ANEXE
Nr. 631 din 3 noiembrie 2003
Anexele nr. 1a) - 28*) la Normele metodologice de aplicare a prevederilor Legii
nr. 387/2003 privind regimul de control al exporturilor de produse si
tehnologii cu dubla utilizare, aprobate prin Ordinul presedintelui Agentiei
Nationale de Control al Exporturilor nr. 631/2003, publicat in Monitorul
Oficial al Romaniei, Partea I, nr. 878 din 10 decembrie 2003
ACT EMIS DE: AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
PUBLICATE IN: MONITORUL OFICIAL NR. 878 bis din 10 decembrie 2003
*) Anexele nr. 1a) - 28 sunt reproduse in facsimil.
ANEXA 1 a)*)
*) Pentru persoane fizice
Numarul si data inregistrarii la ANCEX
......................................
CERERE
de eliberare a certificatului de inregistrare pentru efectuarea de operatiuni
cu produse si tehnologii cu dubla utilizare
Subsemnatul .............................., in calitate de persoana fizica
cu domiciliul in ........................., str. .............................
nr. ..., bloc ..., scara ..., apartament ..., sectorul/judetul ..............,
telefon ..............., fax ................, e-mail .....................,
act de identitate .... seria .... nr. ......... si avand CNP
....................... solicit eliberarea unui certificat de inregistrare
pentru efectuarea de operatiuni cu produse si tehnologii cu dubla utilizare
prevazute de art. 8 alin. (1) lit. a) - h) din Legea nr. 387/2003 privind
regimul de control al exporturilor de produse si tehnologii cu dubla utilizare,
cu termen de valabilitate .....................
Anexez urmatoarele documente:
a) copia actului de identitate;
b) curriculum vitae;
c) certificat de cazier judiciar;
d) alte documente considerate de catre solicitant relevante pentru
evaluarea oportunitatii eliberarii certificatului de inregistrare.
..........................................................................
..........................................................................
..........................................................................
..........................................................................
..........................................................................
Declar ca operatiunile cu produse si tehnologii cu dubla utilizare vor fi
efectuate cu respectarea stricta a legislatiei in vigoare si a angajamentului
de pe verso.
Data: ........................ Semnatura ........................
ANEXA 1 b)*)
*) Pentru persoane juridice, inclusiv autoritati publice
Numarul si data inregistrarii Numarul si data inregistrarii
la solicitant la ANCEX
............................. .............................
CERERE
de eliberare a certificatului de inregistrare pentru efectuarea de operatiuni
cu produse si tehnologii cu dubla utilizare
Subsemnatul ................................................, avand functia
de ..............................., actionand in calitate de reprezentant legal
(imputernicit) al ..........................., cu sediul in ..................,
str. ............................ nr. ..., bloc ..., scara ..., apartament ...,
sectorul/judetul ............., telefon .........., fax ....................,
e-mail ..................., website ..............., inregistrata sub codul
unic de inregistrare/R nr. ............... si avand nr. de ordine in registrul
comertului J ......................, solicit eliberarea unui certificat de
inregistrare pentru efectuarea de operatiuni cu produse si tehnologii cu dubla
utilizare prevazute de art. 8 alin. (1) lit. a) - h) din Legea nr. 387/2003
privind regimul de control al exporturilor de produse si tehnologii cu dubla
utilizare, cu termen de valabilitate .....................
Anexez urmatoarele documente:
a) imputernicirea pentru semnarea cererii, daca este cazul;
b) curriculum vitae pentru persoana imputernicita care semneaza cererea de
inregistrare si angajamentul;
c) datele de identificare, curriculum vitae si imputernicirile persoanelor
de contact cu ANCEX;
d) documentele de infiintare si functionare, precum si actele aditionale
intocmite ulterior, in copie;
e) certificatul de inregistrare la Oficiul National al Registrului
Comertului, in copie;
f) certificatul constatator eliberat de Oficiul National al Registrului
Comertului;
g) certificatele fiscale, din care sa rezulte situatia la zi a platilor
catre bugetul de stat;
h) raportul de gestiune si ultimul bilant contabil, in copie;
i) numerele conturilor bancare in lei si in valuta;
j) alte documente relevante necesare pentru evaluarea oportunitatii
eliberarii certificatului de inregistrare;
..........................................................................
..........................................................................
..........................................................................
..........................................................................
Declar ca operatiunile mentionate vor fi efectuate cu respectarea stricta a
legislatiei in vigoare si a angajamentului de pe verso.
Data: ........................ Semnatura ........................
Stampila .........................
ANEXA 2 a)*)
*) Pentru persoane fizice
ANGAJAMENT
Subsemnatul ..............................................., solicitant al
certificatului de inregistrare pentru efectuarea de operatiuni cu produse si
tehnologii cu dubla utilizare pentru care am depus cererea de pe verso, ma
oblig sa:
a) respect dispozitiile Legii nr. 387/2003 privind regimul de control al
exporturilor de produse si tehnologii cu dubla utilizare si ale normelor
metodologice de aplicare a prevederilor Legii nr. 387/2003 privind regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare;
b) ma conformez intocmai cerintelor si recomandarilor formulate de ANCEX in
legatura cu termenele, conditiile si restrictiile in derularea operatiunilor cu
produse si tehnologii cu dubla utilizare, pentru care am obtinut certificatul
de inregistrare;
c) asigur, potrivit prevederilor legale, protectia fizica a produselor si
tehnologiilor cu dubla utilizare care reclama astfel de masuri;
d) tin evidenta documentelor care cuprind informatii suficiente pentru a
identifica destinatia, cantitatea, utilizarea finala si utilizatorului final al
produselor si tehnologiilor cu dubla utilizare, numele si adresa exportatorului
si ale destinatarului;
e) asigur protectia fizica a tuturor documentelor de lucru legate de sau cu
referire directa la aceste operatiuni si sa respect reglementarile legale in
vigoare privind evidenta, pastrarea si manipularea acestor documente, inclusiv
a celor care contin informatii secrete de serviciu sau secrete de stat;
f) fac dovada bunei-credinte si sa asigur dialogul si transparenta in
relatia cu ANCEX in toate etapele (de inregistrare, pre-licentiere, licentiere,
post-licentiere si post-livrare), punand la dispozitia agentiei toate
informatiile relevante solicitate de aceasta cu privire la aceste operatiuni;
g) sa ma informez cu privire la noutatile aparute in domeniul sistemului de
control al exporturilor cu produse si tehnologii cu dubla utilizare si al
embargourilor, inclusiv prin accesarea site-urilor ANCEX si consultarea
materialelor documentare elaborate de Agentie, precum si sa particip la
activitatile organizate de ANCEX pentru informarea periodica asupra
obligatiilor ce revin in aplicarea Legii;
h) nu folosesc certificatul de inregistrare in relatiile cu tertii ca o
garantie de bonitate si nici ca un mijloc de obtinere a unor avantaje;
i) nu garantez in relatiile cu tertii, pe baza certificatului de
inregistrare, ca alte operatiuni cu produse si tehnologii cu dubla utilizare
vor fi licentiate in viitor;
j) notific imediat ANCEX orice schimbare in documentele sau faptele care
fac obiectul inregistrarii.
Nerespectarea prezentului angajament va fi sanctionata conform prevederilor
legale in vigoare.
Data: ........................ Semnatura ........................
ANEXA 2 b)*)
*) Pentru persoane juridice, inclusiv autoritati publice
ANGAJAMENT
Subsemnatul ................................................, avand functia
de ..............................., actionand in calitate de reprezentant legal
(imputernicit) al ............................, solicitant al certificatului de
inregistrare pentru efectuarea de operatiuni cu produse si tehnologii cu dubla
utilizare, pentru care am depus cererea de pe verso, ma oblig sa asigur:
a) respectarea dispozitiilor Legii nr. 387/2003 privind regimul de control
al exporturilor de produse si tehnologii cu dubla utilizare si ale normelor
metodologice de aplicare a prevederilor Legii nr. 387/2003 privind regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare;
b) respectarea intocmai a cerintelor si recomandarilor formulate de ANCEX
in legatura cu termenele, conditiile si restrictiile in derularea operatiunilor
cu produse si tehnologii cu dubla utilizare, pentru care am obtinut
certificatul de inregistrare;
c) protectia fizica a produselor si tehnologiilor cu dubla utilizare care
reclama astfel de masuri, potrivit prevederilor legale;
d) protectia fizica a tuturor documentelor de lucru legate de sau cu
referire directa la aceste operatiuni si sa respect reglementarile legale in
vigoare privind evidenta, pastrarea si manipularea acestor documente, inclusiv
a celor care contin informatii secrete de serviciu sau secrete de stat;
e) tinerea evidentei documentelor care cuprind informatii suficiente pentru
a identifica destinatia, cantitatea, utilizarea finala si utilizatorului final
al produselor si tehnologiilor cu dubla utilizare, numele si adresa
exportatorului si ale destinatarului;
f) dovedirea bunei-credinte si promovarea dialogului si transparentei in
relatia cu ANCEX in toate etapele (de inregistrare, pre-licentiere, licentiere,
post-licentiere si post-livrare), punand la dispozitia agentiei toate
informatiile relevante solicitate de aceasta cu privire la aceste operatiuni;
g) informarea cu privire la noutatile aparute in domeniul sistemului de
control al exporturilor cu produse si tehnologii cu dubla utilizare si al
embargourilor, inclusiv prin accesarea site-urilor ANCEX si consultarea
materialelor documentare elaborate de Agentie, precum si participarea la
activitatile organizate de ANCEX pentru informarea periodica asupra
obligatiilor ce revin in aplicarea Legii;
h) nefolosirea certificatului de inregistrare in relatiile cu tertii ca o
garantie de bonitate si nici ca un mijloc de obtinere a unor avantaje;
i) negarantarea in relatiile cu tertii, pe baza certificatului de
inregistrare, ca alte operatiuni cu produse si tehnologii cu dubla utilizare
vor fi licentiate in viitor;
j) notificarea imediata a ANCEX asupra oricarei schimbari in documentele
sau faptele care fac obiectul inregistrarii.
Nerespectarea prezentului angajament va fi sanctionata conform prevederilor
legale in vigoare.
Data: ........................ Semnatura ........................
Stampila .........................
ANEXA 3 a)
ROMANIA
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
Seria: Nr.
CERTIFICAT DE INREGISTRARE
In temeiul art. 10 alin. (1) din Legea nr. 387/2003 privind regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare, in urma
analizarii cererii si a documentatiei prezentate, constatand ca sunt
indeplinite
cerintele legii, domnul/doamna ...............................................
(numele si prenumele)
cu domiciliul in ......................, str. ......................... nr.
..., bloc ..., scara ..., apartamentul ..., judetul/sector
........................., legitimat(a) cu BI/CI/.......*) seria .............
nr. ...................... CNP .....................................
ESTE INREGISTRAT(A) LA AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
IN VEDEREA EFECTUARII DE OPERATIUNI CU PRODUSE SI TEHNOLOGII
CU DUBLA UTILIZARE
in conformitate cu dispozitiile Legii nr. 387/2003 privind regimul de control
al exporturilor de produse si tehnologii cu dubla utilizare.
In cazul nerespectarii dispozitiilor legale referitoare la regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare, Agentia
Nationala de Control al Exporturilor isi rezerva dreptul, fara o notificare
prealabila, sa suspende sau anuleze si sa retraga certificatul de inregistrare.
Prezentul certificat de inregistrare se depune la Agentia Nationala de
Control al Exporturilor in termen de 10 zile de la data expirarii.
