Information certificate

1. Supplier (1) INFORMATION CERTIFICATE to facilitate the issue of a MOVEMENT CERTIFICATE for preferential trade between the 2. Consignee (1) EUROPEAN UNION and the OCTs 3. Processor (1) 4. State in which the working or processing has been carried out 6. Customs office of importation (1) 5. For official use 7. Import document (2) Form … No … Series … Date GOODS SENT TO THE MEMBER STATES OF DESTINATION 8. Marks, numbers, quantity and kind of package 9. Harmonised Commodity Description and Coding System heading/subheading number (HS code) 10. Quantity (3) 11. Value (4) IMPORTED GOODS USED 12. Harmonised Commodity Description and Coding System heading/subheading number (HS code) 13. Country of origin 14. Quantity (3) 15. Value (2) (5) 16. Nature of working or processing carried out 17. Remarks 18. CUSTOMS ENDORSEMENT Declaration certified: Official Stamp Document: … Form: … No … Customs office … Date (Signature) 19. DECLARATION BY THE SUPPLIER I the undersigned, declare that the information on this certificate is accurate. (Place) (Date) (Signature) REQUEST FOR VERIFICATION The undersigned customs official requests verification of the authenticity and accuracy of this information certificate. (Place and date) Official Stamp (Official's signature) RESULT OF VERIFICATION Verification carried out shows that this certificate (1) a) was issued by the Customs Office indicated and that the information contained therein is accurate (*) b) does not meet the requirements as to authenticity and accuracy (see notes appended). (*) (Place and date) Official Stamp (Official's signature) (*) Delete where not applicable CROSS REFERENCES (1) Name of individual or business and full address. (2) Optional information. (3) Kg, hl, m3 or other measure. (4) Packaging shall be considered as forming a whole with the goods contained therein. However, this provision shall not apply to packaging which is not of the normal type for the article packed, and which has a lasting utility value of its own, apart from its function as packaging. (5) The value must be indicated in accordance with the provisions on rules of origin.

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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.