OfficialJournaloftheEuropeanCommunities 323
23.12.67 OFFICIALJOURNALOFTHEEUROPEAN COMMUNITIES No314/9
REGULATION No1041/67/EECOFTHECOMMISSION
of21December1967
ondetailedrulesfortheapplicationofexportrefundsonproductssubjecttoasingleprice
system
HavingregardtoCouncilRegulationNo177/67/EEC
of27June1967layingdowngeneralrulesforgrant­
ingexportrefundsonpigmeatandcriteriaforfixing
theamountofsuchrefunds,andinparticular
Article6(2),secondsubparagraph ,andArticle6(3)
thereof;
HavingregardtoCouncilRegulationNo122/67/EEC8
of13June1967onthecommonorganisationofthe
marketineggs,andinparticularArticle9(3)thereof;
HavingregardtoCouncilRegulationNo175/67/EEC9
of27June1967layingdowngeneralrulesforgrant­
ingexportrefundsoneggsandcriteriaforfixing
theamountofsuchrefunds,andinparticularArticle
6(2),secondsubparagraphandArticle6(3)thereof;
HavingregardtoCouncilRegulationNo123/67/EEC10
of13June1967onthecommonorganisationofthe
marketinpoultrymeatandinparticularArticle9(3)
thereof;
HavingregardtoCouncilRegulationNo176/67/EEC11
of27June1967layingdowngeneralrulesfor
grantingexportrefundsonpoultrymeatandcriteriafor
fixingtheamountofsuchrefunds,andinparticular
Article6(2),secondsubparagraph andArticle6(3)
thereof;
HavingregardtoCouncilRegulationNo359/67/EEC12
of25July1967onthecommonorganisationofthe
marketinrice,andinparticularArticle17(6)thereof;
HavingregardtoCouncilRegulationNo366/67/EEC13
of25July1967layingdowngeneralrulesforgranting
exportrefundsonriceandcriteriaforfixingtheTHECOMMISSION OFTHEEUROPEAN COM­
MUNITIES ,
HavingregardtotheTreatyestablishingtheEuro­
peanEconomicCommunity ;
HavingregardtoCouncilRegulationNo136/67/EEC1
of22September1966ontheestablishment ofa
commonorganisationofthemarketinoilsandfats,
andinparticularArticle43thereof;
HavingregardtoCouncilRegulationNo142/67/EEC2
of21June1967onexportrefundsoncolza,rape
andsunflowerseeds,andinparticularArticle5(2),
secondsubparagraph .Article5(3)andArticle6
thereof;
HavingregardtoCouncilRegulationNo171/67/EEC3
of27June1967onexportrefundsandleviesonolive
oil,andinparticularArticle8(2),secondsubpara­
graph,Article8(3)andArticle11thereof;
HavingregardtoCouncilRegulationNo120/67/EEC4
of13June1967onthecommonorganisationofthe
marketincereals,andinparticularArticles16(6)and
32(1)thereof;
HavingregardtoCouncilRegulationNo139/67/EEC5
of21June1967layingdowngeneralrulesforgrant­
ingexportrefundsoncerealsandcriteriaforfixing
theamountofsuchrefunds,andinparticularArticle
7(2),secondsubparagraphandArticle7(3)thereof;
HavingregardtoCouncilRegulationNo121/67/EEC0
of13June1967onthecommonorganisationofthe
marketinpigmeat,andinparticularArticle15(6)
thereof;
1OJNo172,30.9.1966,p.3025/66.
2OJNo125,26.6.1967,p.2461/67.
3OJNo130,28.6.1967,p.2600/67.
4OJNo117,19.6.1967,p.2269/67.
5OJNo125,26.6.1967,p.2453/67.
6OJNo117,19.6.1967,p.2283/67.7OJNo130,28.6.1967,p.2614/67.
8OJNo117,19.6.1967.p.2293/67.
9OJNo130,28.6.1967,p.2610/67.
10OJNo117,19.6.1967,p.2301/67.
11OJNo130,28.6.1967,p.2612/67.
12OJNo174,31.7.1967,p.1.
13OJNo174,31.7.1967,p.34.