Emis la:
Valabil de la: .................. pana la: .........................
PRESEDINTE
------------
*) Pasaport sau alt document de identitate
ANEXA 3 b)
ROMANIA
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
Seria: Nr.
CERTIFICAT DE INREGISTRARE
In temeiul art. 10 alin. (1) din Legea nr. 387/2003 privind regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare, in urma
analizarii cererii si a documentatiei prezentate, constatand ca sunt
indeplinite cerintele legii,
.............................................................
(denumirea persoanei juridice)
cu sediul in .............................., str. ..................... nr.
..., bloc ..., scara ..., apartamentul ..., judetul/sector
........................., persoana juridica inregistrata Registrul Comertului
sub codul unic de inregistrare nr. .............................
ESTE INREGISTRATA LA AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
IN VEDEREA EFECTUARII DE OPERATIUNI CU PRODUSE SI TEHNOLOGII
CU DUBLA UTILIZARE
in conformitate cu dispozitiile Legii nr. 387/2003 privind regimul de control
al exporturilor de produse si tehnologii cu dubla utilizare.
In cazul nerespectarii dispozitiilor legale referitoare la regimul de
control al exporturilor de produse si tehnologii cu dubla utilizare, Agentia
Nationala de Control al Exporturilor isi rezerva dreptul, fara o notificare prealabila,
sa suspende sau anuleze si sa retraga certificatul de inregistrare.
Prezentul certificat de inregistrare se depune la Agentia Nationala de
Control al Exporturilor in termen de 10 zile de la data expirarii.
Emis la:
Valabil de la: .................. pana la: .........................
PRESEDINTE
ANEXA 4
Numarul si data inregistrarii Numarul si data inregistrarii
la solicitant la ANCEX
(Applicant's registration (ANCEX's registration number
number and date) and date)
.............................. ..............................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE DE EXPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(APPLICATION FOR INDIVIDUAL EXPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________________________________________________________
| |1. Exportator |2. Adresa/telefon-fax
|
| | (Exporter) | (Address/telephone-fax)
|
| (L | | |
| I
|_______________________________|________________________________________|
|C C |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
|E E | (Consignee) | (Country of consignment) |
|
|R N | | |
|
|E C
|_______________________________|____________________________|___________|
|R E |5. Agentul/Reprezentantul, |6. Tara de origine | Cod (Code)|
|E | daca nu este exportator | (Country of origin) |
|
| A | (Agent/Representative, if | |
|
|D P | different from exporter) | |
|
|E P | | |
|
| L
|_______________________________|____________________________|___________|
|L I |7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
|I C | este destinatarul | (Country of final |
|
|C A | (End-user, if different from| destination) |
|
|E T | consignee) | |
|
|N I | | |
|
|T O
|_______________________________|____________________________|___________|
|A N)|9. Data contractului |10. Conditia de |11. Valuta platii
|
| | (Contract date) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | | |
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
| |
|
|_______________________________|________________________________________|
|19. Date suplimentare
|
| (Additional information)
|
| |
|________________________________________________________________________|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta.
|
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ............................................
|
| Numele si prenumele (Full name): ...............................
|
| Semnatura (Signature): .........................................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 5
Numarul si data inregistrarii Numarul si data inregistrarii
la solicitant la ANCEX
(Applicant's registration (ANCEX's registration number
number and date) and date)
.............................. ..............................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE DE IMPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(APPLICATION FOR INDIVIDUAL IMPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________________________________________________________
| |1. Importator |2. Adresa/telefon-fax
|
| | (Exporter) | (Address/telephone-fax)
|
| (L | |
|
| I
|_______________________________|________________________________________|
|C C |3. Partenerul extern |4. Tara partenerului extern | Cod
(Code)|
|E E | (Foreign partner) | (Country of foreign |
|
|R N | | partner) |
|
|E C | | |
|
|R E
|_______________________________|____________________________|___________|
|E |5. Agentul/Reprezentantul, |6. Tara de origine | Cod
(Code)|
| A | daca nu este importator | (Country of origin) | |
|D P | (Agent/Representative, if | |
|
|E P | different from importer) | |
|
| L | | |
|
|L I
|_______________________________|____________________________|___________|
|I C |7. Destinatar final |8. Adresa/telefon-fax
|
|C A | (Ultimate consignee) | (Address/telephone-fax)
|
|E T | |
|
|N I
|_______________________________|________________________________________|
|T O |9. Data contractului |10. Conditia de livrare |11. Valuta
|
|A N)| (Contract date) | (Delivery terms) | platii
|
| | | |
(Currency|
| | | | of
|
| | | | payment)
|
| | | |
|
|_____|_______________________________|__________________________|_____________|
|12. Denumirea comerciala a |13. Pozitie tarif vamal |14. Nr. art.
|
| produselor si tehnologiilor| (Customs tariff | conf.
|
| cu dubla utilizare | code no.) | liste de
|
| (Description of dual-use | | control
|
| items and technologies) | | (Control
|
| | | lists
|
| | | code no.)|
| | |
|
|
|__________________________|_____________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
| | |
|_______________________________|________________________________________|
|19. Date suplimentare
|
| (Additional Information) |
|
|
|
|
| |
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta.
|
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ............................................
|
| Numele si prenumele (Full name): ...............................
|
| Semnatura (Signature): .........................................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 6
Cerere de eliberare a
CERTIFICATULUI INTERNATIONAL DE IMPORT
______________________________________________________________________________
|1. Nr. si data inregistrarii|2. Nr. operatiunii si data inregistrarii la
ANCEX|
| la solicitant |
|
| |
|
|____________________________|_________________________________________________|
|3. Exportator |4. Importator
|
| |
|
| Adresa | Adresa |
| |
|
| Tel./fax: | Tel./fax:
|
| | |
| Tara | Cod unic de inregistrare:
|
|____________________________|_________________________________________________|
|5. Denumirea |6. Pozitie |7. Nr. art. |8. Cantitate |9. Valoarea/|
| comerciala a | Tarif | conf. liste|_____________________| valuta/
|
| produselor/ | vamal | de control |Cod UM/|Cod UM supl./| conditia
|
| tehnologiilor| | |tone, |cantit. supl.| de
|
| | | |kg | | livrare
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
| 10. TOTAL | | |
|
|___________________________________________|_______|_____________|____________|
|
|
| 11. ANGAJAMENT
|
|
|
| ............................................................................
|
| (Numele si prenumele; functia)
|
| reprezentant legal al ......................................................
|
| (denumirea completa a importatorului)
|
| - solicit eliberarea unui Certificat International de Import pentru
|
| produsele/tehnologiile cu dubla utilizare enumerate si descrise mai sus,
|
| provenind din tara .................................., fiind originare din
|
| tara .....................................................................
|
| - ma angajez sa import in Romania, in conformitate cu reglementarile in
|
| vigoare si in cantitatile mentionate mai sus;
|
| - ma angajez sa nu le deturnez, sa nu le transbordez si/sau sa le export
|
| catre o alta destinatie, fara autorizatia scrisa prealabila a ANCEX;
|
| - ma angajez sa notific imediat ANCEX orice schimbare survenita in actele
sau|
| faptele declarate;
|
| - ma angajez sa transmit exportatorului, la cererea acestuia, documentul de
|
| efectuare a importului (Certificatul de Control al Livrarii) emis de
ANCEX;|
|
|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| cerere sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca |
| pentru orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
|
|
| |
| Data .................... Stampila Numele si prenumele, functia si
|
| semnatura reprezentantului legal
|
|______________________________________________________________________________|
ANEXA 6 bis
ANEXA
la cererea de eliberare a certificatului international de import
______________________________________________________________________________
|1. Nr. si data inreg. la |2. Nr. operatiunii si data inreg. la ANCEX
|
| solicitant |
|
| |
|
|____________________________|_________________________________________________|
|3. Denumirea |4. Pozitie|5. Nr. art. |6. Cantitate |7. Valoare/
|
| comerciala a | Tarif | conf. liste|_____________________| Valuta/
|
| produselor/ | vamal | de control |Cod UM/|Cod UM supl./| Conditia
|
| tehnologiilor | | |tone, |cantit. supl.| de
|
| | | |kg | | livrare
|
| | | | | |
|
|_________________|__________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|_________________|__________|______________|_______|_____________|____________|
| 8. TOTAL |
|
| (TOTAL) |
|
|___________________________________________________|__________________________|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| anexa sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
pentru|
| orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
|
|
|
|
| Data .................... Stampila Numele, functia si semnatura
persoanei|
| autorizate
|
|______________________________________________________________________________|
ANEXA 7
DECLARATIA DESTINATARULUI FINAL
(STATEMENT BY ULTIMATE CONSIGNEE)
______________________________________________________________________________
|1. Nr. si data inregistrarii|2. Nr. operatiunii si data inregistrarii la
ANCEX|
| la solicitant | (Operation no. and date of registration at
|
| (No. and date of | ANCEX)
|
| registration at the |
|
| applicant) | |
|____________________________|_________________________________________________|
|3. Destinatar final |4. Importator
|
| (Ultimate consignee) | (Importer) |
| |
|
| Adresa: | Adresa:
|
| (Address) | (Address) |
| |
|
| Tel./Fax (Tel./Fax): | Tel./Fax (Tel./Fax):
|
| | |
| Persoana de contact: | Persoana de contact:
|
| (Contact person) | (Contact person)
|
| |
|
| Cod unic de inregistrare:| Cod unic de inregistrare:
|
| (Company register no.) | (Company register no.)
|
|____________________________|_________________________________________________|
|5. Denumirea |6. Pozitie |7. Nr. art. |8. Cantitate |9.
Valoarea/|
| comerciala a | Tarif | conf. liste| (Quantity) | Valuta/
|
| produselor/ | vamal | de control |_____________________| conditia
|
| tehnologiilor| (Customs| (Control |Cod UM/|Cod UM supl./| de
|
| (Description | tariff | lists code |tone, |cantit. supl.| livrare
|
| of goods/ | code | no.) |kg |(Code suppl./| (Value/
|
| technologies)| no.) | |(Code/ |quantity) |
Currency/|
| | | |tones, | | Terms of
|
| | | |kilos) | |
delivery)|
|________________|___________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | | |
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
| 10. TOTAL | | |
|
| (TOTAL) | | |
|
|___________________________________________|_______|_____________|____________|
|
|
| 11. DECLARATIE (STATEMENT)
|
|
|
| Modul in care destinatarul final va utiliza sau dispune de produsele/
|
| tehnologiile descrise si enumerate mai sus: |
| (Disposition or use of the goods/technologies by the ultimate consignee):
|
| _
|
| |_| Vor fi folosite in forma in care au fost primite, pentru ..............,
|
| (They will be used as they were received, for) ........................,
|
| in urmatorul loc (sediu) ................, nu vor fi incorporate in
|
| (in the following place) (they will not be imbeded in)
|
| nici un alt produs final si nu vor fi exportate fara autorizarea scrisa
|
| prealabila a ANCEX;
|
| (any other final good and must not be exported except with the prior
|
| written authorization of ANCEX);
|
| _
|
| |_| Vor fi revandute in Romania, in forma in care au fost primite;
|
| (They will be resold in Romania as they were received)
|
| _
|
| |_| Vor fi prelucrate, modificate si/sau incorporate in urmatoarele produse
|
| (They will be processed, modified and/or imbeded in the following goods)
|
| .......................................................................,
|
| pentru a fi utilizate in scopul .......................................,
|
| (to be used for) |
| in locul (tara) .......................................................,
|
| (in the following place (country))
|
| numai dupa obtinerea autorizarii scrise a ANCEX; |
| (only with the written authorization of ANCEX)
|
| _
|
| |_| Vor fi exportate, in forma in care au fost primite, catre (tara)
|
| (They will be exported, as they were received, to)
|
| .......................................................................,
|
| numai dupa obtinerea autorizarii scrise a ANCEX;
|
| (only after the written authorization of ANCEX);
|
| _
|
| |_| Altele (descriere completa): ...........................................
