ANNEX II 1 Longterm Supplier’s Declaration For Products Having

annex ii 1 long-term supplier’s declaration for products having preferential origin status i, the undersigned, declare that the good

ANNEX II 1
Long-term supplier’s declaration for products
having preferential origin status
I, the undersigned, declare that the goods described below (1)(2):
___________________________________________________ (1)
_____________________ (2)
___________________________________________________
_____________________
which are regularly supplied to
______________________________________________ (3) ,
originate in _________________ (4)
and satisfy the rules of origin governing preferential trade with
NO / CH / IS / LI / FO / MK / BA / RS / ME / AL /
XC / XL / TN / MA / DZ / EG / JO / IL / PS / LB / SY / TR /
MD / ZA / MX / CL / KR /
MAR / Cariforum / Pacific / SADC / ECOWAS / CEMAC / OCT / GSP (5) /
CR / SV / GT / HN / NI / PA /
CL / PE.
I declare that:
� Cumulation applied with _______ (name of the country/countries) (6)
� No cumulation applied
This declaration is valid for all further shipments of these products
dispatched
from _____ to _____ (7).
I undertake to inform ___________ (3) immediately if this declaration
is no longer valid.
I undertake to make available to the customs authorities any further
supporting documents they require.
Name and function: Place and date:
_________________________ ______________
Name and address of the company: Signature:
_________________________ ______________
Stamp of the company:
_________________________
Take over the text on the first page – after completion – on company
letter paper.
Directions for completion:
(1) Description
(2) Commercial designation as used on the invoices, e.g. model No
(3) Name of company to which goods are supplied
(4) The Community, Member State or partner country
(5) State partner country or countries concerned
NO / CH / IS / LI / FO / MK / BA / RS / ME / AL /
XC / XL / TN / MA / DZ / EG / JO / IL / PS / LB / SY / TR /
MD / ZA / MX / CL / KR /
MAR / Cariforum / Pacific / SADC / ECOWAS / CEMAC / OCT / GSP /
CR / SV / GT / HN / NI / PA /
CL / PE.
(6) To be completed only for goods having preferential origin status
in the context of preferential trade relations with one of the
countries referred to in Articles 3 and 4 of the relevant origin
Protocol, with which pan-Euro-Mediterranean cumulation of origin is
applicable
(7) Give the dates. The period should not exceed twelve months
1 Regulation (EC) Nr. 1207/2001 of the Council of 11 June 2001;
Official J. L 165 of 21.6.2001, p. 1 ; amended by Regulation (EC) Nr.
1617/2006 of the Council of 24 October 2006; Official J. L 300 of
31.10.2006, p. 5.