324 OfficialJournaloftheEuropeanCommunities
amountofsuchrefunds,andinparticularArticle6(2),
secondsubparagraph ,andArticle6(3)thereof;
WhereastheRegulationsonthecommonorganisation
ofmarketsprovidethat,totheextentnecessaryto
enableproductscoveredbytheirprovisionstobe
exported,arefundmaybegrantedtocoverthediffer­
encebetweenquotationsorpricesfortheseproducts
intheCommunityandontheworldmarket;
Whereastheoperativedatefordeterminingtheamount
oftherefundshouldbespecified;whereascertain
Regulationsprovidethatthisdateshouldbethedayof
exportation ;whereasamethodofdeterminingthisday
shouldbefound,inlinewitheconomicrequirements ,
whichensuresequaltreatmentforexportersinMember
StatesandreflectsthetendencyintheCommunity
tocarryoutcustomscontrolsattheplaceofpro­
duction;whereas,consequently ,whenthefactorsfor
calculatingtherefundaredetermined ,theoperative
dayshouldbethatonwhichthecustomsauthority
acceptsthedocumentinwhichthedeclarantstateshis
intentiontoexporttheproductsinquestionandreceive
arefund;establishedconsistingofanexitcertificateservingas
proof;
WhereasthearrangementsprovidedforinthisRegu­
lationmaybeextendedonlytoproductsinfreecir­
culationwithintheCommunity ;whereas,moreover,
exportedproductswhichhavequalifiedforarefund
shouldbeofsuchaqualitythattheycanbemarket­
edonnormalterms;
WhereastheRegulationsonthecommonorganisation
ofmarketsprovidethatforcertainproductsthere­
fundmay,saveasotherwiseprovided,begrantedonly
iftheseproductsareofCommunityorigin;whereas,
therefore,thisconceptshouldbedefined;whereas
goodsobtainedentirelyintheCommunitymustbe
regardedasoriginatingintheCommunity ;whereas,
untilaCommunitydefinitionoftheoriginofgoodsis
adopted,thestandardsinforceintheMemberState
inwhichthecustomsexportformalitiesarecom­
pletedshouldbereferredtowhendecisionsarebeing
takenontheoriginofgoodsmanufactured inthe
Communityfromproductsfromthirdcountries;
Whereaswheretherate'oftherefundisvaried
accordingtothedestinationoftheexportedproducts,
proofmustbefurnished ,thattheproducthasreached
thedestinationforwhichtherefundwasfixed;
whereas,sinceuniformmethodsofproofcannotat
presentbelaiddownbecauseofthedifferentrules
appliedbyimportingthirdcountries,documents
shouldbeacceptedwhichestablishbeyonddoubt,
whileinterferingaslittleaspossiblewithtrade,that
theexportedgoodshavereachedtheirdestination ;
Whereasinordertoputexportersofproductsfor
whichavariedrefundisgrantedonanequalfooting
withotherexporters,provisionshouldbemadefor
payingthepartoftherefundcalculatedonthebasis
ofthelowestrateofrefundapplicableonthedayon
whichthecustomsexportformalitiesarecompletedas
soonastheexporterhasfurnishedproofthatthe
producthasleftthegeographicalterritoryofthe
Community ;
Whereas,sincethedayonwhichthecustomsexport
formalitiesarecompletedistakentobethedayof
exportationforthepurposesofdeterminingtherateof
therefund,provisionshouldbemadefortherefund
tobepaidbytheMemberStateonwhoseterritory
thecustomsformalitieswerecompleted;
Whereas,toenableexporterstofinancetheirtrans­
actionsmoreeasily,MemberStatesshouldbe.author­
isedtoadvanceallorpartoftheamountofthe
refundassoonasthecustomsexportformalitiesare
completed,subjecttothelodgingofadepositora
securityrecognisedasequivalenttheretoinrespectofWhereasthegeneralruleslaiddownbytheCouncil
providethattherefundispaiduponproofthatthe