|
| (Others (full description)): ...........................................
|
|
|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| declaratie sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
|
| pentru orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
| (I hereby certify on my own responsability that all information in this
|
| statement is accurate and is mentioned to the best of my knowledge,
|
| recognising that for any false statement or omission made with intention I
|
| will be punished according to the law). |
|
|
|
|
| Data Stampila Numele si prenumele, functia si |
| semnatura persoanei autorizate
|
| (Date) .................. (Stamp) (Family name, first name, title and
|
| signature of the authorized official)
|
|______________________________________________________________________________|
ANEXA 7 bis
ANEXA
(ANNEX)
la Declaratia Destinatarului Final
(of Statement of Ultimate Consignee)
______________________________________________________________________________
|1. Nr. si data inreg. la |2. Nr. operatiunii si data inreg. la ANCEX
|
| solicitant | (Operation no. and date of registration at
|
| (No. and date of | ANCEX)
|
| registration at the |
|
| applicant) |
|
|____________________________|_________________________________________________|
|3. Denumirea |4. Pozitie |5. Nr. art. |6. Cantitate |7. Valoare/
|
| comerciala a | Tarif | conf. liste| (Quantity) | Valuta/
|
| produselor/ | vamal | de control |_____________________| Conditia
|
| tehnologiilor| (Customs| (Control |Cod UM/|Cod UM supl./| de
|
| (Description | tariff | lists code |tone, |cantit. supl.| livrare
|
| of items/ | code | no.) |kg |(Code suppl./| (Value/
|
| technologies)| no.) | |(Code/ |quantity) |
Currency/|
| | | |tones, | | Terms of
|
| | | |kilos) | |
delivery)|
|________________|___________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | | |
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
| 8. TOTAL |
|
| (TOTAL) |
|
|___________________________________________________|__________________________|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| anexa sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
pentru|
| orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare. (I hereby certify on my
|
| own responsability that all information in this annex is accurate and is
|
| mentioned to the best of my knowledge, recognising that for any false
|
| statement or omission made with intention I will be punished according to
the|
| law).
|
|
|
| |
| Data Stampila Numele, functia si semnatura
|
| persoanei autorizate
|
| (Date) .................. (Stamp) (Family name, first name, title and |
| signature of the authorized official)
|
|______________________________________________________________________________|
ANEXA 8
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
......................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU TRANSMITEREA DE SOFTWARE SAU
TEHNOLOGIE PRIN MIJLOACE ELECTRONICE, PRIN FAX SAU TELEFON
(APPLICATION
FOR INDIVIDUAL LICENCE FOR TRANSMISSION OF SOFTWARE OR TECHNOLOGY
BY MEANS OF ELECTRONIC MEDIA, FAX OR TELEPHONE)
______________________________________________________________________________
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| (L |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| I | (Consignee) | (Country of consignment) |
|
|C C | | |
|
|E E |
|____________________________|___________|
|R N | |5. Tara de origine | Cod
(Code)|
|E C | | (Country of origin) | |
|R E | | |
|
|E
|_______________________________|____________________________|___________|
| A |6. Utilizatorul final, daca nu |7. Tara destinatiei finale | Cod
(Code)|
|D P | este destinatarul | (Country of final |
|
|E P | (End-user, if different from| destination) |
|
| L | consignee) | |
|
|L I | | |
|
|I C
|_______________________________|____________________________|___________|
|C A |8. Utilizarea finala |Identificarea mijloacelor de
transmisie/|
|E T | (End-use) |primire (Identification of
transmission/|
|N I | |receival means)
|
|T O |
|________________________________________|
|A N)| |9. Transmisie |10. Primire
|
| | | (Transmission) | (Receival)
|
| | | |
|
|_____|_______________________________|___________________|____________________|
|11. Denumirea comerciala a |12. Nr. art. conf. |13. Valuta
platii|
| software-ului sau | liste de | (Currency of
|
| tehnologiilor care urmeaza | control | payment)
|
| a fi transmise | (Control lists |
|
| (Description of software or| code no.) |
|
| technologies subject to
|______________________|_________________|
| transmission) |14. Valoarea in |15. Cantitatea
|
| | valuta platii | (Quantity)
|
| | (Value in |
|
| | currency of |
|
| | payment) |
|
| | |
|
|_______________________________|_____________________|__________________|
|16. Date suplimentare
|
| (Additional information)
|
| |
|
|
|
|
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta. |
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 9
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU CUMPARARI SAU VANZARI
DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
FARA ATINGEREA FIZICA A TERITORIULUI ROMANIEI
(APPLICATION
FOR INDIVIDUAL LICENCE FOR PURCHASING OR SELLING
DUAL-USE ITEMS AND TECHNOLOGIES WITHOUT ENTERING THE ROMANIAN TERRITORY)
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| (L |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| I | (Consignee) | (Country of consignment) |
|
|C C | | |
|
|E E
|_______________________________|____________________________|___________|
|R N |5. Furnizor |6. Tara furnizorului | Cod
(Code)|
|E C | (Supplier) | (Country of supplier) |
|
|R E | | |
|
|E
|_______________________________|____________________________|___________|
| A |7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
|D P | este destinatarul | (Country of final |
|
|E P | (End-user, if different from| destination) |
|
| L | consignee) | |
|
|L I | | |
|
|I C
|_______________________________|____________________________|___________|
|C A |9. Utilizarea finala |10. Valuta
|
|E T | (End-use) | platii
|
|N I | | (Currency
|
|T O | | of
payment)|
|A N)| |
|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
|
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea|Cod UM/
|
| | in valuta| (Quantity)|tone, kg
|
| | platii | |(Code/
|
| | (Value in| |tones,
|
| | currency | |kilos)
|
| | of | |
|
| | payment) | |
|
| | | |
|
|_______________________________|_____________|______________|___________|
|15. Date suplimentare |
| (Additional information)
|
|
|
| |
|
|
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta.
|
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 10
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU OPERATIUNI NECOMERCIALE
CU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(APPLICATION
FOR INDIVIDUAL LICENCE FOR NON-COMMERCIAL ACTIVITIES
WITH DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| (L | (Licensed person) | (Address/telephone-fax)
|
| I | |
|
|C C
|_______________________________|________________________________________|
|E E |3. Destinatarul final |4. Adresa/telefon-fax
|
|R N | (End-user) | (Address/telephone-fax)
|
|E C | |
|
|R E
|_______________________________|________________________________________|
|E |5. Utilizarea finala |6. Expeditor
|
| A | (End-use) | (Shipper)
|
|D P | |
|
|E P |_______________________________|________________________________________|
| L |7. Denumirea produselor si |8. Nr. art. conf. liste de control
|
|L I | tehnologiilor cu dubla | (Control lists code no.)
|
|I C | utilizare | |
|C A | (Description of dual-use
|________________________________________|
|E T | items and technologies) |9. Cantitatea |Cod UM/tone, kg
|
|N I | | (Quantity) |(Code/tones,
|
|T O | | |kilos)
|
|A N)| | |
|
|_____|_______________________________|_____________________|__________________|
|10. Intrare |11. Iesire
|
| (Entry) | (Exit)
|
| |
|
|_______________________________|________________________________________|
|12. Descrierea si scopul operatiunii
|
| (Description and scope of activity)
|
| |
|________________________________________________________________________|
|13. Date suplimentare
|
| (Additional information) |
|
|
|
|
| |
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta.
|
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 11
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU OPERATIUNI DE INTERMEDIERE
(APPLICATION
FOR INDIVIDUAL LICENCE FOR BROKERING ACTIVITIES)
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| (L | (Applicant) | (Address/telephone-fax)
|
| I | |
|
|C C
|_______________________________|________________________________________|
|E E |3. Exportator |4. Tara exportatorului | Cod
(Code)|
|R N | (Exporter) | (Country of exporter) |
|
|E C | | |
|
|R E |_______________________________|____________________________|___________|
|E |5. Importator |6. Tara importatorului | Cod
(Code)|
| A | (Importer) | (Country of importer) |
|
|D P | | |
|
|E P
|_______________________________|____________________________|___________|
| L |7. Destinatarul final, daca nu |8. Utilizarea finala
|
|L I | este importatorul | (End-use)
|
|I C | (End-user, if different from|
|
|C A | importer) |
|
|E T | |
|
|N I |_______________________________|________________________________________|
|T O |9. Descrierea operatiunii de |10. Valuta
|
|A N)| intermediere | platii
|
| | (Description of brokering | (Currency
|
| | activity) | of
payment)|
| | |
|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare | |
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea|Cod UM/
|
| | in valuta| (Quantity)|tone, kg
|
| | platii | |(Code/
|
| | (Value in| |tones,
|
| | currency | |kilos)
|
| | of | |
|
| | payment) | |
|
| | | |
|
|_______________________________|_____________|______________|___________|
|15. Date suplimentare
|
| (Additional information)
|
| |
|
|
|
|
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta. |
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 12
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU ACTIVITATEA DE ASISTENTA TEHNICA
(APPLICATION
FOR INDIVIDUAL LICENCE FOR TECHNICAL ASSISTANCE)
______________________________________________________________________________
| (L |1. Solicitant |2. Adresa/telefon-fax
|
| I | (Applicant) | (Address/telephone-fax)
|
|C C | |
|
|E E
|_______________________________|________________________________________|
|R N |3. Utilizatorul final |4. Partenerul extern
|
|E C | (End-user) | (Foreign partner)
|
|R E | |
|
|E
|_______________________________|________________________________________|
| A |5. Denumirea produselor sau tehnologiilor cu dubla |6. Nr. art. conf.
|
|D P | utilizare care fac obiectul asistentei tehnice | liste de
control|
|E P | (Dual-use items and technologies subject to | (Control lists
|
| L | technical assistance) | code no.)
|
|L I | |
|
|I C
|____________________________________________________|___________________|
|C A |7. Tipul de asistenta |8. Valoarea |9. Valuta |10.
Perioada|
|E T | (Type of technical | in valuta | platii | (Time
|
|N I | assistance) | platii | (Currency| period)
|
|T O | | (Value in | of |
|
|A N)| | currency of| payment) |
|
|_____| | payment) | |
|
| | | |
|
|_______________________________|______________|____________|____________|
|11. Date suplimentare
|
| (Additional information)
|
| |
|
|
|
|
|________________________________________________________________________|
|
|
| Declar pe propria raspundere ca datele mentionate mai sus sunt exacte
|
| si va rog sa aprobati cererea de licenta. |
| I hereby certify that all above mentioned information is accurate and
I|
| therefore ask for the approval of the licence application.
