Annex IV Sworn declarationF1
United Kingdom
Importer:
EU Member State:
VAT Number:
Contact person:
Telephone:
E-mail:
I, the undersigned, do hereby confirm that, despite my best efforts, it has not been possible to reclaim the unused quota authorisations listed below from the authorities of the Russian Federation.
Quota authorisation 1:
-
Quota authorisation No:
-
Date of issuance of quota authorisation:
-
Importer (name, country, VAT No):
-
Exporter (name, VAT No):
Quota authorisation 2 etc.:
I, the undersigned, do hereby solemnly declare that the contents of my above declaration are true and correct to my best knowledge and no part of it is false.
| Place/Date | Signature |