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(model for export authorisation forms) (referred to in Article 4 of this Regulation) When granting export authorisations, Member States will strive to ensure the visibility of the nature of the authorisation on the form issued. This is an export authorisation valid in all Member States of the European Union until its expiry date.

EUROPEAN UNION EXPORT OF FIREARMS (Regulation (EU) No 258/2012) Type of authorisation Single Multiple Global 1 1. Exporter No (EORI number if applicable) 2. Identification number of the authorisation (1) 3. Expiry date AUTHORISATION 4. Contact point details 5. Consignee(s) (EORI number if applicable) 6. Issuing authority 7. Agent(s)/Representative(s) No (if different from exporter) (EORI number if applicable) 8. Country(ies) of export Code (2) 9. Country(ies) of import and number(s) of import authorisation(s) Code (2) 10. Final recipient(s) (if known at the time of the shipment) (EORI number if applicable) 11. Third countries of transit (if applicable) Code (2) 12. Member State(s) of intended entry into the customs export procedure Code (2) 13. Description of the items 14. Harmonised System or Combined Nomenclature Code (if applicable – 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 17. End use (if applicable) 18. Contract date (if applicable) 19. Customs export procedure 20. Additional information required by national legislation (to be specified on the form) Available for pre-printed information At discretion of Member States For completion by issuing authority Signature Stamp Issuing Authority Place and date (1) For completion by the issuing authority.

(2) See Council Regulation (EC) No 1172/95 (OJ L 118, 25.5.1995, p. 10).

EUROPEAN UNION 1a.

(1) 1. Exporter 2. Identification number 9. Country of import and number of import authorisation AUTHORISATION 5. Consignee 13.1. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.2. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.3. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.4. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.5. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.6. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items 13.7. Description of the items 14. Commodity code (if applicable with 8 digits) 13a. Marking 15. Currency and Value 16. Quantity of the items Note: A separate template shall be filled in for each consignee, in line with the 1a template. In part 1 of column 22, indicate the quantity still available and in part 2 of column 22, indicate the quantity deducted at this occasion.

21. Net quantity/value (Net mass/other unit with indication of unit) 24. Customs document (Type and number) or extract (Nr) and date of deduction 25. Member State, name and signature, stamp of deduction 22. In numbers 23. In words for quantity/value deducted 1 2 1 2 1 2 1 2 1 2 1 2 (1) A separate template shall be filled in for each consignee.