grape variety(ies) (‘varietal wines’), in accordance with the rules provided for in Article 81 and 120 of Regulation (EU) No 1308/2013; (2) all the products comply with the provisions governing the production and release of products for direct human consumption under Union law; (3) the products were produced by approved methods of production and not specifically for the purpose of export; and (4) the products are authentic and are fit for human consumption in the Union. Signature and Date Name and title of producer/processor Administrative reference assigned by the competent authority ‘ARC number’ or ‘MVV code’ PART II Specific certificate for export referred to Article 12(1)(b) A. TEMPLATE WINE EXPORT CERTIFICATE For wines exported from the European Union to … This is a multi-purpose certificate, established in accordance with Article 12 of Delegated Regulation (EU) 2018/273 used for Certificate of Origin , Certificate of Health and Certificate of Authenticity European Union 2. Consignor: 2a. Identification: A. Exporter: Aa. Identification: 3. Place of dispatch: A1. Premises: 5. Identity of means of transport (nature): 6. Reference: B. Importer: Ba. Place of delivery: 17p. Description 17df. Quantity (Litres) Details 17l. Certification: I, undersigned, responsible for these products for export, certify the following information: The products listed above were produced and bottled in the European Union/in … All the products comply with the provisions governing the production and release of products for direct human consumption under EU law; The products were produced by normal and approved methods of production and not specifically for the purpose of export and the products are authentic and are fit for human consumption in the European Union. The products listed above were produced and bottled under EU rules as wines with: ☐ protected designation of origin (PDO) or protected geographical indication (PGI) registered in ‘E-Bacchus register’ set up by the EU in accordance with Article 18 of Regulation (EC) No 607/2009 ☐ indication of the vintage year in accordance with the rules provided for in Article 120 of Regulation (EU) No 1308/2013 ☐ indication of the wine grape variety(ies) (‘varietal wines’) in accordance with the rules provided for in Articles 81 and 120 of Regulation (EU) No 1308/2013. Complementary certification (optional) Logo of the Member State 10. The control authorities confirm that the consignor of the wine products described in this certificate is registered by and attached to … with the obligation that all wine products shall be registered and subject to supervision and inspection by the competent authorities. 18. Signature Date: 18a. Unique administrative reference assigned by the competent authorities Name and title (points (a)(i) and (iii) of the first subparagraph of Article 10(1) of Delegated Regulation (EU) 2018/273) ARC/MVV The consignor or representative certifying the above information (Article 12(2) of Delegated Regulation (EU) 2018/273) B. REQUIREMENTS FOR THE USE OF THE SPECIFIC CERTIFICATE FOR EXPORT The information to be provided on the certificate referred to in Article 12(1)(b) shall be presented in the form of the entries set out in column No 1 in the following table. Those entries are identified by the numbers and letters shown in column No 2 of the following table: 1 2 Consignor: full name and address including post code Identification: the System of Exchange of Excise Data (SEED) excise number) or reference to the number in the list or register provided for in Article 8(3) of Commission Delegated Regulation (EU) 2018/273. No 2 Place of dispatch: the actual place of dispatch, if the goods are not dispatched from the address given for the consignor No 3 Exporter: full name and address No A Premises: the actual place of dispatch, if the goods are not dispatched from the address given for the exporter No A1 Identity of means of transport: container, ship, airplane …. No 5 Reference: name and identity of the means of transport No 6 Importer: full name and address No B Place of delivery: the actual place of delivery, if the goods are not delivered to the address given for the importer No Ba Logo of the Member State of dispatch and name, address and contact point of the competent authority responsible for checking the consignor at the place of dispatch Optional specific requirements: confirmation by the control authorities that ‘ An internal quality control for the compliance of the products has been put in place. ’ No 10 Description of the product: in accordance with Regulation (EU) No 1308/2013 and any national rules which apply, in particular compulsory indications. The details of the description may be given in separate documents referred to in this box. No 17p Quantity: — for products in bulk, the total net quantity, — for packaged products, the number of containers used No 17d/f Certification: Certification of origin or provenance and compliance with provisions governing the production and release for direct human consumption under Union law and by normal and approved methods of production (oenological practices, processing aids and additives); Certification of the PDO or PGI, certification of the vintage year or of the wine grape variety(ies), in accordance with Regulation (EU) No 1308/2013. Complementary certification (optional): may be added by the consignor in the form of optional entries as follows: — My company has implemented a quality assurance system — The manufacture and sale of the above mentioned products are authorised in the EU according to EU and national legislation — Samples of the products are randomly selected and examined in official laboratories — Based on analysis from a third party, the level of radioactivity in terms of Caesium 134 + 137 for these products does not exceed [is] … Bq/kg (see documentation, tests reports attached) — Other certification No 17l Signature, name and title of the signatory and date of signature No 18 Reference number: each certificate must bear a reference number which identifies it in the consignor's accounts. This number is, where applicable, the ARC number or the MVV code assigned to the accompanying document in its administrative or commercial form. No 18a