productshavebeenexportedfromtheCommunity ;
whereasinorderthattheconceptofexportation
fromtheCommunitymaybeinterpretedinauniform
manner,theoperativedateshouldbethatonwhich
thegoodsleavethegeographicalterritoryofthe
Community ;
WhereasintheMemberStatesproductsimportedfrom
thirdcountriesforcertainusesareexemptfromlevies
orduties;whereas,inasmuchasthoseusesaresub­
stantial,Communityproductsshouldbeplacedonan
equalfootingwithproductsfromthirdcountries;
Whereascertaintransactionscanleadtoabusesby
reasonofdifferencesbetweentherateoftherefund
andthatofthelevy;orbyreasonofthenatureof
thegoodsexportedorofexportmarkets;whereasto
preventsuchabusesMemberStatesshouldbeauthor­
isedtorequire,beforepayingtherefund,further
evidenceinadditiontoproofthattheproducthas
leftthegeographicalterritoryoftheCommunity ;
Whereasitshouldbeverifiedtheproductsleavingthe
Communityareinfactthosewhichwerethesubject
ofthecustomsexportformalities;whereas,sincea
Communityproductmayhavetocrosstheterritoryof
otherMemberStatesbeforeleavingthegeographical
territoryoftheCommunity ,amethodofadminis­
trativeco-operationbetweenMemberStatesshouldbe

OfficialJournaloftheEuropeanCommunities 325
3.Thedayonwhichthecustomsexportfor­
malitiesarecompletedshallbetheoperativedatefor
determiningthequantity,natureandcharacteristics of
theproductexported.
Article2
Thefollowingshallbetreatedasexportsfromthe
Community :
—suppliesforvictuallingsea-goingvesselsoraircraft
servingoninternationalroutes,includingintra­
Communityroutes,
—suppliestointernationalorganisationsestablished
intheCommunity ,
—suppliestoarmedforcesstationedintheterritory
ofaMemberStateotherthanthatoftheirflag,
wherelikeproductsimportedfromthirdcountries
forthoseusesareexemptedfromleviesordutieson
importationintotheMemberStateinquestion,the
provisionsofArticle1beingapplicable.therepaymentofthisadvanceifitislaterfoundthat
therefundshouldnothavebeenpaid;
Whereas,ifusehasbeenmadeoftheabovefacility
anditislaterfoundthattherefundshouldnothave
beenpaid,theexporterswouldhavereceivedfree
credittowhichtheywerenotentitled;whereas,there­
fore,measuresshouldbetakentoprevent,exceptin
caseofforcemajeure,unduereceiptofcreditofthis
kind;
Whereas,foradministrative reasons,applicationsfor
paymentoftherefundshouldbemadewithina
reasonableperiod;
WhereasinFrancecertainproductsmaybebondedfor
export,therefundbeingpaidassoonastheproducts
havebeensobonded;whereastheimmediateabolition
ofthisproceduremightharmexportersinthatcountry;
whereastheFrenchRepublicshouldthereforebe
authorisedtoretaintheprocedureasatransitional
measureinrespectofcerealsandoilseeds,forwhich
itisparticularlyimportant;whereasinrespectof
otherproductssuchdifficultiesmaybeovercomeby
authorisingthatMemberState,until30June1968,to
increasefromforty-fivetoonehundreddaystheperiod
betweenthecompletionofcustomsexportformalities
andthetimewhentheproductleavesthegeographi­
calterritoryoftheCommunity ;
WhereasthemeasuresprovidedforinthisRegulation
areinaccordancewiththeOpinionsoftheManage­
mentCommitteesforOilsandFats,forCereals,for
Pigmeat,andforPoultrymeatandEggs;Article3
1.Therefundshallbepaidonlyuponproofthat
theproductinrespectofwhichcustomsformalities
havebeencompleted :>
—hasleftthegeographicalterritoryoftheCom­
munityunaltered,inthecasereferredtoinArticle1,
or
—hasreacheditsdestinationunaltered,inthecases
listedinArticle2.
