anx_VIII__table

EUROPEAN UNION | EXPORT AUTHORISATION / NOTIFICATION (Reg. (EU) 2022/328) If notifying pursuant to Article 2(3) or 2a(3) of Regulation XXX/XXX, indicate what point(s) applies/apply: ☐ (a) humanitarian purposes, health emergencies, the urgent prevention or mitigation of an event likely to have a serious and significant impact on human health and safety or the environment or as a response to natural disasters; ☐ (b) medical or pharmaceutical purposes; ☐ (c) temporary export of items for use by news media; ☐ (d) software updates; ☐ (e) use as consumer communication devices; ☐ (f) ensuring cyber-security and information security for natural and legal persons, and bodies in Russia except for its government and undertakings directly or indirectly controlled by that government; ☐ (g) personal use of the natural persons travelling to Russia or members of their immediate families travelling with them, and limited to personal effects, household effects, vehicles or tools of trade owned by the individuals and not intended for sale | For authorisations, indicate if this has been requested pursuant to Article 2(4), 2(5), 2a(4), 2a(5) or 2b(1) of Regulation XXX/XXX: For authorisations pursuant to Article 2(4) or 2a(4) of Regulation XXX/XXX, indicate what point(s) applies/apply: ☐ (a) intended for cooperation between the Union, the governments of Member States and the government of Russia in purely civilian matters; ☐ (b) intended for the space industry, including cooperation in the academic field and intergovernmental cooperation in space programmes; ☐ (c) intended for the operation, maintenance, fuel retreatment and safety of civil nuclear capabilities, as well as civil nuclear cooperation, notably in the field of research and development; ☐ (d) intended for maritime safety; ☐ (e) intended for civilian telecommunications networks, including the provision of internet services; ☐ (f) intended for the exclusive use of entities owned, or solely or jointly controlled by a legal person, entity or body which is incorporated or constituted under the law of a Member State or of a partner country; ☐ (g) for the diplomatic representations of the Union, Member States and partner countries, including delegations, embassies and missions. For authorisations pursuant to Article 2b(1) of Regulation XXX/XXX, indicate what point applies: ☐ (a) urgent prevention or mitigation of an event likely to have a serious and significant impact on human health and safety or the environment; ☐ (b) contracts concluded before 26 February 2022, or ancillary contracts necessary for the execution of such a contract, provided that the authorisation is requested before 1 May 2022. 1 | 1. Exporter | 2. Identification number | 3. Expiry date (if applicable) | | 4. Contact point details 5. Consignee | 6. Issuing authority 7. Agent/Representative (if different from exporter) | | 8. Country of consignment | Code (1) 9. End user (if different from consignee) | 10. Member State of current or future location of the items | Code (2) 11. Member State of intended entry into the customs export procedure | Code (2) 1 | 12. Country of final destination | Code (2) Confirm that the end user is non military | Yes/No | 13. Description of the items (2) | 14. Country of origin | Code (2) 15. Harmonised System or Combined Nomenclature Code (if applicable with 8 digit; CAS number if available) | 16. Control list no (for listed items) 17. Currency and Value | 18. Quantity of the items 19. End use | Confirm that the end use is non military | Yes/No | 20. Contract date (if applicable ) | 21. Customs export procedure 22. Additional information: Available for pre-printed information At discretion of Member States | For completion by issuing authority Signature Issuing Authority | Stamp | Date |

← anx_VIII__para__2 · All articles · anx_VIII__table__2 →

Source: EUR-Lex (Cellar) · retrieved 2026-10-17 · Text as adopted (Official Journal); later amendments are not incorporated in this text.