anx_III__table__7

1 | 1. Broker/ Supplier of technical assistance/ Applicant | 2. Identification number | 3. Expiry date (if applicable) | 4. Contact point details 5. Exporter in originating third country (if applicable) | 6. Issuing authority 7. Consignee 8. Member State in which the broker / supplier of technical assistance is resident or established | Code (3) 9. Originating country/ Country of location of the items subject of brokering services | Code 1 10. End user in third country of destination (if different from consignee) | 11. Country of destination | Code 1 12. Third parties involved, e.g. agents (if applicable) | 1 | Confirm that the end user is non military | Yes/No

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Source: EUR-Lex (Cellar) · retrieved 2026-10-18 · Text as adopted (Official Journal); later amendments are not incorporated in this text.