Annex VII TO PROTOCOL 1 FORM FOR APPLICATION FOR A DEROGATION
United Kingdom
| 1. Commercial description of the finished product 1.1 Customs classification (H.S. code) | 2. Anticipated annual quantity of exports to the Community (weight, No of pieces, meters or other unit) |
| 3. Commercial description of third country materials Customs classification (H. S. code) | 4. Anticipated annual quantity of third country materials to be used |
| 5. Value of third country materials | 6. Value of finished products |
| 7. Origin of third country materials | 8. Reasons why the rule of origin for the finished product cannot be fulfilled |
| 9. Commercial description of materials originating in States or territories referred to in Articles 3 and 4 | 10. Anticipated annual quantity of materials originating in States or territories referred to in Articles 3 and 4 to be used |
| 11. Value of materials of States or territories referred to in Articles 3 and 4 | 12. Working or processing carried out in States or territories referred to in Articles 3 and 4 on third country materials without obtaining origin |
| 13. Duration requested for derogation from … to … | |
| 14. Detailed description of working and processing in the ESA State(s): | 15. Capital structure of the firm(s) concerned |
| 16. Amount of investments made/foreseen | |
| 17. Staff employed/expected | |
| 18. Value added by the working or processing in the ESA State(s): 18.1 Labour: 18.2 Overheads: 18.3 Others: | 20. Possible developments to overcome the need for a derogation |
| 19. Other possible sources of supply for materials | 21. Observations |