Attachment
United Kingdom
ANNEX VI TO PROTOCOL No. 1
INFORMATION CERTIFICATE
| 1. | Supplier(1) | INFORMATION CERTIFICATE | |||
| to facilitate the issue of a | |||||
| MOVEMENT CERTIFICATE | |||||
| for preferential trade between | |||||
| 2. | Consignee(1) | THE EUROPEAN UNION and Ghana | |||
| 3. | Processor(1) | 4. State in which the working or processing has been carried out | |||
| 6. | Customs office of importation(1) | 5. For official use | |||
| 7. | Import document(2) | ||||
| Form: … | No: … | ||||
| Series: … | |||||
Date:  | |||||
| GOODS SENT TO THE STATE OF DESTINATION | |||||
| 8. | Marks, numbers, quantity | 9. Harmonized Commodity Description and Coding System | 10. Quantity(3) | ||
| and kind of package | heading/subheading number (HS code) | ||||
| 11. Value(4) | |||||
| IMPORTED GOODS USED | |||||
| 12. | Harmonized Commodity Description and Coding System | 13. Country of origin | 14. Quantity(3) | 15. Value(2)(5) | |
| 99 | heading/subheading number (HS code) | ||||
| 16. | Nature of the working or processing carried out | ||||
| 17. | Remarks | ||||
| 18. | CUSTOMS ENDORSEMENT | 19.DECLARATION BY SUPPLIER | |||
| Declaration certified: | I, the undersigned, declare that the information | ||||
| on this certificate is accurate. | |||||
| Document: … | |||||
| Form: … No: … | Place: … Date:  | ||||
| Customs office: … | … | ||||
Date:  | |||||
| Official stamp | |||||
| … (Signature) | … (Signature) | ||||
(1)(2)(3)(4)(5) See footnotes overleaf
| REQUEST FOR VERIFICATION | RESULT OF VERIFICATION |
| The undersigned customs official requests verification of the authenticity and accuracy of this information certificate. | Verification carried out by the undersigned customs official shows that this information certificate: |
| (a) was issued by the customs office indicated and that the information contained therein is accurate(*). | |
| (b) does not meet the requirements as to authenticity and accuracy (see notes appended)(*). | |
| Place: … Date: … | Place: … Date: … |
| Official stamp | Official stamp |
| … | … |
| (Official’s signature) | (Official’s signature) |
| (*) Delete where not applicable. |