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): ................. |
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 13
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU TRANZIT INTERNATIONAL
CU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE PE TERITORIUL ROMANIEI
(APPLICATION
FOR INDIVIDUAL LICENCE FOR INTERNATIONAL TRANZIT
OF DUAL-USE ITEMS AND TECHNOLOGIES ON THE ROMANIAN TERRITORY)
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| (L |3. Exportator |4. Importator
|
| I | (Exporter) | (Importer)
|
|C C | | |
|E E
|_______________________________|________________________________________|
|R N |5. Expeditor |6. Destinatar final
|
|E C | (Shipper) | (End-user) |
|R E | |
|
|E |
|________________________________________|
| A |7. Transportator |8. Tari tranzitate |
|D P | (Carrier) | (Transited countries)
|
|E P | |
|
| L
|_______________________________|________________________________________|
|L I |9. Traseul de tranzit pe teritoriul Romaniei
|
|I C | (Transit route on the Romanian territory)
|
|C A |
|
|E T |________________________________________________________________________|
|N I |10. Mijloace de transport |11. Necesitatea transbordarii
|
|T O | (Means of transportation) | (Transshipment necessity)
|
|A N)| |
|
|_____|_______________________________|________________________________________|
|12. Descriere detaliata a produselor si tehnologiilor cu dubla
utilizare|
| (Detailed description of dual-use items and technologies)
|
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|________________________________________________________________________|
- Continua verso -
- See verso -
________________________________________________________________________
|13. Personalul strain inarmat, care insoteste produsele in tranzit
|
| (Accompanying armed foreign personnel)
|
|
|
|________________________________________________________________________|
|14. Asigurarea securitatii |15. Unitati vamale de frontiera
|
| tranzitului | (Border Customs Units)
|
| (Transit security |
|
| assurance) | |
| |
|
|_______________________________|________________________________________|
|16. Autorizari straine si alte documente |
| (Foreign authorizations and other documents)
|
|
|
|
|
|________________________________________________________________________|
|
|
| Declaratia solicitantului:
|
| Declaram cu buna-credinta ca datele sus-mentionate sunt corecte.
|
| Produsele aflate in tranzit nu contin arme de distrugere in masa,
|
| materiale aferente sau alte produse interzise de legislatia
romaneasca.|
| Ne angajam sa transportam produsele strategice descrise mai sus, in
|
| aceeasi stare pe care acestea o au la intrarea in Romania. Avem
|
| cunostinta ca orice declaratie falsa referitoare la datele
|
| sus-mentionate se pedepseste conform legilor romane.
|
| (Statement of applicant:
|
| We declare that the above information is true, to the best of our
|
| knowledge. No weapons of mass destruction, their related materials or
|
| other goods that are prohibited by the Romanian Law are subjects of
|
| this transit. We undertake to transport the above-mentioned goods, in
|
| the same status in which they entered in Romania. We are aware that
any|
| false declaration regarding the above-mentioned data is prosecuted and
|
| may be sanctioned according to the Romanian Law)
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 14
Numarul si data inregistrarii la solicitant
(Applicant's registration number and date)
...........................................
Numarul si data inregistrarii la ANCEX
(ANCEX's registration number and date)
...........................................
CERERE
PENTRU ELIBERAREA LICENTEI INDIVIDUALE PENTRU TRANSBORDAREA
DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE PE TERITORIUL ROMANIEI
(APPLICATION
FOR INDIVIDUAL LICENCE FOR THE TRANSSHIPMENT
OF DUAL-USE ITEMS AND TECHNOLOGIES ON THE ROMANIAN TERRITORY)
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| (L |3. Exportator |4. Importator
|
| I | (Exporter) | (Importer)
|
|C C | | |
|E E
|_______________________________|________________________________________|
|R N |5. Expeditor |6. Destinatar final
|
|E C | (Shipper) | (End-user)
|
|R E | |
|
|E |
|________________________________________|
| A |7. Agentul de incarcare/ |8. Locul si data cand se efectueaza
|
|D P | descarcare | transbordarea
|
|E P | (Loading/unloading company) | (Place and date of transshipment)
|
| L | |
|
|L I |_______________________________|________________________________________|
|I C |9. Transportator si mijlocul de|10. Transportator si mijlocul de
|
|C A | transport de pe care se face| transport pe care se face
incarcarea|
|E T | descarcarea | (Carrier and means of
transportation|
|N I | (Carrier and means of | to be loaded)
|
|T O | transportation to be |
|
|A N)| unloaded) | |
| | |
|
|
|_______________________________|________________________________________|
| |11. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| | transbordate
|
|_____| Details on transshipped dual-use items and technologies
|
|
|
|
|
|
|
|
|
| |
|
|
|________________________________________________________________________|
|12. Date suplimentare
|
| (Additional information)
|
|
|
| |
|
|
|________________________________________________________________________|
| |
| Declaratia solicitantului:
|
| Declaram cu buna-credinta ca datele sus-mentionate sunt corecte.
|
| Produsele aflate in transbordare nu contin arme de distrugere in masa,
|
| materiale aferente sau alte produse interzise de legislatia
romaneasca.|
| Avem cunostinta ca orice declaratie falsa referitoare la datele
|
| sus-mentionate poate fi pedepsita conform legilor romane. |
| (Statement of applicant:
|
| We declare that the above information is true, to the best of our
|
| knowledge. No weapons of mass destruction, their related materials or
|
| other goods that are prohibited under the law are subjects of this
|
| transshipment. We are aware that any false declaration regarding the
|
| above-mentioned data, shall be prosecuted and sanctioned according to
|
| the law.) |
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 14 bis
ANEXA
(ANNEX)
LA CEREREA DE LICENTA INDIVIDUALA NR. .........../.............
(TO THE INDIVIDUAL LICENCE APPLICATION No.)
______________________________________________________________________________
|A (A |1. Solicitant
|
|N N | (Applicant)
|
|E N |
|
|X E
|________________________________________________________________________|
|A X |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| | produselor si tehnologiilor| vamal | liste de
control|
|L T | cu dubla utilizare | (Customs tariff| (Control lists
|
|A O | (Description of dual-use | code no.) | code no.)
|
| | items and technologies) | |
|
|C T |
|___________________|____________________|
|E H | |15. Valoarea |16. Cantitatea| Cod UM/
|
|R E | | in valuta | (Quantity)| tone,
kg|
|E | | platii | | (Code/
|
|R L | | (Value in | | tones,
|
|E I | | currency of| | kilos)
|
|A C | | payment) | |
|
| E | | | | |
|D N
|_______________________________|_______________|______________|_________|
|E C |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| E | produselor si tehnologiilor| vamal | liste de
control|
|L | cu dubla utilizare | (Customs tariff| (Control lists
|
|I A | (Description of dual-use | code no.) | code no.)
|
|C P | items and technologies) | |
|
|E P | |___________________|____________________|
|N L | |15. Valoarea |16. Cantitatea| Cod UM/
|
|T I | | in valuta | (Quantity)| tone,
kg|
|A C | | platii | | (Code/
|
| A | | (Value in | | tones,
|
| T | | currency of| | kilos)
|
| I | | payment) | |
|
| O | | | |
|
| N
|_______________________________|_______________|______________|_________|
| |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| | produselor si tehnologiilor| vamal | liste de
control|
| | cu dubla utilizare | (Customs tariff| (Control lists
|
| | (Description of dual-use | code no.) | code no.) |
| | items and technologies) | |
|
| |
|___________________|____________________|
| | |15. Valoarea |16. Cantitatea| Cod UM/
|
| | | in valuta | (Quantity)| tone,
kg|
| | | platii | | (Code/
|
| | | (Value in | | tones,
|
| | | currency of| | kilos)
|
| | | payment) | |
|
| | | | |
|
| |_______________________________|_______________|______________|_________|
| |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| | produselor si tehnologiilor| vamal | liste de
control|
|_____| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
|
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
|
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|
|
| Semnatura autorizata (Authorized signature):
|
| ............................................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 15 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE EXPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL EXPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru exportator
|
| (Original for the Exporter)
|
|______________________________|
______________________________________________________________________________
| |1. Exportator |2. Adresa/telefon-fax
|
| | (Exporter) | (Address/telephone-fax) |
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
|
|_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de exportator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from exporter) | |
|
|N N | | |
|
|T C
|_______________________________|____________________________|___________|
|A E)|7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
| | este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
| | | |
|
|
|_______________________________|____________________________|___________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | |
|
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
|
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
| |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de export, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta. |
| (Following the application number ........../........... the export is
|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 15 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE EXPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL EXPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Exportator |2. Adresa/telefon-fax
|
| | (Exporter) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
|
|_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de exportator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from exporter) | |
|
|N N | | |
|
|T C
|_______________________________|____________________________|___________|
|A E)|7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod (Code)|
| | este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
| | | |
|
|
|_______________________________|____________________________|___________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | |
|
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | | |
|
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare |
| (Additional requirements)
|
|
|
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de export, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta.
|
| (Following the application number ........../............ the export
is|
| allowed in the terms defined by this licence.) |
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 15 c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE EXPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL EXPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Exportator |2. Adresa/telefon-fax
|
| | (Exporter) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de exportator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from exporter) | |
|
|N N | | |
|
|T C
|_______________________________|____________________________|___________|
|A E)|7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
| | este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
|
|_______________________________|____________________________|___________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare
|
| (Additional requirements) |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de export, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta. |
| (Following the application number ........../............ the export
is|
| allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|________________________________________________________________________|
| | Persoana autorizata (Authorized person): |
|
|_____________|____________________________________________________|_____|
| | Functia (Position): .............................. |
|
|_____________|____________________________________________________|_____|
| | Numele si prenumele (Full name): ................. |
|
|_____________|____________________________________________________|_____|
| | Semnatura (Signature): ........................... |
|
|_____________|____________________________________________________|_____|
| | Stampila (Stamp): |
|
|_____________|____________________________________________________|_____|
ANEXA 16a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE IMPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL IMPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru importator
|
| (Original for the Importer)
|
|______________________________|
______________________________________________________________________________
| |1. Importator |2. Adresa/telefon-fax
|
| | (Importer) | (Address/telephone-fax) |
| | |
|
|
|_______________________________|________________________________________|
| |3. Partenerul extern |4. Tara partenerului extern | Cod (Code)|
| | (Foreign partner) | (Country of foreign |
|
| | | partner) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de importator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from importer) | |
|
|N N | | |
|
|T C |_______________________________|____________________________|___________|
|A E)|7. Destinatar final |8. Adresa/telefon-fax
|
| | (Ultimate consignee) | (Address/telephone-fax)
|
| | | |
|
|_______________________________|________________________________________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | | |
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal |
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare |
| (Additional requirements)
|
|
|
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de import, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta. |
| (Following the application number ........../............ the import
is|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 16b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE IMPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL IMPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Importator |2. Adresa/telefon-fax
|
| | (Importer) | (Address/telephone-fax) |
| | |
|
|
|_______________________________|________________________________________|
| |3. Partenerul extern |4. Tara partenerului extern | Cod
(Code)|
| | (Foreign partner) | (Country of foreign |
|
| | | partner) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de importator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from importer) | |
|
|N N | | |
|
|T C |_______________________________|____________________________|___________|
|A E)|7. Destinatar final |8. Adresa/telefon-fax
|
| | (Ultimate consignee) | (Address/telephone-fax)
|
| | | |
|
|_______________________________|________________________________________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | |
|
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal |
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de import, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta. |
| (Following the application number ........../............ the import
is|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 16c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA DE IMPORT
PENTRU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL IMPORT LICENCE
FOR DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Importator |2. Adresa/telefon-fax
|
| | (Importer) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Partenerul extern |4. Tara partenerului extern | Cod
(Code)|
| | (Foreign partner) | (Country of foreign |
|
| | | partner) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Agentul/Reprezentantul, daca|6. Tara de origine | Cod
(Code)|
|I I | difera de importator | (Country of origin) |
|
|C C | (Agent/Representative, if | |
|
|E E | different from importer) | |
|
|N N | | |
|
|T C |_______________________________|____________________________|___________|
|A E)|7. Destinatar final |8. Adresa/telefon-fax
|
| | (Ultimate consignee) | (Address/telephone-fax)
|
| | | |
|
|_______________________________|________________________________________|
| |9. Contract, dupa caz |10. Conditia de |11. Valuta platii
|
| | (Contract, if applicable) | livrare | (Currency of
|
| | | (Delivery | payment)
|
| | | terms) |
|
| | | |
|
|_____|_______________________________|___________________|____________________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) | |
|
| |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|17. Utilizarea finala |18. Biroul vamal
|
| (End-use) | (Customs unit)
|
|_______________________________|________________________________________|
|19. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de import, solicitata prin
|
| cererea nr. ........../..........., in conditiile definite de prezenta
|
| licenta. |
| (Following the application number ........../............ the import
is|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): ................. |
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 17 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANSMITEREA DE SOFTWARE SAU TEHNOLOGIE
PRIN MIJLOACE ELECTRONICE, PRIN FAX SAU TELEFON
(INDIVIDUAL LICENCE
FOR TRANSMISSION OF SOFTWARE OR TECHNOLOGY
BY MEANS OF ELECTRONIC MEDIA, FAX OR TELEPHONE)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | | |
| |
|____________________________|___________|
|L (L | |5. Tara de origine | Cod
(Code)|
|I I | | (Country of origin) |
|
|C C | | |
|
|E E | | |
|
|N N
|_______________________________|____________________________|___________|
|T C |6. Utilizatorul final, daca nu |7. Tara destinatiei finale | Cod
(Code)|
|A E)| este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
| | | |
|
|
|_______________________________|____________________________|___________|
| |8. Utilizarea finala | Identificarea mijloacelor de
|
| | (End-use) | transmisie/primire (Identification of
|
| | | transmission/receival means)
|
| | |__________________________________________|
| | |9. Transmisie |10. Primire
|
| | | (Transmission) | (Receival)
|
| | | | |
|_____|_____________________________|___________________|______________________|
|11. Denumirea comerciala a |12. Nr. art. conf. 13. Valuta platii
|
| software-ului sau | liste de control (Currency of
|
| tehnologiilor ce urmeaza a | (Control lists payment)
|
| fi transmise | code no.)
