APPENDIX 3
SPECIMENS OF MOVEMENT CERTIFICATE EUR.1 AND APPLICATION FOR A MOVEMENT
CERTIFICATE EUR.1
Printing instructions
1. Each form shall measure 210 x 297 mm; a tolerance of up to minus 5 mm or
plus 8 mm in the length may be allowed. The paper used must be white, sized for
writing, not containing mechanical pulp and weighing not less than 25 g/m2. It shall
have a printed green guilloche pattern background making any falsification by
mechanical or chemical means apparent to the eye.
2. The competent authorities of the Member States of the EU and of the signatory
Andean Countries may reserve the right to print the forms themselves or may have
them printed by approved printers. In the latter case, each form must include a
reference to such approval. Each form must bear the name and address of the printer
or a mark by which the printer can be identified. It shall also bear a serial number,
either printed or not, by which it can be identified.
MOVEMENT CERTIFICATE
1. Exporter (Name, full address, country)
EUR. 1 Na No A 000.000
See notes overleaf before completing this form.
2. Certificate used in preferential trade between
.......................................................................................
3. Consignee (Name, full address, country) (Optional) And
.......................................................................................
(Insert appropriate countries, groups of countries or territories)
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 10. Invoices
Description of goods (kg) or other (Optional)
measure
(litres, m3.,
etc.)
11. COMPETENT OR CUSTOMS AUTHORITY 12. DECLARATION BY THE EXPORTER
ENDORSEMENT2 I, the undersigned, declare that the goods described above
Declaration certified meet the conditions required for the issue of this certificate.
Export document3
Form ..................................No ….……...
Of ………………………………………. Place and date ………………........................
Competent Authority or Customs office .................................……
Issuing country or territory ...................... Stamp
...................................................................
................................................................... ..........................................................................
(Signature)
Place and date ……………......................
...................................................................
……............................................................
(Signature)
1 If goods are not packed, indicate number of articles or state « in bulk » as appropriate.
2 The Parties shall accept EUR.1 forms which make no reference to “competent authority” in box 11.
3 Complete only where the regulations of the exporting country or territory require.
13. REQUEST FOR VERIFICATION, to 14. RESULT OF VERIFICATION
Verification carried out shows that this certificate (1)
was issued by the Competent Authority or customs
office indicated and that the information contained therein
is accurate.
does not meet the requirements as to authenticity
and accuracy (see remarks appended).
Verification of the authenticity and accuracy of this certificate
is requested.
...............................................……………................................. .........................................………………………………..
(Place and date) (Place and date)
Stamp
Stamp
.....................................................…… .....................................................…
(Signature) (Signature)
_____________
(1) Insert X in the appropriate box.
NOTES
1. Certificate must not contain erasures or words written over one another. Any alterations must be made by deleting the
incorrect particulars and adding any necessary corrections. Any such alteration must be initialled by the person who
completed the certificate and endorsed by the competent authorities or 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.
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
.......................................................................................
3. Consignee (Name, full address, country) And
(Optional)
.......................................................................................
(Insert appropriate countries or groups of countries or territories)
4. Country, group of 5. Country, group of countries
countries or territory or 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 9. Gross mass 10. Invoices
packages1 Description of goods (kg) or other (Optional)
measure
(litres, m3.,
etc.)
1 If goods are not packed, indicate number of articles or state « in bulk » as appropriate
DECLARATION BY THE EXPORTER
I, the undersigned, exporter of the goods described overleaf,
DECLARE that the goods meet the conditions required for the issue of the attached certificate;
SPECIFY as follows the circumstances which have enable these goods to meet the above conditions:
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
SUBMIT the following supporting documents1:
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
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 to the goods re-exported in the same state.
