ANNEX IXSupplementary provisions
ANNEX IX AUTHORISATION FORM FOR THE SUPPLY OF TECHNICAL ASSISTANCE REFERRED TO IN ARTICLE 21(1) Technical specification: The following form shall measure 210 × 297 mm with a maximum tolerance of 5 mm less and 8 mm more. The boxes are based on a unit of measurement of one tenth of an inch horizontally and one sixth of an inch vertically. The subdivisions are based on a unit of measurement of one tenth of an inch horizontally. Text of image EUROPEAN UNION 1 1 Applying supplier of technical assistance (full name and address) AUTHORISATION FOR THE SUPPLY OF TECHNICALASSISTANCE RELATED TO GOODS THAT COULD BEUSED FOR TORTURE OR FOR CAPITAL PUNISHMENT(REGULATION (EU) 2019/125) Authorisation technical Assistance (Regulation (EU) 2019/125) 2 Natural person or legal person, entity or body to whom the technical assistance will be supplied (full name and address) 3 Authorisation No Based on Article 3 4 7a 7d 4 Expiry date 5 The natural or legal person, entity or body mentioned at 2 is A museum A law enforcement agency An institution providing education or training A supplier of repair services, maintanace or other technical services related to the goods to which the technical assistance relates A manufacturer of the goods to which None of the above. Please specify the activity of the natural or legal person, entity or body at 2: 6 Third country or Member State to which the technical assistance will be supplied (name and code) 7 This authorisation applies to A single supply of technical assistance Technical assistance provided during a period of time. Please specify the period concerned: 8 Member State in which the supplier of technical assistance is resident or established If there is no such Member State, Member State of which the supplier of technical assistance is a national or incorporated legal person, entity or body 1 9 Description of the type of googd to which the technical assistance relates Issuing authority 10 Description of the technical assistance that is authorised 11 If the person, entity or body mentioned at 2 is a person, entity or body in a third country, the technical assistance will be supplied from the EU to that third country by staff in that third country from another third country (please specify) 12 Description of any training on the use of the goods to which the technical assistance relates, which will be supplied to the natural or legal person, entity or body mentioned at 2 13 The training on the use of goods mentioned at 9 will be supplied by: The supplier of technical assistance mentioned at 1 A third country acting on behalf of or in association with the supplier of technical assistance (full name and address) 14 Specific requirements and conditions 15 The undersigned certifies that pursuant to Article 9(1) of Regulation (EU) 2019/125 and subject to the requirements, conditions and procedures set out in this form and the attachment(s) to which it refers, the competent authority has authorised the supply of technical assistance concerning the goods described in box 9. 16 Number of attachments Done at (place, date) Name (typed or capitals) Signature: (Stamp of issuing authority) Explanatory notes to the form ‘Authorisation for the supply of technical assistance related to goods that could be used for capital punishment or for torture (Regulation (EU) 2019/125 of the European Parliament and of the Council ( 1 ) )’. This authorisation form shall be used to authorise a supply of technical assistance in accordance with Regulation (EU) 2019/125. If the technical assistance accompanies an export for which an authorisation is granted by or in accordance with Regulation (EU) 2019/125, this form should not be used, except in the following cases: — the technical assistance relates to goods listed in Annex II to Regulation (EU) 2019/125 (see Article 3(2)); or — the technical assistance relating to goods listed in Annex III or in Annex IV to Regulation (EU) 2019/125 goes beyond what is necessary for the installation, operation, maintenance or repair of the exported goods (see Article 21(2) and, as regards goods listed in Annex IV, Part 1 of the Union General Export Authorisation EU GEA 2019/125 in Annex V to Regulation (EU) 2019/125). The issuing authority is the authority defined in point (h) of Article 2 of Regulation (EU) 2019/125. It is an authority that is included in the list of competent authorities in Annex I to that Regulation. Authorisations shall be issued on this single page form with attachments as necessary. Box 1 Applying supplier of technical assistance Please indicate the applicant's name and full address. Supplier of technical assistance is defined in point (m) of Article 2 of Regulation (EU) 2019/125. If the technical assistance accompanies an export for which an authorisation is granted, please also indicate the