2.ForthepurposesofthisRegulation,products
shallbeconsideredtohaveleftthegeographicalterri­
toryoftheCommunitywhentheyhaveleftforterri­
torieswhich,althoughformingpartofthegeographi­
calterritoryofaMemberState,formpartofthe
customsterritoryofathirdcountry;however,prod­
uctsshallnotbeconsideredtohaveleftthegeo­
graphicalterritoryoftheCommunitywhensentto
territorieswhich,althoughformingpartofthegeo­
graphicalterritoryofathirdcountry,formpartof
thecustomsterritoryofaMemberState.HASADOPTEDTHISREGULATION :
Article1
1.Forthepurposesofdeterminingtherateofthe
refundonproductscoveredbyRegulationsNos
136/66/EEC,120/67/EEC,121/67/EEC,122/67/EEC,
123/67/EECand359/67/EECwheretherefundisnot
fixedinadvance,andofdetermininganyadjustments
tobemadetotherateoftherefundwhereit
isfixedinadvance,thedateofexportationshallbe
thedayonwhichthecustomsauthorityacceptsthe
documentbywhichthedeclarantstateshisintention
toexporttheproductsinquestionandqualifyfora
refund.Atthetimeofsuchacceptancetheproducts
shallbeplacedundercustomscontroluntiltheyleave
theCommunityor,inanyofthecasesmentionedin
Article2,untiltheyreachtheirdestination.
2.ForthepurposesofthisRegulation,acceptance
ofthedocumentreferredtoinparagraph1shallbe
consideredtobethecompletionofthecustomsexport
formalities .Article4
1.Incertaincases,byreasonofdifferencebetween
therateoftherefundandthatofthelevy,orby
reasonofthenatureoftheexportedproductsorof
exportmarkets,MemberStatesmayrequire,asa
conditionforpaymentoftherefund,proofnotonly
thattheproducthasleftthegeographicalterritoryof
theCommunity ,butalsothattheproductinquestion
hasbeenimportedintoathirdcountryand,where

326 OfficialJournaloftheEuropeanCommunities
appropriate,proofoftheconditionsunderwhichit
wasimported.Proofofimportationintoathirdcountry
shallbegiveninaccordancewiththeprovisionsof
Article8(1).
2.Productionoftheproofprovidedforinpara­
graph1maybemadeobligatoryinaccordancewith
theprocedurelaiddowninArticle38ofRegulation
No136/66/EECandinthecorresponding Articlesof
theotherRegulationsmentioned .
3.Theexportermaybereleasedfromtheobligation
tofurnishtheproofprovidedforinparagraph1ifit
cannotbegivenowingtoforcemajeure;inthatcase
otherformsofproofmayberequired.2.Exceptionally ,theexitcertificatemaybeissuedto
theexporterorendorsedaposteriori,providedthat
theexporterprovesthatthegoodswhichwerepre­
sentedattheofficeorwhichpassedthroughitare
thosedescribedonthecertificateappliedfororissued.
Thisdocumentcan,moreover,beendorsedaposteriori
inthecaseslistedinArticle2,wherenationalcus­
tomsregulationssopermit.
Ifanexitcertificateislost,thecustomsauthorities
oftheissuingofficemayexceptionallyissueadupli­
cateofthatdocumentwhichmustbeendorsedinthe
samewayastheoriginaldocument .
3.TheCustomsauthoritiesoftheofficeissuing
theexitcertificatemay,forpurposesofverification ,
returnthisdocumenttothe-customsofficeswhich
madetheendorsements . Article5
Article6
Arefundshallbegrantedonlyinrespectofprod­
uctsinfreecirculationwithintheCommunitywhich
areofsoundandfairmarketablequalityand,inthe
caseofproductsintendedforhumanconsumption ,
whichhavecharacteristics orareinaconditionsuch
asdohotexcludeorsubstantiallyimpairtheirusefor
thatpurpose.
Article7.1.If,beforeleavingthegeographical ,territoryofthe
Communityorbeforereachingoneofthedestinations
listedinArticle2,aproductforwhichcustomsexport
formalitieshavebeencompletedcrossesCommunity
territoryotherthanthatoftheMemberStatein
whoseterritorysuchformalitiestookplace,proofthat
theproducthasleftthegeographicalterritoryofthe
Communityorreachedtheintendeddestinationshall,
pendingtheintroductionofaCommunitytransit
system,befurnishedintheformofanexitcertificate,
themodelofwhichisshownintheAnnex.
