| | | А.Т.А. CARNET | | | | | | | | | | | | | | CARNET A.T.A. | |
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T R A N S I T
| T R A N S I T
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| A. | HOLDER AND ADDRESS / Titulaire et adresse | | FOR ISSUING ASSOCIATION USE / | |
| | | | Reserve a l'association emettrice | |
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| | | G. | trANSIT VOUCHER N | | |
| | | | Volet de transit n | | | | | |
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| | | a) | CARNET No. | | | | | |
| | | | | | | | | | | | | Carnet N | | | | | |
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| B. | REpreSENTED BY <*> / Represente par <*> | b) | ISSUED BY / Delivre par | | | | | |
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| C. | INTENDED USE OF GOODS / Utilisation prevue des | c) | VALID UNTIL / Valable jusqu'au | | | | | |
| | marchandises | | | | | | | | | | | | |
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| | | | year | | month | | day (inclusive) | | | | | |
| | | | annee | | mois | | jour (inclus) | | | | | |
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| | | D. | MEANS OF trANSPORT <*> / Moyens de transport <*> | | FOR CUSTOMS USE ONLY / Reserve a la douane | |
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| | | | | H. | CLEARANCE FOR trANSIT / Dedouanement pour le transit | |
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| | | | | a) | The goods referred to in the above declaration have been | |
| | | | | | cleared for transit to the Customs Office at: / | |
| | | | | | Les marchandises faisant l'objet de la declaration ci-contre ont | |
| | | | | | ete dedouanees pour le transit sur le bureau de douane de: | |
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| | | | | b) | Final date for re-exportation / production to Customs <*> / | |
| | | E. | PACKAGING DETAILS (Number, Kind, Marks, etc.) <*> / | | Date limite pour la reexportation / la representation a la douane <*>: | |
| | | | Detail d'emballage (nombre, nature, marques, etc.) <*> | | | | | | | | | | | | |
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| | | | | | year | | month | | day (inclusive) | | | | | |
| | | | | | annee | | mois | | jour (inclus) | | | | | |
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| | | | | c) | Registered under reference N <*> / Enregistre sous le n <*> | |
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| | | F. | DECLARATION OF DESPATCH IN trANSIT / | d) | Customs seals applied <*> / Scellements douaniers apposes <*> | |
| | | | Declaration d'expedition en transit | | | |
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| | | | I, duly authorised: / Je soussigne, dument | e) | This voucher must be forwarded to the Customs Office at <*>: / | |
| | | | autorise: | | Le present volet devra etre transmis au bureau de douane de <*>: . | |
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| | | | | | | | At / A | | | | | |
| | | | | | | | | Customs Office / Bureau de douane | | | |
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| | | | a) | declare that I am despatching to: / | | | | | | | | | | | |
| | | | | declare expedier a: | | | / | / | | | | | |
| | | | | | | | Date (year / month / day) | | Signature and Stamp | | |
| | | | | | | | Date (annee / mois / jour) | | Signature et Timbre | | |
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| | | | | In compliance with the conditions laid down | | | | | | | | | | | | |
| | | | | in the laws and regulations of the country / | | | Certificate of discharge by the Customs Office at destination | |
| | | | | Customs territory of transit, the goods | | | Certificat de decharge du bureau de destination | |
| | | | | enumerated in the list overleaf and | | | | | | | | | | | | |
| | | | | described in the General List under item | | f) | The goods referred to in the above declaration have been | |
| | | | | N(s) / dans les conditions prevues par les lois et | | | re-exported / produced <*> / Les marchandises faisant l'objet de la | |
| | | | | reglements du pays / territoire douanier de | | | declaration ci-contre ont ete reexportees / representees <*> | |
| | | | | transit, les marchandises enumerees a la liste | | | | |
| | | | | figurant au verso et reprises a la liste generate | | | | |
| | | | | sous le(s) N(s) | | g) | Other remarks: <*>; / Autres mentions: <*>; | | | |
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| | | | b) | undertake to comply with the laws and | | | | | | | | | | | | |
| | | | | regulations of the country / Customs territory | | | At / A | | |
| | | | | of transit and to produce these goods with | | | | Customs Office / Bureau de douane | |
| | | | | seals (if any) intact, and this Carnet to the | | | | | | | | | | | |
| | | | | Customs Office of destination within the | | | | | | | | | | | |
| | | | | period stipulated by the Customs / m'engage | | | | | | | | | | |
| | | | | a observer les lois et reglements du | | | | | | | | | | |
| | | | | pays / territoire douanier de transit et a | | | | | | | | | | |
| | | | | representer ces marchandises, le cas echeant | | | | | | | | | | | |
| | | | | sous scellements intacts, en meme temps que | | | / | / | | | | | |
| | | | | le present carnet au bureau de douane de | | | Date (year / month / day) | | Signature and Stamp | | |
| | | | | destination dans le delai fixe par la douane. | | | Date (annee / mois / jour) | | Signature et Timbre | | |
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| | | | c) | confirm that the information given is true | | | | | | | | | | | | |
| | | | | and complete / certifie sinceres et completes les | | | Place | | | Date (year / month / day) | / | / | | |
| | | | | indications portees sur le present volet. | | | Lieu | | | Date (annee / mois / jour) | | | | |
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| | | | | | | | Name | | |
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| | | | | | | | | | | | | | | X | | | | X | |
| | | | | | | | | | | | | | | | Signature | | Signature | | |
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