applicant's customs number, if possible, and indicate the number of the related export authorisation in box 14. Box 3 Authorisation No Please fill out the number and tick the appropriate box indicating the Article of Regulation (EU) 2019/125 on which the authorisation is based. Box 4 Expiry date Please state day (two digits), month (two digits) and year (four digits). The period of validity of an authorisation is from three months to twelve months. When the period of validity comes to an end, an extension can be requested, if necessary. Box 5 Activity of the natural or legal person, entity or body mentioned at 2 Please indicate the main activity of the person, entity or body to which the technical assistance will be supplied. The term law enforcement authority is defined in point (c) of Article 2 of Regulation (EU) 2019/125. If the main activity is not in the list, tick ‘None of the above’ and describe the main activity using generic words (e.g. wholesaler, retailer, hospital). Box 6 Third country or Member State to which the technical assistance will be supplied Please state both the name of the country concerned and the relevant country code taken from the codes established pursuant to Regulation (EC) No 471/2009 ( 2 ) of the European Parliament and of the Council. See Commission Regulation (EU) No 1106/2012 ( 3 ) . Note that in box 6 a Member State should only be mentioned, if the authorisation is based on Article 4 of Regulation (EU) 2019/125. Box 7 Type of authorisation Please indicate whether the supply of technical assistance is provided during a particular period and, if so, state the period in days, weeks or months during which the supplier of technical assistance has to respond to requests for advice, support or training. A single supply of technical assistance concerns one specific request for advice or support or a specific training (even if it concerns a course given during several days). Box 8 Issuing Member State Please state in the appropriate line both the name of the Member State concerned and the relevant country code taken from the codes established pursuant to Regulation (EC) No 471/2009. See Regulation (EU) No 1106/2012. Box 9 Description of the type of goods to which the technical assistance relates Please describe the type of goods concerned by the technical assistance. The description should include a reference to a specific item of Annex II, III or IV to Regulation (EU) 2019/125. Box 10 Description of the technical assistance that is authorised Please describe the technical assistance in a clear and precise manner. Insert a reference to the date and number of an agreement concluded by the supplier of technical assistance or attach such an agreement, where appropriate. Box 11 Mode of supply Box 11 should not be filled out if the authorisation is based on Article 4 of Regulation (EU) 2019/125. If the technical assistance is supplied from a third country other than the third country where the recipient is resident or established, please state both the name of the country concerned and the relevant country code taken from the codes established pursuant to Regulation (EC) No 471/2009. See Regulation (EU) No 1106/2012. Box 12 Description of training on the use of goods to which the technical assistance relates Please indicate whether the technical support or technical service covered by the definition of technical assistance in point (f) of Article 2 of Regulation (EU) 2019/125 is accompanied by training for users of the relevant goods. Please state which type of users will receive such training and specify the objectives and contents of the training programme. Box 14 Specific requirements and conditions If there is not sufficient space in box 14, please continue on an attached blank sheet, mentioning the authorisation number. Please indicate the number of attachments in box 16. Box 16 Number of attachments Please indicate the number of attachments, if any (see explanations to boxes 10 and 14). ( 1 ) Regulation (EU) 2019/125 of the European Parliament and of the Council of 16 January 2019 concerning trade in certain goods which could be used for capital punishment, torture or other cruel, inhuman or degrading treatment or punishment ( OJ L 30, 31.1.2019, p. 1 ). ( 2 ) Regulation (EC) No 471/2009 of the European Parliament and of the Council of 6 May 2009 on Community statistics relating to external trade with non-member countries and repealing Council Regulation (EC) No 1172/95 ( OJ L 152, 16.6.2009, p. 23 ). ( 3 ) Commission Regulation (EU) No 1106/2012 of 27 November 2012 implementing Regulation (EC) No 471/2009 of the European Parliament and of the Council on Community statistics relating to external trade with non-member countries, as regards the update of the nomenclature of countries of countries and territories ( OJ L 328, 28.11.2012, p. 7 ).