Thiscertificate,bearingaserialnumber,shallbeissued
atleastinduplicatebythecustomsofficewherethe
customsexportformalitiesarecompleted .'Theorig­
inalofthecertificateshallbeissuedtotheexporter
andthecopyshallbekeptbythecustomsoffice
ofexitorsentdirectlybythatofficetotheauth­
orityresponsibleforpayingtherefund.Theexporter's
copyshallaccompanythegoods.Itshallbeendorsed
bytheintermediatecustomsofficeswherethegoods
havetobepresentedandbythecustomsofficeof
exitfromtheCommunityorbytheofficecertifying
thattheproducthasreacheditsdestinationinthe
casesreferredtoinArticle2.Itshallthen,within
eightdaysfollowingthelastendorsement ,bereturned
bytheofficeconcernedtothenationalauthority
showninthecertificateheading.
Endorsements shallnotbemadebyintermediate
customsofficesifthegoodsaretransportedfromthe
officewherethecustomsexportformalitiesarecom­
pletedtothecustomsofficeofexitfromtheCom­
munity:
—underaninternationalroadorrailtransport
arrangement or
—undercustomsseal;however,ifthesealsare
replaced,thecustomsofficeaffixingthenewseal
mustendorsethecertificate .1.Fortheapplicationofthesecondindentof
Article7(1)ofRegulationNo139/67/EECandofthe
secondindentofArticle6(1)ofRegulationsNos
175/67/EEC,176/67/EEC,177/67/EECand366/67/EEC
thefollowingprovisionsshallapply.
2.UntilaCommunitydefinitionoftheoriginof
goodsisadopted,goodsshallbetreatedasorig­
inatinginthe.Communityiftheyareobtainedentirely
intheCommunity,orhaveundergoneintheCom­
munitywhatconstitutesprocessingorworkingin
termsoftherulesoftheMemberStateinwhichthe
Customsexportformalitiesarecompleted .
3.Theexportermustdeclaretheoriginofthe
productinquestionintermsoftherulesinforce
intheMemberStatereferredtoinparagraph2.This
declarationshallbeverifiedinthesameway.asthe
otheritemsintheexportdeclaration .
Article8
1.Fortheapplicationofthefirstsubparagraph of
Article7(2)ofRegulationNo139/67/EEC,thefirst
subparagraphofArticle5(2)ofRegulationNo142/
67/EEC,thefirstsubparagraph ofArticle8(2)of
RegulationNo171/67/EECandthefirstsubparagraph

OfficialJournaloftheEuropeanCommunities 327
2.If,throughforcemajeure: ofArticle6(2)ofRegulationsNos175/67/EEC,
176/67/EEC,177/67/EECand366/67/EECtheparty
concernedmustsubmitonecopyofthetransport
documentand,atthediscretionofthecompetent
nationalauthorities,oneormoreofthefollowing
documentscertifyingarrivalinthecountryofdesti­
nationorfortheuseinquestion:acopyofthecustoms
orportdocumentmadeoutinthecountryofdesti­
nation,acertificateissuedbytheofficialservicesofone
oftheMemberStatesestablishedinthatcountry,
acertificatebyaninternationalcontrolandsurveil­
lancecompany.Thecompetentnationalauthorities
mayrecogniseotherdocumentsasequivalentand
mayrequireadditionalformsofproof.Theyshallso
informtheCommission whichshallinformtheother
MemberStatesthereof.
2.Thepartoftherefundcalculatedonthebasisof
thelowestrateofrefundapplicableonthedayon
whichthecustomsexportformalitiesarecompleted
shall,however,bepaidimmediatelyproofisfurnished
thattheproducthasleftthegeographicalterritory
oftheCommunity,subjecttotheapplicationof
Article4.—theproofsreferredtoinparagraph 1cannotbe
furnished,theincreasesprovidedforinthat
paragraphshallnotbecharged;
—theproofsreferredtoinparagraph1cannotbe
furnishedwithinthetimelimitslaiddown,these
timelimitsmaybeextended,attherequestof
theexporter,foraperiodconsiderednecessaryby
thecompetentauthorityinthelightofthecircum­
stancesinvoked;
—thegoodsreachadestinationotherthanthatfor
whichtheadvancewascalculated,repaymentof
thatadvanceshallbelimitedtoanyamount
undulypaid.
