Anexa 1 - 412

Anexa nr.
1
la Normele tehnice privind completarea
certificatelor de origine preferenţială a mărfurilor
Formularul certificatului de circulaţie EUR.1

MOVEMENT CERTIFICATE
1. Exporter (Name, full address, country) EUR.1 No A 000.000
See notes overleaf before completing this form
2. Certificate used in preferential trade between
___________________________________________
and
___________________________________________
(insert appropriate countries, groups of countries or territories)
3. Consignee (Name, full address, country)
(Optional) 4. Country, group of 5. Country, group of countries or
countries or territory territory of destination
in which the products
are considered as
originating
6. Transport details (Optional) 7. Remarks
8. Item number; Marks and numbers; Number and kind of packages (¹); 9. Gross mass (kg) 10. Invoices
Description of goods or other measure (Optional)
(litres, m3, etc.)
11. CUSTOMS ENDORSEMENT 12. DECLARATION BY THE

Declaration certified EXPORTER
Export document (²) I. the undersigned, declare that the
Form ___________________ No ________ goods described above meet the
Of _________________________________ conditions required for the issue of
Customs office ______________________ stamp this certificate.
Issuing country or territory______________
___________________________________
___________________________________
(Place and date) ____________________________
___________________________________ (Place and date)
(Signature) _____________________________
(Signature)
¹ If goods are not packed, indicate number of articles or state “in bulk” as appropriate
² Complete only where the regulations of the exporting country or territory regions
Formularul certificatului de circulaţie EUR.1
(verso)
13. REQUEST FOR VERIFICATION, to: 14. RESULT OF VERIFICATION,

Verification carried out shows that this certificate (‘)
was issued by the customs office indicated and that the
information contained therein is accurate
does not meet the requirements as to authenticity and

Verification of the authenticity and accuracy of this accuracy (see remarks appended)
certificate is requested
___________________________________________ ___________________________________________
(Place and date) (Place and date)
Stamp Stamp
______________________________ ______________________________
(Signature) (Signature)
______________
(‘) Insert X in the appropriate box
NOTES
1. Certificates must not contain erasures or words written over one another. Any alteration must be made by
deleting the incorrect particulars and adding any necessary corrections. Any such alteration must be initialed by the
person who completed the certificate and endorsed by the customs authorities of the issuing country or territory.
2. No spaces must be left between the items entered on the certificate and each item must be preceded by an
Item number. A horizontal line must be drawn immediately below the last item. Any unused space must be struck
through in such a manner as to make any later additions Impossible.
3. Goods must be described in accordance with commercial practice and with sufficient detail to enable them to
be identified.
Formularul cererii pentru certificatul de circulaţie a mărfurilor EUR.1
APPLICATION FOR A MOVEMENT CERTIFICATE
1. Exporter (Name, full address, country) EUR.1 No A 000.000

See notes overleaf before completing this form
2. Application for a certificate to be used in preferential
trade between
___________________________________________
and
___________________________________________
3. Consignee (Name, full address, country) (Optional) (insert appropriate countries or groups of countries or territories)
4. Country, group of 5. Country, group of countries

countries or territory in or territory of destination
which the products are
considered as
originating
6. Transport details (Optional) 7. Remarks
8. Item number, Marks and numbers; Number and kind of packages (¹); 9. Gross mass 10. Invoices
Description of goods (kg) or other (Optional)
measure (liter,
m3, etc.)
(¹) If goods are not packed, indicate number of articles or state “in bulk” as appropriate
Formularul cererii pentru certificatul de circulaţie a mărfurilor EUR.1
(verso)
DECLARATION BY THE EXPORTER
I. the undersigned, exporter of the described overleaf,
DECLARE that the goods meet the conditions required for the issue of the attached certificate:
SPECIFY as follows the circumstances which have enabled these goods to meet the above conditions:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
SUBMIT the following supporting documents (¹):

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
UNDERTAKE to submit, at the request of the appropriate authorities, any supporting evidence which these authorities
may require for the purpose of issuing the attached certificate, and undertake, if required, to agree to any
inspection of my accounts and to any check on the processes of manufacture of the above goods,
carried out by the said authorities:
REQUEST the issue of the attached certificate for these goods.
________________________________
(Place and date)
________________________________
(Signature)
_____________________
(¹) For example: Import documents, movement certificates invoices, manufacturer`s declarations, etc., referring to
the products used in manufacture or the goods re-exported in the same state.

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Anexa nr.

Formularul certificatului de circulaţie EUR.1

6. Transport details (Optional) 7. Remarks

11. CUSTOMS ENDORSEMENT 12. DECLARATION BY THE

13. REQUEST FOR VERIFICATION, to: 14. RESULT OF VERIFICATION,

does not meet the requirements as to authenticity and

1. Exporter (Name, full address, country) EUR.1 No A 000.000

4. Country, group of 5. Country, group of countries

6. Transport details (Optional) 7. Remarks

I. the undersigned, exporter of the described overleaf,

SUBMIT the following supporting documents (¹):

REQUEST the issue of the attached certificate for these goods.

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