Příloha III
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| 1. Exporter (Name, full address, country) | ORIGINAL | 2. No |
| +--------------------+---------------------------------------+
| | 3. Year | 4. Product Group |
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+-------------------------------------------------------+--------------------+---------------------------------------+
| 5. Consignee (Name, full address, country) | |
| | EXPORT DOCUMENT |
| | (ECSC and EC steel products) |
| | |
| +----------------------+-------------------------------------+
| | 6. Country of origin | 7. Country of destination |
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+-------------------------------------------------------+----------------------+-------------------------------------+
| 8. Place and date of shipment - Means of transport | 9. Supplementary details |
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+-------------------------------------------------------+----+---------------+------------------+--------------------+
| 10. Descriptions of goods - Manufacturer | 11. CN code | 12. Quantity 1) | 13. FOB value 2) |
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+------------------------------------------------------------+---------------+------------------+--------------------+
| 14. CERTIFICATION BY THE COMPETENT AUTHORITY | | | |
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+---------------------------------------------------------+ |
| 15. Competent authority (Name, full address, country) | At ............................ on ..................... |
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| | (Signature) (Stamp) |
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+---------------------------------------------------------+----------------------------------------------------------+
1) Show net weight (kg) and also quantity in the unit precribed where other than net weight.
2) In the currency of the sale contract
+-------------------------------------------------------+--------------------+---------------------------------------+
| 1. Exporter (Name, full address, country) | COPY | 2. No |
| +--------------------+---------------------------------------+
| | 3. Year | 4. Product Group |
| | | |
| | | |
+-------------------------------------------------------+--------------------+---------------------------------------+
| 5. Consignee (Name, full address, country) | |
| | |
| | EXPORT DOCUMENT |
| | |
| | (ECSC and EC steel products) |
| | |
| | |
| +-----------------------+------------------------------------+
| | 6. Country of origin | 7. Country of destination |
| | | |
| | | |
+-------------------------------------------------------+-----------------------+------------------------------------+
| 8. Place and date of shipment - Means of transport | 9. Supplementary details |
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+-------------------------------------------------------+----+---------------+------------------+--------------------+
| 10. Descriptions of goods - Manufacturer | 11. CN code | 12. Quantity 1) | 13. FOB value 2) |
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+------------------------------------------------------------+---------------+------------------+--------------------+
| 14. CERTIFICATION BY THE COMPETENT AUTHORITY |
| |
| |
+---------------------------------------------------------+ |
| 15. Competent authority (Name, full address, country) | At ............................ on ..................... |
| | |
| | |
| | |
| | (Signature) (Stamp) |
| | |
+---------------------------------------------------------+----------------------------------------------------------+
1) Show net weight (kg) and also quantity in the unit precribed
where other than net weight. 2) In the currency of the sale
contract
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