ANNEX 45i(referred to in Articles 183(2), 787(2)(a) and 842b(3))

SECURITY AND SAFETY DOCUMENT (SSD)

CHAPTER ISpecimen of the Security and Safety Document

CHAPTER IIExplanatory notes and particulars (data) for the Security and Safety Document

The form contains header level information and the information for one item of goods.

The information contained in the Security and Safety Document shall be based on data provided for the entry or exit summary declaration; where necessary, that information will be amended by the person lodging the summary declaration and/or verified by the office of entry or exit respectively.

The Security and Safety Document shall be completed by the person lodging the summary declaration.

In addition to the provisions in the explanatory notes of Annexes 30A and 37, particulars have to be printed as follows:

1. 1.

   Box MRN — movement reference number as defined in Annex 45e or ad-hoc references issued by the customs office. The MRN shall be printed on first page and on all lists of items;

2. 2.

   Customs office:

   Reference number of the office of entry/exit;

3. 3.

   Box Declaration type (1):

   Codes “IM” or “EX” according to whether the document contains Entry summary declaration or exit summary declaration data;

4. 4.

   Box Reference number (7):

   Enter LRN — LRN — a local reference number as defined in Annex 37a;

5. 5.

   Box First place arr.cde (S11):

   First place of arrival code;

6. 6.

   Box Date/time arr. first place cust. Terr. (S12):

   Enter date and time of arrival at first place of arrival in Customs territory;

7. 7.

   Box T.C.M.paym.cde (S29):

   Enter transport charges method of payment code;

8. 8.

   Box UNDG (S27) — UN Dangerous Goods code;

9. 9.

   Box Other SCI (S32):

   Enter other specific circumstance indicator.

The Security and Safety Document shall not be modified nor shall any addition or deletion be made thereto unless otherwise specified in this Regulation.