ANNEX IU.K.Model of declaration of independence referred to in Article 12
Instructions for completing the declaration
In block A, fill in the information on the tariff quota to which the declaration of independence applies.
In block B, tick the applicable box.
In block C, indicate the operator’s name, EORI number, date and place of signature, and include the signature of the operator’s competent managing (chief executive) officer.
A. Tariff quota concerned U.K.
a Only to fill in if the origin of the goods is a mandatory element in the licence application. | |
Tariff quota order number | |
CN code(s) | |
Origin of the product(s)a |
B. Independence of operator U.K.
The applicant for the tariff quota order number listed above declares:
C. Operator’s details U.K.
Name | |
EORI number | |
Date and place | |
Signature | |
Role in the company of the signatory |