DODATEK D5
Vzor seznamu položek
+----------------+
| Seznam položek | Úřad odeslání:
+----------+--+--+ MRN
| List A | | | Datum:
+----------+--+--+
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Pořadové číslo položky | Značky/čísla | Počet/druh | Číslo kontejneru | Označení zboží |
| (32) | (31.1) | (31.2) | (31.3) | (31.4) |
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Režim | Zbožový kód | Kód citlivého zboží | Množství citlivého zboží | Souhrnná deklarace/Předchozí doklad |
| (1/3) | (33) | (31.5) | (31.6) | (40) |
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Země odeslání/vývozu | Země určení | Hrubá hmotnost (kg) | Vlastní hmotnost (kg) | Zvláštní záznamy/Předložené podklady/Osvědčení a povolení |
| (15) | (17) | (35) | (38) | (44) |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| Odesílatel/Vývozce | Příjemce |
| (2) | (8) |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
+----------------+
| Seznam položek | Úřad odeslání:
+----------+--+--+ MRN
| List B | | | Datum:
+----------+--+--+
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Pořadové číslo položky | Značky/čísla | Počet/druh | Číslo kontejneru | Označení zboží |
| (32) | (31.1) | (31.2) | (31.3) | (31.4) |
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Režim | Zbožový kód | Kód citlivého zboží | Množství citlivého zboží | Souhrnná deklarace/Předchozí doklad |
| (1/3) | (33) | (31.5) | (31.6) | (40) |
+------------------------+--------------+---------------------+--------------------------+--------------------------------------------------------------+
| Země odeslání/vývozu | Země určení | Hrubá hmotnost (kg) | Vlastní hmotnost (kg) | Zvláštní záznamy/Předložené podklady/Osvědčení a povolení |
| (15) | (17) | (35) | (38) | (44) |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| Odesílatel/Vývozce | Příjemce |
| (2) | (8) |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | | | | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+
| | |
+------------------------+--------------+---------------------+----------------+---------+--------------------------------------------------------------+