3.Therepaymentsmentionedinparagraphs1and2
shallberequiredonlyinproportiontothequantities
ofgoodsinrespectofwhichtheproofsreferredtoin
paragraph1arenotfurnished.
4.Theadvance,plusanyincrease,shallberepaidin
accordancewiththeprovisionsofthisArticlewhen
theproofsreferredtoinparagraph1arenotfurnished
withinthetimelimitslaiddown.Insuchcase,if
repaymentoftheadvancehasbeenclaimedbutisnot
received,thedepositwhichwaslodgedshallbefor­
feited.Article9
Article10
1.TherefundshallbepaidbytheMemberState
inwhoseterritorytheCustomsexportformalities
wereconcluded .
2.Thetimelimitforclaimingpaymentoftherefund
shallbesixmonthsfollowingthedayonwhichthe
customsexportformalitieswerecompleted.1.MemberStatesmaypaytheexporterinadvance
allorpartoftheamountoftherefundassoonas
thecustomsexportformalitiesarecompleted,provided
thatadepositislodgedorasecurityrecognisedas
equivalentisgivenguaranteeing :
—repaymentofthatadvanceplus5%incases
where,forty-fivedaysafterthedayonwhichthe
customsexportformalitieswerecompleted,the
proofreferredtoinArticle3thattheproduct
hasleftthegeographicalterritoryoftheCom­
munityorhasreacheditsdestinationhasnotbeen
furnished;
—repaymentofthatadvanceplus15%incases
where,sixmonthsafterthedayonwhichthe
customsexportformalitieswerecompleted,the
proofreferredtoinArticle3hasbeenfurnished
butwheretheproofreferredtoinArticle4,if
thatArticleapplied,hasnotbeenfurnished;
—repaymentofanamountequaltothedifference
betweentheamountpaidinadvanceandthatcal­
culatedonthebasisofthelowestrateofthe
refundapplicableonthedayonwhichthecustoms
exportformalitieswerecompleted,plus15%,in
caseswhere,sixmonthsafterthedayonwhichthe
customsexportformalitieswerecompleted,the
proofreferredtoinArticle3hasbeenfurnished
butwheretheproofreferredtoinArticle8has
notbeenfurnished,ifthatArticleisapplicableto
thetransactioninquestion.Article11
1.TheFrenchRepublicmayuntil30June1968
retainitspresentarrangementsforpaymentofthe
refundinrespectoftheproductslistedinArticle1
ofRegulationNo120/67/EECandArticle21ofRegu­
lationNo136/67/EECwhichhavebeenbondedfor
export.
2.Inrespectofotherproductscoveredbythis
Regulationwhicharebondedforexport,theFrench
Republicmayuntil30June1968extendtheperiod
providedforinthefirstindentofArticle9(1)to
100days,iflikeproductsqualifiedfortheexport
bondingprocedurebefore1December1967.

328 OfficialJournaloftheEuropeanCommunities
Thetimelimitslaiddowninthesecondandthird
indentsofArticle9(1)andinArticle10(2)shallbe
extendedinthesameway.121/67/EEC,Article9ofRegulationsNos-122/67/EEC
and123/67/EECandArticle17ofRegulationNo359/
67/EEC,ofabalancebetweentheuseofCom­
munitybasicproductsinthemanufactureofprocessed
goodsforexporttothirdcountriesandtheuseof
thirdcountryproductsbroughtinunderinwardpro­
cessingarrangements . Article12
Article1.3ThisRegulationshallbeapplicablewithoutprejudice
to.anyCommunityprovisionsadoptedforthe
establishment ,inaccordancewithArticle16ofRegu­
lationNo120/67/EEC,Article15ofRegulationNoThisRegulationshallenterintoforceon1February
1968.
ThisRegulationshallbebindinginitsentiretyanddirectlyapplicableinallMember
States.
DoneatBrussels,21December1967.
