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Mandatory Information |
Date |
Reference |
| 1. |
Applicant Name, Company Name, Address (including postal code, city, Country, telephone number, email address & Tax registration Number) |
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| 1.1 |
Role of the Applicant: |
EXPORTER Operator
Importer
First Consignee
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| 2. |
Name and address of the exporter (address shall include postal code) |
Same as the Applicant at point 1
If Different Please fill in the details
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COI Box 4 |
| 3. |
Name and address of the producer or processor (address shall include postal code) |
Same as the Applicant at point 1
Check the box if the products are purchased by an operator certified by another equivalent CB and attach copy of the certificates (transaction certificate/documentary evidence) to the present application
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COI Box 5 |
| 4. |
Name and code number of Control Body/Control Authority of the producer/processor in Box 2 (if different than the exporter’s Control Body) |
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COI Box 6 |
| 5. |
Country of Origin (refers to the producer or processor as mentioned in Box 2 of the COI) |
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COI Box 7 |
| 6. |
Country of export |
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COI Box 8 |
| 7. |
Country of clearance/Point of entry in the European Union |
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COI Box 9 |
| 8. |
Border Control Authority (Name, address & code number) |
Name:
Address:
Code Number:
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COI Box 9 |
| 9. |
Importer (name, address and EORI number) |
Name:
Address:
EORI Number:
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COI Box 11 |
| 10. |
First consignee in the Union (name and address, also include contact person name, e-mail, phone) |
Name:
Address:
Email:
Telephone Number:
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COI Box 12 (optional) |
| 11. |
Purpose
(select one of the following) |
To first consignee
To be released in batches (base for extract)
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| 12. |
Responsible for the load |
Name:
Country:
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(optional) |
| 13. |
Description of products (as described in the official transport documents – invoice, delivery note, bill of lading): |
Product 1 |
Proudct 2 |
Product 3 |
Product 4 |
Product 5 |
COI Box 13 |
| 13.1 |
Product Name |
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| 13.2 |
Grade / Size الدرجة أو الحجم |
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| 13.3 |
Product CN Codeرقم التعريفة الجمركية |
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| 13.4 |
Product Source (Farm Code No.)
مصدر المنتج (الرقم الكودي للمزرعة المنتج |
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| 13.5 |
Production Seasonموسم الإنتاج |
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| 13.6 |
Purchase Bill No. رقم فاتورة المزرعة |
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| 13.7 |
Farm Lot No. رقم لوط المزرعة |
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| 13.8 |
Weight of one Packageوزن العبوة الواحدة |
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| 13.9 |
Net Mass (Kg)الوزن الصافي (كجم) |
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| 13.10 |
Gross Mass (Kg) الوزن الإجمالي (كجم) |
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| 14. |
International transport document |
attached to the application |
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| 15. |
Means of transport |
Ship: B/L No.:
Airplane: Flight No.:
Truck: Plate No.:
Other: (please specify):
|
COI Box 17
(optional) |
| 16. |
For ship: |
Name of vessel:
Flag:
IMO number:
|
COI Box 17
(optional) |
| 17. |
For airplane: |
Flight number:
|
COI Box 17
(optional) |
| 18. |
For trucks: |
Country:
Vehicle Registration plate:
|
COI Box 17
(optional) |
| 19. |
For trains: |
Identifier:
|
COI Box 17
(optional) |
| 20. |
Container number: |
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COI Box 14
(optional) |
| 21. |
Seal number: |
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COI Box 15
(optional) |
| 22. |
Attached Documents:
(mandatory) |
Bill of Lading
Freight Invoice
Commercial Invoice
Documentary Evidence/Transaction Certificate of the Producer/Processor (if different than “EGYCERT”)
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| 23. |
Attached Documents:
(optional)
*If information is required to be filled in the COI like ex. the “Means of transport” at point 17, then the document proof for the vessel is also mandatory for the document check. |
Sea Waybill
Packing List
Container Manifest
Cargo Manifest
Air Waybill
Origin Certificate
Other (please specify):
Other (please specify):
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| 24. |
Any other information deemed important by the applicant: |
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