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РЕЭКСПОРТНЫЙ СЕРТИФИКАТ ЕВРОПЕЙСКОГО СОЮЗА

EUROPEAN COMMUNITY RE-EXPORT CERTIFICATE

Certificate number

Date

Member State

1. Description of re-export product:

Weight (kg)

Species

Product code

Balance from total quantity declared in the catch certificate

2. Name of re-export

Address

Signature

Date

3. Authority

Name /title

Signature

Date

Seal/stamp

4. Re-export control

Place:

Re-export authorized <*>

Verification requested <*>

Re-export declaration number and date

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<*> Tick as appropriate.