|
| (Description of the |
|
| software or technologies
|________________________________________|
| subject to transmission) |14. Valoarea in 15. Cantitatea
|
| | valuta platii (Quantity)
|
| | (Value in
|
| | currency of
|
| | payment)
|
| | |
|_______________________________|________________________________________|
|16. Cerinte suplimentare
|
| (Additional requirements) |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de transmitere a
|
| software-ului sau tehnologiilor, solicitata prin cererea nr. .../....,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ......./....... the transmission of
|
| software or technology is allowed in the terms defined by this
|
| licence.)
|
|________________________________________________________________________|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|________________________________________________________________________|
| | Persoana autorizata (Authorized person): |
|
|_____________|____________________________________________________|_____|
| | Functia (Position): .............................. |
|
|_____________|____________________________________________________|_____|
| | Numele si prenumele (Full name): ................. |
|
|_____________|____________________________________________________|_____|
| | Semnatura (Signature): ........................... |
|
|_____________|____________________________________________________|_____|
| | Stampila (Stamp): |
|
|_____________|____________________________________________________|_____|
ANEXA 17 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANSMITEREA DE SOFTWARE SAU TEHNOLOGIE
PRIN MIJLOACE ELECTRONICE, PRIN FAX SAU TELEFON
(INDIVIDUAL LICENCE
FOR TRANSMISSION OF SOFTWARE OR TECHNOLOGY
BY MEANS OF ELECTRONIC MEDIA, FAX OR TELEPHONE)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
| | |____________________________|___________|
| | |5. Tara de origine | Cod
(Code)|
|L (L | | (Country of origin) |
|
|I I | | | |
|C N
|_______________________________|____________________________|___________|
|E C |6. Utilizatorul final, daca nu |7. Tara destinatiei finale | Cod
(Code)|
|N E | este destinatarul | (Country of final |
|
|T N | (End-user, if different from| destination) |
|
|A C | consignee) | |
|
| E)| | |
|
| |_______________________________|____________________________|___________|
| |8. Utilizarea finala | Identificarea mijloacelor de
|
| | (End-use) | transmisie/primire (Identification of
|
| | | transmission/receival means)
|
| |
|__________________________________________|
| | |9. Transmisie |10. Primire
|
| | | (Transmission) | (Receival)
|
| | | |
|
|_____|_____________________________|___________________|______________________|
|11. Denumirea comerciala a |12. Nr. art. conf. |13. Valuta platii
|
| software-ului sau | liste de control | (Currency of
|
| tehnologiilor ce urmeaza a | (Control lists | payment)
|
| fi transmise | code no.) | |
| (Description of the | |
|
| software or technologies
|_____________________|__________________|
| subject to transmission) |14. Valoarea in |15. Cantitatea
|
| | valuta platii | (Quantity)
|
| | (Value in |
|
| | currency of |
|
| | payment) |
|
| | |
|
|_______________________________|___________________|____________________|
|16. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de transmitere a
|
| software-ului sau tehnologiilor, solicitata prin cererea nr. .../....,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ......./....... the transmission of
|
| software or technology is allowed in the terms defined by this
|
| licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 18 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU CUMPARARI SAU VANZARI DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
FARA ATINGEREA FIZICA A TERITORIULUI ROMANIEI
(INDIVIDUAL LICENCE
FOR PURCHASING OR SELLING DUAL-USE ITEMS AND TECHNOLOGIES
WITHOUT ENTERING THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax) |
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod (Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
|L (L
|_______________________________|____________________________|___________|
|I I |5. Furnizor |6. Tara furnizorului | Cod
(Code)|
|C C | (Supplier) | (Country of supplier) |
|
|E E | | |
|
|N N |_______________________________|____________________________|___________|
|T C |7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
|A E)| este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
| | | |
|
| |_______________________________|____________________________|___________|
| |9. Utilizarea finala |10. Valuta
|
| | (End-use) | platii
|
| | | (Currency
|
| | | of
payment)|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control |
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
|
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|15. Cerinte suplimentare
|
| (Additional requirements) |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de cumparare sau vanzare de
|
| produse sau tehnologii cu dubla utilizare fara atingerea fizica a
|
| teritoriului Romaniei, solicitata prin cererea nr. ........./........,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number .........../......... purchasing or
|
| selling the dual-use items and technologies without entering the
|
| Romanian territory is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 18 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU CUMPARARI SAU VANZARI DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
FARA ATINGEREA FIZICA A TERITORIULUI ROMANIEI
(INDIVIDUAL LICENCE
FOR PURCHASING OR SELLING DUAL-USE ITEMS AND TECHNOLOGIES
WITHOUT ENTERING THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | |
|
|L (L
|_______________________________|____________________________|___________|
|I I |5. Furnizor |6. Tara furnizorului | Cod
(Code)|
|C C | (Supplier) | (Country of supplier) |
|
|E E | | |
|
|N N |_______________________________|____________________________|___________|
|T C |7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
|A E)| este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) |
|
| | consignee) | |
|
| | | |
|
| |_______________________________|____________________________|___________|
| |9. Utilizarea finala |10. Valuta
|
| | (End-use) | platii
|
| | | (Currency
|
| | | of
payment)|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
|
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|15. Cerinte suplimentare
|
| (Additional requirements) |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de cumparare sau vanzare de
|
| produse sau tehnologii cu dubla utilizare fara atingerea fizica a
|
| teritoriului Romaniei, solicitata prin cererea nr. ........./........,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number .........../......... purchasing or
|
| selling the dual-use items and technologies without entering the
|
| Romanian territory is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 18 c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU CUMPARARI SAU VANZARI DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
FARA ATINGEREA FIZICA A TERITORIULUI ROMANIEI
(INDIVIDUAL LICENCE
FOR PURCHASING OR SELLING DUAL-USE ITEMS AND TECHNOLOGIES
WITHOUT ENTERING THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatar |4. Tara destinatarului | Cod
(Code)|
| | (Consignee) | (Country of consignment) |
|
| | | |
|
|L (L
|_______________________________|____________________________|___________|
|I I |5. Furnizor |6. Tara furnizorului | Cod
(Code)|
|C C | (Supplier) | (Country of supplier) |
|
|E E | | |
|
|N N |_______________________________|____________________________|___________|
|T C |7. Utilizatorul final, daca nu |8. Tara destinatiei finale | Cod
(Code)|
|A E)| este destinatarul | (Country of final |
|
| | (End-user, if different from| destination) | |
| | consignee) | |
|
| | | |
|
|
|_______________________________|____________________________|___________|
| |9. Utilizarea finala |10. Valuta
|
| | (End-use) | platii
|
| | | (Currency
|
| | | of
payment)|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
| | | |
|
|_______________________________|_______________|______________|_________|
|15. Cerinte suplimentare
|
| (Additional requirements)
|
| |
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de cumparare sau vanzare de
|
| produse sau tehnologii cu dubla utilizare fara atingerea fizica a
|
| teritoriului Romaniei, solicitata prin cererea nr. ........./........,
|
| in conditiile definite de prezenta licenta. |
| (Following the application number .........../......... purchasing or
|
| selling the dual-use items and technologies without entering the
|
| Romanian territory is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 19 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU OPERATIUNI NECOMERCIALE CU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL LICENCE
FOR NON-COMMERCIAL ACTIVITIES WITH DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatarul final |4. Adresa/telefon-fax
|
|L (L | (End-user) | (Address/telephone-fax)
|
|I I | |
|
|C C |_______________________________|________________________________________|
|E E |5. Utilizarea finala |6. Expeditor
|
|N N | (End-use) | (Shipper)
|
|T C | | |
|A
E)|_______________________________|________________________________________|
| |7. Denumirea produselor si |8. Nr. art. conf. liste de control
|
| | tehnologiilor cu dubla | (Control lists code no.) |
| | utilizare |
| | (Description of dual-use
|________________________________________|
| | items and technologies) |9. Cantitatea | Cod UM/tone, kg
|
| | | (Quantity) | (Code/tones,
|
| | | | kilos)
|
|_____|_______________________________|_____________________|__________________|
|10. Intrare |11. Iesire |
| (Entry) | (Exit)
|
| |
|
|_______________________________|________________________________________|
|12. Descrierea si scopul operatiunii
|
| (Description and scope of activity)
|
|
|
|________________________________________________________________________|
|13. Cerinte suplimentare
|
| (Additional requirements)
|
| |
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea necomerciala cu produse si
|
| tehnologii cu dubla utilizare, solicitata prin cererea nr. ...../....,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ......../........ the non-commercial
|
| activity with dual-use items and technology is allowed in the terms
|
| defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA nr. 19 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU OPERATIUNI NECOMERCIALE CU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL LICENCE
FOR NON-COMMERCIAL ACTIVITIES WITH DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax) |
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatarul final |4. Adresa/telefon-fax
|
|L (L | (End-user) | (Address/telephone-fax)
|
|I I | |
|
|C C
|_______________________________|________________________________________|
|E E |5. Utilizarea finala |6. Expeditor
|
|N N | (End-use) | (Shipper)
|
|T C | |
|
|A E)|_______________________________|________________________________________|
| |7. Denumirea produselor si |8. Nr. art. conf. liste de control
|
| | tehnologiilor cu dubla | (Control lists code no.)