FortheCommission
ThePresident
JeanREY
V

OfficialJournaloftheEuropeanCommunities 329
ANNEX
No000000 EXITCERTIFICATE
CERTIFICATE DESORTIE
AUSGANGSBESCHEINIGUNGCERTIFICATO DIUSCITA
CERTIFICAAT VANUITGANG
Thiscertificateistobeforwardedto
Cecertificatestàenvoyera
DieseBescheinigung istzurückzusenden an
Questocertificatodeveessereinviatoa
Ditcertificaatmoetteruggezonden wordenaan
(Nameandaddressofthecustomsauthority)
A.Declarationbythepartyconcerned
I,theundersigned ;
(Nameandforenameorbusinessnameandfulladdress)
declarethatthegoodswhicharedescribedbelowandwhicharethesubjectofexportdocument1No
issuedby (MemberState)on 19.
OrderNoParcels
CCT
headingNoDescriptionofgoodsaccordingtothetariff
nomenclature forrefundsGrossweight
(kg)Netweight
(kg) Marksand
numberingNumberand
Nature
1 2 3 4 5 6 7
,
Totalnumberofparcels(column3) (inwords)
andtotalquantities(column7)
areexportedto (thirdcountries)2
aredeliveredto 1 2
Icertifythatthesegoodsqualifyforanexportrefund.
(Place) (Date) 19
(Signatureofthepartyconcerned )
B.Endorsement bythecustomsofficewherethecustomsexportformalitiesarecompleted
ExportDocument :model No of
Remarks3
Meansoftransport4
Customsseals
NameandaddressofCustomsoffice
(Place) (Date) 19..
Officialstamp
(Signatureofofficer)
1'Exportdocument'meanstheexportlicenceor,whereappropriate,anyotherdocumentrequiredbyagriculturalregulations .
2Deleteasappropriate .
3Anyspecialpointsnotedduringthecheckingofgoodsmustberecordedhere,inparticulardetailsofsamplestaken.
4Statethenameoftheship,thenumberofthewagonorthenumberofthevehicle,asthecasemaybe.

330 OfficialJournaloftheEuropeanCommunities
C.Endorsementtotheeffectthatthegoodshavedulypassedthroughtheintermediatecustomsoffices1
1.ExitofficeoftheMember2Statefromwhichthegoods
leave2.EntryofficeofthefirstMemberStatethroughwhich
thegoodspass
Remarks3
(Place)Remarks
(Place) (Date) 19.. (Date) 19..
Officialstamp Officialstamp
(Signatureoftheofficer) (Signatureoftheofficer)
3.ExitofficeofthefirstMemberStatethroughwhichthe
goodspass4.EntryofficeofthesecondMemberStatethroughwhich
thegoodspass
Remarks3
(Place)Remarks3
(Place) (Date) 19.. (Date) 19..
Officialstamp Officialstamp
(Signatureoftheofficer) (Signatureoftheofficer)
5.ExitofficeofthesecondMemberStatethroughwhich
thegoodspass6.EntryofficeoftheMemberStateofexitfromthe
Community
Remarks3
(Place)Remarks3
(Placé) (Date) 19.. (Date) 19..
Officialstamp Officialstamp
(Signatureoftheofficer) (Signatureoftheofficer)
D.Transhipments andincidentsduringtransport
Statementoftheoccurrenceandofthemeasurestaken3Endorsement bythecompetentauthorities
E.EndorsementbytheofficeofexitfromtheCommunityorbytheofficeresponsibleforsurveillanceofthedestination
referredtoinArticle2ofRegulationNo
Thegoodsdescribedonthefrontofthiscertificate
194
194—leftCommunityterritoryon
—weredeliveredat on ;
Customsoffice
Officialstamp
(Signatureoftheofficer)
1Noendorsementisrequiredifthegoodsaretransportedfromtheofficewherethecustomsformalitieswerecompletedtothecustomsofficeofexitfromthe
Community .
—underaninternationalroadorrailtransportarrangement ,or
—undercustomsseal:however,ifthesealsarereplaced,thecustomsofficeaffixingthenewsealmustendorsethecertificate.
2Tobecompletediftheexitofficeandtheofficewherethecustomsformalitieswerecompletedarenotthesame.
3Givedetailsofanynewseals.
4Deleteasappropriate .