Licence d'importation communautaire
1
Holder's copy
1. Consignee (name, full address, country, VAT number)
2. Issue number
3. Year
4. Authority responsible for issue
(name, address and telephone No)
5. Declarant/representative as applicable
(name and full address)
6. Country of origin
(and geonomenclature code)
7. Country of consignment
(and geonomenclature code)
1
8. Last day of validity
9. Description of goods
10. TARIC code
11. Quantity expressed in quota unit
12. Security/guarantee (as applicable)
13. Further particulars
14. Competent authority's endorsement
Date: ………………………………….
(Signature) (Stamp)
15. ATTRIBUTIONS
Indicate the quantity available in part 1 of column 17 and the quantity attributed in part 2 thereof
16. Net quantity (net mass or other unit of measure stating the unit)
17. In figures
18. In words for the quantity attributed
19. Customs document (form and number) or extract No and date of attribution
20. Name, Member State, stamp and signature of the attributing authority
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
Extension pages to be attached hereto.
Licence d'importation communautaire
2
Copy for the issuing authority
1. Consignee (name, full address, country, VAT number)
2. Issue number
3. Year
4. Authority responsible for issue
(name, address and telephone No)
5. Declarant/representative as applicable
(name and full address)
6. Country of origin
(and geonomenclature code)
7. Country of consignment
(and geonomenclature code)
2
8. Last day of validity
9. Description of goods
10. TARIC code
11. Quantity expressed in quota unit
12. Security/guarantee (as applicable)
13. Further particulars
14. Competent authority's endorsement
Date: ………………………………….
(Signature) (Stamp)
15. ATTRIBUTIONS
Indicate the quantity available in part 1 of column 17 and the quantity attributed in part 2 thereof
16. Net quantity (net mass or other unit of measure stating the unit)
17. In figures
18. In words for the quantity attributed
19. Customs document (form and number) or extract No and date of attribution
20. Name, Member State, stamp and signature of the attributing authority
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
Extension pages to be attached hereto.