|
| | utilizare | |
| | (Description of dual-use
|________________________________________|
| | items and technologies) |9. Cantitatea |Cod UM/tone, kg
|
| | | (Quantity) |(Code/tones,
|
| | | |kilos)
|
| | | |
|
|_____|_______________________________|_____________________|__________________|
|10. Intrare |11. Iesire
|
| (Entry) | (Exit)
|
| |
|
|_______________________________|________________________________________|
|12. Descrierea si scopul operatiunii
|
| (Description and scope of activity)
|
| |
|________________________________________________________________________|
|13. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea necomerciala cu produse si
|
| tehnologii cu dubla utilizare, solicitata prin cererea nr. ...../....,
|
| in conditiile definite de prezenta licenta. |
| (Following the application number ....../........ the non-commercial
|
| activity with dual-use items and technology is allowed in the terms
|
| defined by this licence.) |
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 19 c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU OPERATIUNI NECOMERCIALE CU PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
(INDIVIDUAL LICENCE
FOR NON-COMMERCIAL ACTIVITIES WITH DUAL-USE ITEMS AND TECHNOLOGIES)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX) |
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Destinatarul final |4. Adresa/telefon-fax
|
|L (L | (End-user) | (Address/telephone-fax)
|
|I I | |
|
|C C |_______________________________|________________________________________|
|E E |5. Utilizarea finala |6. Expeditor
|
|N N | (End-use) | (Shipper)
|
|T C | | |
|A
E)|_______________________________|________________________________________|
| |7. Denumirea produselor si |8. Nr. art. conf. liste de control
|
| | tehnologiilor cu dubla | (Control lists code no.)
|
| | utilizare |
| | (Description of dual-use
|________________________________________|
| | items and technologies) |9. Cantitatea |Cod UM/tone, kg
|
| | | (Quantity) |(Code/tones,
|
| | | |kilos)
|
| | | |
|
|_____|_______________________________|_____________________|__________________|
|10. Intrare |11. Iesire
|
| (Entry) | (Exit)
|
| | |
|_______________________________|________________________________________|
|12. Descrierea si scopul operatiunii
|
| (Description and scope of activity) |
|
|
|________________________________________________________________________|
|13. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea necomerciala cu produse si
|
| tehnologii cu dubla utilizare, solicitata prin cererea nr. ...../....,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ......../........ the non-commercial
|
| activity with dual-use items and technology is allowed in the terms
|
| defined by this licence.) |
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 20 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU OPERATIUNI DE INTERMEDIERE
(INDIVIDUAL LICENCE
FOR BROKERING ACTIVITIES)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Exportator |4. Tara exportatorului | Cod
(Code)|
| | (Exporter) | (Country of exporter) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Importator |6. Tara importatorului | Cod
(Code)|
|I I | (Importer) | (Country of importer) |
|
|C C | | |
|
|E E
|_______________________________|____________________________|___________|
|N N |7. Destinatarul final, daca nu |8. Utilizarea finala
|
|T C | este importatorul | (End-use) |
|A E)| (End-user, if different from|
|
| | importer) |
|
| | |
|
| |_______________________________|________________________________________|
| |9. Descrierea operatiunii de |10. Valuta
|
| | intermediere | platii
|
| | (Description of brokering | (Currency
|
| | activity) | of
payment)|
| | |
|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea|Cod UM/
|
| | in valuta| (Quantity)|tone, kg
|
| | platii | |(Code/
|
| | (Value in| |tones,
|
| | currency | |kilos)
|
| | of | |
|
| | payment) | |
|
| | | |
|
|_______________________________|_____________|______________|___________|
|15. Cerinte suplimentare
|
| (Additional requirements)
|
| |
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de intermediere solicitata
|
| prin cererea nr. ............../..........., in conditiile definite de
|
| prezenta licenta.
|
| (Following the application number .............../.......... brokering
|
| activity is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 20 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU OPERATIUNI DE INTERMEDIERE
(INDIVIDUAL LICENCE
FOR BROKERING ACTIVITIES)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax |
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Exportator |4. Tara exportatorului | Cod
(Code)|
| | (Exporter) | (Country of exporter) |
|
| | | |
|
| |_______________________________|____________________________|___________|
|L (L |5. Importator |6. Tara importatorului | Cod
(Code)|
|I I | (Importer) | (Country of importer) |
|
|C C | | |
|
|E E
|_______________________________|____________________________|___________|
|N N |7. Destinatarul final, daca nu |8. Utilizarea finala
|
|T C | este importatorul | (End-use)
|
|A E)| (End-user, if different from|
|
| | importer) |
|
| | | |
|
|_______________________________|________________________________________|
| |9. Descrierea operatiunii de |10. Valuta
|
| | intermediere | platii
|
| | (Description of brokering | (Currency
|
| | activity) | of
payment)|
| | |
|
|_____|________________________________________________________|_______________|
|11. Denumirea comerciala a |12. Nr. art. conf. liste de control
|
| produselor si tehnologiilor| (Control lists code no.)
|
| cu dubla utilizare |
| (Description of dual-use
|________________________________________|
| items and technologies) |13. Valoarea |14. Cantitatea|Cod UM/
|
| | in valuta| (Quantity)|tone, kg
|
| | platii | |(Code/
|
| | (Value in| |tones,
|
| | currency | |kilos)
|
| | of | |
|
| | payment) | |
|
| | | |
|
|_______________________________|_____________|______________|___________|
|15. Cerinte suplimentare
|
| (Additional requirements)
|
| |
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de intermediere solicitata
|
| prin cererea nr. ............../............, in conditiile definite
de|
| prezenta licenta.
|
| (Following the application number ............../.......... brokering
|
| activity is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) .................................. |
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person): |
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 21 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU ACTIVITATEA DE ASISTENTA TEHNICA
(INDIVIDUAL LICENCE
FOR TECHNICAL ASSISTANCE)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| |3. Utilizatorul final |4. Partenerul extern
|
| | (End-user) | (Foreign partner)
|
| | | |
|
|_______________________________|________________________________________|
| |5. Denumirea produselor sau |6. Nr. art. conf. liste de
control|
|L (L | tehnologiilor cu dubla utilizare | (Control lists code no.)
|
|I I | care fac obiectul asistentei |
|
|C C | tehnice |
|
|E E | (Dual-use items and technologies | |
|N N | subject to technical assistance) |
|
|T C | |
|
|A
E)|_____________________________________|__________________________________|
| |7. Tipul de asistenta |8. Valoarea |9. Valuta |10.
Perioada|
| | (Type of technical | in valuta | platii | (Time
|
| | assistance) | platii | (Currency| period)
|
| | | (Value in | of |
|
| | | currency of| payment) |
|
| | | payment) | |
|
| | | | |
|
|_____|_______________________________|______________|____________|____________|
|11. Cerinte suplimentare
|
| (Additional requirements) |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua activitatea de asistenta tehnica,
|
| solicitata prin cererea nr. ............../............, in conditiile
|
| definite de prezenta licenta. |
| (Following the application number .............../.......... technical
|
| assistance is allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 21b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU ACTIVITATEA DE ASISTENTA TEHNICA
(INDIVIDUAL LICENCE
FOR TECHNICAL ASSISTANCE)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Titular licenta |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | | |
|
|_______________________________|________________________________________|
| |3. Utilizatorul final |4. Partenerul extern
|
| | (End-user) | (Foreign partner)
|
| | |
|
|
|_______________________________|________________________________________|
| |5. Denumirea produselor sau |6. Nr. art. conf. liste de
control|
|L (L | tehnologiilor cu dubla utilizare | (Control lists code no.)
|
|I I | care fac obiectul asistentei |
|
|C C | tehnice |
|
|E E | (Dual-use items and technologies |
|
|N N | subject to technical assistance) |
|
|T C | |
|
|A E)|_____________________________________|__________________________________|
| |7. Tipul de asistenta |8. Valoarea |9. Valuta |10.
Perioada|
| | (Type of technical | in valuta | platii | (Time
|
| | assistance) | platii | (Currency| period)
|
| | | (Value in | of |
|
| | | currency of| payment) |
|
| | | payment) | | |
| | | | |
|
|_____|_______________________________|______________|____________|____________|
|11. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua activitatea de asistenta tehnica,
|
| solicitata prin cererea nr. ............../............, in conditiile
|
| definite de prezenta licenta.
|
| (Following the application number ............../........... technical
|
| assistance is allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 22a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANZIT INTERNATIONAL DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR INTERNATIONAL TRANZIT OF DUAL-USE ITEMS AND TECHNOLOGIES
ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
|L (L | (Exporter) | (Importer)
|
|I I | | |
|C C
|_______________________________|________________________________________|
|E E |5. Expeditor |6. Destinatar final
|
|N N | (Shipper) | (End-user)
|
|T C | |
|
|A
E)|_______________________________|________________________________________|
| |7. Transportator |8. Mijloace de transport
|
| | (Carrier) | (Means of transportation)
|
| | |
|
|
|_______________________________|________________________________________|
| |9. Traseul de tranzit pe teritoriul Romaniei
|
| | (Transit route on the Romanian territory)
|
| |
|
|_____|________________________________________________________________________|
|10. Transbordare |11. Punct vamal/Intrare |12. Punct vamal/Iesire
|
| (Transshipment)| (Customs Unit/Entry) | (Customs Unit/Exit)
|
| | | |
|___________________|__________________________|_________________________|
|13. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| tranzitate |
| (Details on dual-use items and technologies in transit)
|
|
|
|________________________________________________________________________|
|
|
| Se acorda dreptul de a efectua operatiunea de tranzit international de
|
| produse si tehnologii cu dubla utilizare, solicitata prin cererea nr.
|
| ............../.........., in conditiile definite de prezenta licenta.
|
| (Following the application number ................./.............. the
|
| international transit of dual-use items on the territory of Romania is
|
| allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
______________________________________________________________________________
| Mentiuni ale autoritatii vamale privind efectuarea operatiunii de tranzit
|
| (unitatea vamala, data, numele si prenumele, functia si semnatura
|
| lucratorului vamal, stampila)
|
|______________________________________________________________________________|
| Unitatea vamala de intrare: | Unitatea vamala de iesire:
|
| |
|
| |
|
| |
|
| |
|
| |
|
| | |
| |
|
| |
|
| | |
| |
|
| |
|
|__________________________________|___________________________________________|
Unitatea vamala de iesire va transmite la Agentia Nationala de Control al
Exporturilor licenta cu mentiunile vamale de intrare/iesire care confirma
incheierea operatiunii de tranzit international cu produse strategice.
ANEXA 22b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANZIT INTERNATIONAL DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR INTERNATIONAL TRANZIT OF DUAL-USE ITEMS AND TECHNOLOGIES
ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax |
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
|L (L | (Exporter) | (Importer)
|
|I I | |
|
|C C |_______________________________|________________________________________|
|E E |5. Expeditor |6. Destinatar final
|
|N N | (Shipper) | (End-user)
|
|T C | |
|
|A
E)|_______________________________|________________________________________|
| |7. Transportator |8. Mijloace de transport
|
| | (Carrier) | (Means of transportation)
|
| | |
|
|
|_______________________________|________________________________________|
| |9. Traseul de tranzit pe teritoriul Romaniei
|
| | (Transit route on the Romanian territory)
|
| |
|
|_____|________________________________________________________________________|
|10. Transbordare |11. Punct vamal/Intrare |12. Punct vamal/Iesire
|
| (Transshipment)| (Customs Unit/Entry) | (Customs Unit/Exit)
|
| | | |
|___________________|__________________________|_________________________|
|13. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| tranzitate
|
| (Details on dual-use items and technologies in transit)
|
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de tranzit international de
|
| produse si tehnologii cu dubla utilizare, solicitata prin cererea nr.
|
| ............../.........., in conditiile definite de prezenta licenta.
|
| (Following the application number ................./.............. the
|
| international transit of dual-use items on the territory of Romania is
|
| allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): .............................. |
| Numele si prenumele (Full name): .................
|
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
______________________________________________________________________________
| Mentiuni ale autoritatii vamale privind efectuarea operatiunii de tranzit
|
| (unitatea vamala, data, numele si prenumele, functia si semnatura
|
| lucratorului vamal, stampila)
|
|______________________________________________________________________________|
| Unitatea vamala de intrare: | Unitatea vamala de iesire:
|
| |
|
| |
|
| | |
| |
|
| |
|
| | |
| |
|
| |
|
| | |
| |
|
| |
|
|__________________________________|___________________________________________|
Unitatea vamala de iesire va transmite la Agentia Nationala de Control al
Exporturilor licenta cu mentiunile vamale de intrare/iesire care confirma
incheierea operatiunii de tranzit international cu produse strategice.
