(c)
they provide in their request addressed to the customs authority of the Member State the following data set out in the form a model of which appears in Appendix XI: the details set out in boxes 1 and 4; the undertaking set out in box 5.
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Source: EUR-Lex (Cellar) · retrieved 2026-11-02 · Text as adopted (Official Journal); later amendments are not incorporated in this text.