Division SUPPLIER DECLARATION FOR PRODUCTS NOT HAVING PREFERENTIAL ORIGIN STATUS

I, the undersigned, declare that the goods listed on this invoice …⁽¹⁾ were produced …⁽²⁾ and incorporate the following components or materials which do not originate in Côte d'Ivoire, in another ACP State having applied an EPA at least on a provisional basis, in an OCT or in the European Union for preferential trade:

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I undertake to make available to the customs authorities, if required, evidence in support of this declaration.

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