# Regulation (EU) 2016/1076 of the European Parliament and of the Council of 8 June 2016 applying the arrangements for products originating in certain states which are part of the African, Caribbean and Pacific (ACP) Group of States provided for in agreements establishing, or leading to the establishment of, economic partnership agreements (recast), Appendix 5A

Extent: E+W+S+N.I.

Supplier declaration for products having preferential origin status
I, the undersigned, declare that the goods listed on this invoice …
were produced in … and satisfy the rules of origin governing preferential trade between the ACP States and the European Union.
I undertake to make available to the customs authorities, if required, evidence in support of this declaration.
… …
…
Note
The abovementioned text, suitably completed in conformity with the footnotes below, constitutes a supplier's declaration. The footnotes do not have to be reproduced.

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Source: https://www.legislation.gov.uk/eur/2016/1076/annex/II/appendix/5A (the official version)
Page: https://openlegislation.uk/eu-regulation-2016-1076/annex-II/appendix-5A
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.