Appendix X

Council Decision 2013/755/EU of 25 November 2013 on the association of the overseas countries and territories with the European Union ( ‘Overseas Association Decision’ ) · European Union

FORM FOR APPLICATION FOR A DEROGATION 1. COMMERCIAL DESCRIPTION OF THE FINISHED PRODUCT 1.1. Customs classification (H.S. code) 2. COMMERCIAL DESCRIPTION OF NON-ORIGINATING MATERIALS 2.1. Customs classification (H. S. code) 3. Anticipated annual quantity of exports to the Union (expressed in weight, No of articles, meters or other unit) 4. VALUE OF FINISHED PRODUCTS 5. VALUE OF THE NON-ORIGINATING MATERIALS 6. ORIGIN OF NON-ORIGINATING MATERIALS 7. REASONS WHY THE RULE OF ORIGIN FOR THE FINISHED PRODUCT CANNOT BE FULFILLED 8. DURATION REQUESTED FOR DEROGATION From dd/mm/yyyy to dd/mm/yyyy 9. POSSIBLE DEVELOPMENTS TO OVERCOME THE NEED FOR A DEROGATION 10. INFORMATION ABOUT THE COMPANY Capital structure of the firm concerned/Amount of investments made or foreseen/Staff employed or expected to be employed

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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.