4. under No. .....—........_...........
5. by the office at ......................
7. Seals or identification marks recognized ,
8. Customs office at which the transport must be produced .................._...._....................
9. at ..................... date ..............................
10. Customs officer's signature and Customs office stamp:
UNDERTAICING TO BE SIGNED, IF THE CUSTOMS AUTHORITIES so REQUIRE, BY THE PERSON
PRESENTING THE LOAD TO THE CUSTOMS OFFICE I, the undersigned, undertake to observe, as regards the transport operation covered by this TIR carnet, the laws and regulations applicable and, in particular, to observe the time limit and itinerary laid down and to produce the goods in full with Customs seals intact, at the Customs office of ..........................................................................................
At ............... on .................. 19...
(signature) 1 8 S El w <q en 1 1
21. Voucher 2 (Part 2)
22. of TIR Carnet No.: j valid up to and including
23. Issued by ......................................................................................................................................................... (name of issuing association)
24. To ........................................................................................................................................................................... (name of holder)
25. Whose place of business is at ....................................................................................................................................... (address of holder)
26. Customs offices of departure: 1. ............................................. 2. ................................................ 3. ................................................
27. Customs offices en route ......................___..............._._..................._...........................................................................................•.....•<
28. Customs offices of destination: 1. ............................................. 2. ................................................ 3. ................................................
(as shown in the manifest)
29. Registration No. of road vehicle ................................................................................................................................................................"
30. Certificate of approval of road vehicle/container (*) No. .............................................................................. dated .............................................
31. CERTIFICATE for goods taken under Customs control at Customs office of departure or Customs office of entry en route
32. This voucher has been registered at the Customs office at ................
33. undeV'Noi"!;!;;;!;!!;!;;;!;;;;;;!!;;;;!;;;;;;;.";;;;;;;;";;;;;;;;;;!!"";;;;;"'.;;;;;;
34. Time-limit assigned for journey ........................................._.......
35. Customs office at which the load must be produced
36. Itinerary stipulated by the Customs ...................
37. Seals affixed or identification marks ......
38. Seals or identification marks recognized
39. Miscellaneous (for description of goods, if necessary)
40. Customs officer's signature and Customs office stamp:
41. NOTE: This certificate must be filled in by the Customs office which completed the preceding voucher with odd number.
(*) Strike out as necessary 42.
46.
47.
48.
49.
CERTIFICATE of discharge by Customs office of exit en route or Customs office of destination.
The road vehicle/container specified above has been produced in good condition. The seals and identification marks were intact and have been recognized.
The road vehicle/container has proceeded on its way abroad/to the Customs office at ..........................................................*••'• It was ascertained that the road vehicle/container contained ............... packages consigned to this office as specified in the above manifest.
Reservations or nature of offences ascertained ...........................
Discharge has been given (subject to the above reservations) of under takings entered into under No. .............................................
At ............................................. on .................................
Customs officer's signature and Customs office stamp:
50. THIS VOUCHER MUST BE DETACHED BY THE CUSTOMS OFFICE OF EXIT EN ROUTE OR THE CUSTOMS! OFFICE OF DESTINATION AS THE CASE MAY BE AND SENT AFTER COMPLETION TO THE OFFICE (OF THE SAME COUNTRY) WHERE THE GOODS
WERE TAKEN UNDER CUSTOMS CONTROL 1.
2.
Counterfoil 2 of TIR Carnet No.
6. Seals or identification marks intact ............
3. Arrival certified on .———............................ 7.