ANEXA 22 c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANZIT INTERNATIONAL DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR INTERNATIONAL TRANZIT OF DUAL-USE ITEMS AND TECHNOLOGIES
ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX)
|
|______________________________|
______________________________________________________________________________
| |1. Titular |2. Adresa/telefon-fax
|
| | (Licensed person) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
| | (Exporter) | (Importer)
|
|L (L | |
|
|I I |_______________________________|________________________________________|
|C C |5. Expeditor |6. Destinatar final
|
|E E | (Shipper) | (End-use)
|
|N N | |
|
|T C
|_______________________________|________________________________________|
|A E)|7. Transportator |8. Mijloace de transport
|
| | (Carrier) | (Means of transportation)
|
| | |
|
|
|_______________________________|________________________________________|
| |9. Traseul de tranzit pe teritoriul Romaniei |
| | (Transit route on the Romanian territory)
|
| |
|
|_____|________________________________________________________________________|
|10. Transbordare |11. Punct vamal/Intrare |12. Punct vamal/Iesire
|
| (Transshipment)| (Customs Unit/Entry) | (Customs Unit/Exit)
|
|___________________|__________________________|_________________________|
|13. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| tranzitate
|
| (Details on dual-use items and technologies in transit)
|
| |
|
|
|________________________________________________________________________|
| |
| Se acorda dreptul de a efectua operatiunea de tranzit international de
|
| produse si tehnologii cu dubla utilizare, solicitata prin cererea nr.
|
| ........../.............., in conditiile definite de prezenta licenta.
|
| (Following the application number ............./.................. the
|
| international transit of dual-use items on the territory of Romania is
|
| allowed in the terms defined by this licence.) |
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................ |
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): .............................
|
| Numele si prenumele (Full name): ................
|
| Semnatura (Signature): ..........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
______________________________________________________________________________
| Mentiuni ale autoritatii vamale privind efectuarea operatiunii de tranzit
|
| (unitatea vamala, data, numele si prenumele, functia si semnatura
|
| lucratorului vamal, stampila)
|
|______________________________________________________________________________|
| Unitatea vamala de intrare: | Unitatea vamala de iesire:
|
| |
|
| |
|
| | |
| |
|
| |
|
| | |
| |
|
| |
|
| |
|
| |
|
| |
|
|__________________________________|___________________________________________|
Unitatea vamala de iesire va transmite la Agentia Nationala de Control al
Exporturilor licenta cu mentiunile vamale de intrare/iesire care confirma
incheierea operatiunii de tranzit international cu produse strategice.
ANEXA 23 a)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANSBORDAREA DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR THE TRANSSHIPMENT OF DUAL-USE ITEMS AND TECHNOLOGIES
ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru titular
|
| (Original for Applicant)
|
|______________________________|
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
|
|_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
| | (Exporter) | (Importer)
|
| | |
|
| |_______________________________|________________________________________|
|L (L |5. Expeditor |6. Destinatar final
|
|I I | (Shipper) | (End-use)
|
|C C | | |
|E E
|_______________________________|________________________________________|
|N N |7. Agentul de incarcare/ |8. Locul si data cand se efectueaza
|
|T C | descarcare | transbordarea |
|A E)| (Loading/unloading company) | (Place and date of transshipment)
|
| | |
|
|
|_______________________________|________________________________________|
| |9. Transportator si mijlocul de|10. Transportator si mijlocul de
|
| | transport de pe care se face| transport pe care se face
incarcarea|
| | descarcarea | (Carrier and means of
transportation|
| | (Carrier and means of | to be loaded)
|
| | transportation to be |
|
| | unloaded) |
|
| | |
|
|_____|_______________________________|________________________________________|
|11. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| transbordate |
| (Details on transshipped dual-use items and technologies)
|
|
|
| |
|
|
|________________________________________________________________________|
|12. Cerinte suplimentare |
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| Se acorda dreptul de a efectua operatiunea de transbordare de produse
|
| si tehnologii cu dubla utilizare, solicitata prin cererea nr. .../...,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ......../......... the transshipment
|
| of dual-use items and technologies on the territory of Romania is
|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): .............................
|
| Numele si prenumele (Full name): ................
|
| Semnatura (Signature): ..........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 23 b)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANSBORDAREA DE PRODUSE SI TEHNOLOGII CU DUBLA UTILIZARE
PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR THE TRANSSHIPMENT OF DUAL-USE ITEMS AND TECHNOLOGIES
ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru vama
|
| (Original for Customs)
|
|______________________________|
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | |
|
| |_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
| | (Exporter) | (Importer)
|
| | | |
|
|_______________________________|________________________________________|
|L (L |5. Expeditor |6. Destinatar final
|
|I I | (Shipper) | (End-use) |
|C C | |
|
|E E
|_______________________________|________________________________________|
|N N |7. Agentul de incarcare/ |8. Locul si data cand se efectueaza
|
|T C | descarcare | transbordarea
|
|A E)| (Loading/unloading company) | (Place and date of transshipment)
|
| | |
|
| |_______________________________|________________________________________|
| |9. Transportator si mijlocul de|10. Transportator si mijlocul de
|
| | transport de pe care se face| transport pe care se face
incarcarea|
| | descarcarea | (Carrier and means of
transportation|
| | (Carrier and means of | to be loaded)
|
| | transportation to be |
|
| | unloaded) | |
| | |
|
|_____|_______________________________|________________________________________|
|11. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| transbordate
|
| (Details on transshipped dual-use items and technologies)
|
| |
|
|
|
|
|________________________________________________________________________|
|12. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| Se acorda dreptul de a efectua operatiunea de transbordare de produse
|
| si tehnologii cu dubla utilizare, solicitata prin cererea nr. .../...,
|
| in conditiile definite de prezenta licenta.
|
| (Following the application number ........../....... the transshipment
|
| of dual-use items and technologies on the territory of Romania is
|
| allowed in the terms defined by this licence.)
|
|
|
| Emisa la (Issued on) ..................................
|
| Valabila pana la data de (Valid until) ................
|
|
|
| Persoana autorizata (Authorized person):
|
| Functia (Position): .............................
|
| Numele si prenumele (Full name): ................
|
| Semnatura (Signature): ..........................
|
| Stampila (Stamp): |
|________________________________________________________________________|
ANEXA 23 c)
ROMANIA
(ROMANIA)
AGENTIA NATIONALA DE CONTROL AL EXPORTURILOR
(NATIONAL AGENCY FOR EXPORT CONTROLS)
LICENTA INDIVIDUALA
PENTRU TRANSBORDAREA DE PRODUSE SI TEHNOLOGII
CU DUBLA UTILIZARE PE TERITORIUL ROMANIEI
(INDIVIDUAL LICENCE
FOR THE TRANSSHIPMENT OF DUAL-USE ITEMS AND
TECHNOLOGIES ON THE ROMANIAN TERRITORY)
______________________________
Nr. ............... | Exemplar pentru ANCEX
|
| (Original for ANCEX
|
|______________________________|
______________________________________________________________________________
| |1. Solicitant |2. Adresa/telefon-fax
|
| | (Applicant) | (Address/telephone-fax)
|
| | | |
|
|_______________________________|________________________________________|
| |3. Exportator |4. Importator
|
| | (Exporter) | (Importer) |
| | |
|
|
|_______________________________|________________________________________|
|L (L |5. Expeditor |6. Destinatar final
|
|I I | (Shipper) | (End-use)
|
|C C
|_______________________________|________________________________________|
|E E |7. Agentul de |8. Locul si data cand se efectueaza
|
|N N | incarcare/descarcare | transbordarea
|
|T C | (Loading/unloading company) | (Place and date of transshipment)
|
|A
E)|_______________________________|________________________________________|
| |9. Transportator si mijlocul |10. Transportator si mijlocul de
|
| | de transport de pe care | transport pe care se face
incarcarea|
| | se face descarcarea | (Carrier and means of
transportation|
| | (Carrier and means of | to be loaded)
|
| | transportation to be |
|
| | unloaded) |
|
| | | |
|_____|_______________________________|________________________________________|
|11. Detalii privind produsele si tehnologiile cu dubla utilizare
|
| transbordate |
| (Details on transshipped dual-use items and technologies)
|
|
|
|
|
|
|
|________________________________________________________________________|
|12. Cerinte suplimentare
|
| (Additional requirements)
|
|
|
|________________________________________________________________________|
| Se acorda dreptul de a efectua operatiunea de transbordare de
produse|
| si tehnologii cu dubla utilizare, solicitata prin cererea
|
| nr. ...../............, in conditiile definite de prezenta licenta.
|
| (Following the application number ...../............ the transshipment
|
| of dual-use items and technologies on the territory of Romania is
|
| allowed in the terms defined by this licence.)
|
| |
| Emisa la (Issued on) .................................
|
| Valabila pana la data de (Valid until) ...............
|
| |
| Persoana autorizata (Authorized person):
|
| Functia (Position): ..............................
|
| Numele si prenumele (Full name): ................. |
| Semnatura (Signature): ...........................
|
| Stampila (Stamp):
|
|________________________________________________________________________|
ANEXA 23 bis
ANEXA
(ANNEX)
LA LICENTA INDIVIDUALA NR. ....../.......
(TO INDIVIDUAL LICENCE No.)
