Annex III
United Kingdom
Specimen authenticity certificate referred to in Article 5
| 1 Exporter (Name and full address) | CERTIFICATE OF AUTHENTICITY for export to the European Union | |
| 2 Consignee (Name and full address) | No | ORIGINAL |
| issued by (Name and full address of issuing body) | ||
| 3 country and place of cultivation | ||
| 4 country of destination in EU | ||
| 5 Packing 5 kg or less (number of packings) | ||
| 6 Description of goods | 7 Packing between 5 and 20 kg (number of packings | |
| 8 Net weight (kg) Gross weight (kg) | ||
| 9 DECLARATION BY EXPORTER The undersigned declares that the information shown above is correct. | ||
| Place and date: | Signature: | |
| 10 CERTIFICATION BY THE ISSUING BODY It is hereby certified that the rice described above is one of the varieties of fragrant rice listed in Annex I of Commission Implementing Regulation (EU) No 2020/991 and that the information shown in this certificate is correct. | ||
| Place and date: | Signature: | Stamp: |
| 11 FOR COMPETENT AUTHORITIES IN THE EUROPEAN UNION | ||