______________________________________________________________________________
| |1. Titular licenta
|
| | (Licensed person)
|
| | |
|
|________________________________________________________________________|
| |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| | produselor si tehnologiilor| vamal | liste de
control|
| | cu dubla utilizare | (Customs tariff| (Control lists
|
| | (Description of dual-use | code no.) | code no.)
|
| | items and technologies)
|___________________|____________________|
| | |15. Valoarea |16. Cantitatea| Cod UM/
|
| | | in valuta | (Quantity)| tone,
kg|
| | | platii | | (Code/
|
| | | (Value in | | tones,
|
| | | currency of| | kilos)
|
|L (L | | payment) | |
|
|I I |_______________________________|_______________|______________|_________|
|C C |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
|E E | produselor si tehnologiilor| vamal | liste de
control|
|N N | cu dubla utilizare | (Customs tariff| (Control lists
|
|T C | (Description of dual-use | code no.) | code no.)
|
|A E)| items and technologies)
|___________________|____________________|
| | |15. Valoarea |16. Cantitatea| Cod UM/
|
| | | in valuta | (Quantity)| tone,
kg|
| | | platii | | (Code/
|
| | | (Value in | | tones,
|
| | | currency of| | kilos)
|
| | | payment) | |
|
|
|_______________________________|_______________|______________|_________|
| |12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| | produselor si tehnologiilor| vamal | liste de
control|
| | cu dubla utilizare | (Customs tariff| (Control lists
|
| | (Description of dual-use | code no.) | code no.)
|
|_____| items and technologies)
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
|_______________________________|_______________|______________|_________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies)
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
|_______________________________|_______________|______________|_________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies) |___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | | |
|_______________________________|_______________|______________|_________|
|12. Denumirea comerciala a |13. Pozitie tarif |14. Nr. art. conf.
|
| produselor si tehnologiilor| vamal | liste de
control|
| cu dubla utilizare | (Customs tariff| (Control lists
|
| (Description of dual-use | code no.) | code no.)
|
| items and technologies)
|___________________|____________________|
| |15. Valoarea |16. Cantitatea| Cod UM/
|
| | in valuta | (Quantity)| tone,
kg|
| | platii | | (Code/
|
| | (Value in | | tones,
|
| | currency of| | kilos)
|
| | payment) | |
|
|_______________________________|_______________|______________|_________|
| | |
|
|_____________|____________________________________________________|_____|
| | Semnatura autorizata (Authorized signature): |
|
| | .................................................. |
|
|_____________|____________________________________________________|_____|
| | Stampila (Stamp): | |
|_____________|____________________________________________________|_____|
ANEXA 24 a)
Exemplar pentru exportator
(Original for the exporter)
__________________________________________________
ROMANIA |
|
(ROMANIA) |
|
AGENTIA NATIONALA DE CONTROL| |
AL EXPORTURILOR | CERTIFICAT INTERNATIONAL DE IMPORT
|
| (INTERNATIONAL IMPORT CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) |
|
| |
Palatul Parlamentului, |
|
Corp A1 |
|
Calea 13 Septembrie | |
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania |
|
tel: +40.21.311.20.83 |
|
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Exportator |2. Importator
|
| (Exporter) | (Importer)
|
| |
|
|Adresa: |Adresa:
|
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax:
|
|(Phone/fax) |(Phone/fax) |
| |
|
|Tara: |Tara:
|
|(Country) |(Country) |
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of items/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | | |
| | | | |
|
| | | | |
|
|___________________________|___________|___________|_____________|____________|
|8. TOTAL
|
| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul s-a angajat sa importe produsele/
|
| tehnologiile specificate mai sus, sa nu le deturneze, transbordeze sau sa le
|
| exporte catre o alta destinatie, fara aprobarea ANCEX. De asemenea,
|
| importatorul se angajeaza sa notifice imediat autoritatii mai sus mentionate
|
| orice schimbare survenita in actele sau faptele declarate si sa transmita,
la|
| cererea exportatorului, un certificat de control al livrarii emis de ANCEX.
|
| (It is hereby certified that the importer has undertaken to import into
|
| Romania the above mentioned items/technologies, and not to divert, tranship
|
| or export them to another destination except with the authorization of
ANCEX.|
| The importer also undertakes to notify immediately to the above mentioned
|
| authority any changes of fact or intention set forth herein and to forward a
|
| delivery verification form, if requested, by the foreign exporter issued by
|
| ANCEX.) |
|______________________________________________________________________________|
| Acest Certificat International de Import isi pierde valabilitatea daca nu
|
| este prezentat autoritatilor straine competente in decurs de 6 (sase) luni
de|
| la data emiterii lui.
|
| (This International Import Certificate ceases to be valid unless presented
to|
| the competent foreign authorities within 6 (six) months from its date of
|
| issue.) |
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only) |
|
|
|
|
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 24 b)
Exemplar pentru importator
(Original for the importer)
__________________________________________________
ROMANIA |
|
(ROMANIA) |
|
AGENTIA NATIONALA DE CONTROL|
|
AL EXPORTURILOR | CERTIFICAT INTERNATIONAL DE IMPORT
|
| (INTERNATIONAL IMPORT CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) |
|
| |
Palatul Parlamentului, |
|
Corp A1 |
|
Calea 13 Septembrie | |
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania |
|
tel: +40.21.311.20.83 | |
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Exportator |2. Importator |
| (Exporter) | (Importer)
|
| |
|
|Adresa: |Adresa:
|
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax:
|
|(Phone/fax) |(Phone/fax)
|
| |
|
|Tara: |Tara:
|
|(Country) |(Country)
|
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of items/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
|___________________________|___________|___________|_____________|____________|
|8. TOTAL
|
| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul s-a angajat sa importe produsele/
|
| tehnologiile specificate mai sus, sa nu le deturneze, transbordeze sau sa le
|
| exporte catre o alta destinatie, fara aprobarea ANCEX. De asemenea,
|
| importatorul se angajeaza sa notifice imediat autoritatii mai sus mentionate
|
| orice schimbare survenita in actele sau faptele declarate si sa transmita,
la|
| cererea exportatorului, un certificat de control al livrarii emis de ANCEX.
|
| (It is hereby certified that the importer has undertaken to import into
|
| Romania the above mentioned items/technologies, and not to divert, tranship
|
| or export them to another destination except with the authorization of
ANCEX.|
| The importer also undertakes to notify immediately to the above mentioned
|
| authority any changes of fact or intention set forth herein and to forward a
|
| delivery verification form, if requested, by the foreign exporter issued by
|
| ANCEX.) |
|______________________________________________________________________________|
| Acest Certificat International de Import isi pierde valabilitatea daca nu
|
| este prezentat autoritatilor straine competente in decurs de 6 (sase) luni
de|
| la data emiterii lui.
|
| (This International Import Certificate ceases to be valid unless presented
to|
| the competent foreign authorities within 6 (six) months from its date of
|
| issue.)
|
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
|
|
|
|
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 24 c)
Exemplar pentru ANCEX
(Original for ANCEX)
__________________________________________________
ROMANIA |
|
(ROMANIA) |
|
AGENTIA NATIONALA DE CONTROL|
|
AL EXPORTURILOR | CERTIFICAT INTERNATIONAL DE IMPORT
|
| (INTERNATIONAL IMPORT CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) |
|
| |
Palatul Parlamentului, |
|
Corp A1 |
|
Calea 13 Septembrie | |
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania |
|
tel: +40.21.311.20.83 | |
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Exportator |2. Importator |
| (Exporter) | (Importer)
|
| |
|
|Adresa: |Adresa:
|
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax:
|
|(Phone/fax) |(Phone/fax)
|
| |
|
|Tara: |Tara:
|
|(Country) |(Country)
|
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of items/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
|___________________________|___________|___________|_____________|____________|
|8. TOTAL
|
| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul s-a angajat sa importe produsele/
|
| tehnologiile specificate mai sus, sa nu le deturneze, transbordeze sau sa le
|
| exporte catre o alta destinatie, fara aprobarea ANCEX. De asemenea,
|
| importatorul se angajeaza sa notifice imediat autoritatii mai sus mentionate
|
| orice schimbare survenita in actele sau faptele declarate si sa transmita,
la|
| cererea exportatorului, un certificat de control al livrarii emis de ANCEX.
|
| (It is hereby certified that the importer has undertaken to import into
|
| Romania the above mentioned items/technologies, and not to divert, tranship
|
| or export them to another destination except with the authorization of
ANCEX.|
| The importer also undertakes to notify immediately to the above mentioned
|
| authority any changes of fact or intention set forth herein and to forward a
|
| delivery verification form, if requested, by the foreign exporter issued by
|
| ANCEX.) |
|______________________________________________________________________________|
| Acest Certificat International de Import isi pierde valabilitatea daca nu
|
| este prezentat autoritatilor straine competente in decurs de 6 (sase) luni
de|
| la data emiterii lui.
|
| (This International Import Certificate ceases to be valid unless presented
to|
| the competent foreign authorities within 6 (six) months from its date of |
| issue.)
|
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
|
|
|
|
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 24 bis
ANEXA
(ANNEX)
la certificatul international de import
(of International Import Certificate)
Nr./No. .....................
______________________________________________________________________________
|1. Denumirea comerciala a |2. Pozitie |3. Nr. art.|4. Cantit. si|5.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of items/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
|___________________________|___________|___________|_____________|____________|
|6. TOTAL | |
|
| (TOTAL) | | |
|___________________________________________________|_____________|____________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
| |
| CERTIFICAM ANEXA LA:
|
| (WE HEREBY CERTIFY THE ANNEX OF THE:)
|
| .....................................
|
| .....................................
|
|
|
| Data Stampila Numele si prenumele, functia si
|
| (Date) ................ (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized official)
|
|______________________________________________________________________________|
ANEXA 25
Cerere de eliberare a
CERTIFICATULUI DE CONTROL AL LIVRARII
______________________________________________________________________________
|1. Nr. si data inregistrarii|2. Nr. operatiunii si data inregistrarii la
ANCEX|
| la solicitant |
|
|____________________________|_________________________________________________|
|3. Importator |4. Exportator
|
| |
|
| Adresa: | Adresa: |
| |
|
| |
|
| Tel./fax: | Tel./fax: |
| |
|
| Cod unic de inregistrare:| Tara:
|
| | |
|____________________________|_________________________________________________|
|5. Denumirea |6. Pozitie |7. Nr. art. | 8. Cantitate |9.
Valoarea/|
| comerciala a | Tarif | conf. liste|_____________________| valuta/
|
| produselor/ | vamal | de control |Cod UM/|Cod UM supl./| conditia
|
| tehnologiilor| | |tone, |cantit. supl.| de
|
| | | |kg | | livrare
|
|________________|___________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
|10. TOTAL | | | |
|___________________________________________|_______|_____________|____________|
| 11. DECLARATIE
|
|
|
| ...................................................... reprezentant legal al
|
| (Numele si prenumele; functia)
|
| ............................................................................
|
| (denumirea completa a importatorului)
|
| - solicit eliberarea unui Certificat de control al livrarii pentru
produsele/|
| tehnologiile cu dubla utilizare enumerate si descrise mai sus, provenind
|
| din tara ............., fiind originare din (tara) ......................;
|
| - declar ca produsele/tehnologiile au fost importate in baza licentei de
|
| import nr. ....................... din data de ..........................;
|
| - declar ca produsele/tehnologiile au sosit in Vama ........................
|
| in data de ............, conform documentelor de transport nr. ...........
|
| din data de ..........., pentru care s-a intocmit Declaratia vamala de
|
| import nr. ............. din data de ..........................;
|
| - declar ca adresa destinatiei produselor/tehnologiilor este urmatoarea
|
| .........................................................................;
|
| - anexez in sprijinul cererii mele dovezile justificative enumerate mai jos:
|
| ..........................................................................
|
| ..........................................................................
|
| ..........................................................................
|
| ..........................................................................
|
| ..........................................................................
|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| cerere sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
|
| pentru orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
| |
|
|
|
|
| Data .................. Stampila Numele si prenumele, functia si
|
| semnatura reprezentantului
legal|
|______________________________________________________________________________|
ANEXA 25 bis
ANEXA
la cererea de eliberare a certificatului de control al livrarii
______________________________________________________________________________
|1. Nr. si data inreg. la |2. Nr. operatiunii si data inreg. la ANCEX
|
| solicitant |
|
|____________________________|_________________________________________________|
|3. Denumirea |4. Pozitie |5. Nr. art. | 6. Cantitate |7.
Valoarea/|
| comerciala a | Tarif | conf. liste|_____________________| valuta/
|
| produselor/ | vamal | de control |Cod UM/|Cod UM supl./| conditia
|
| tehnologiilor| | |tone, |cantit. supl.| de
|
| | | |kg | | livrare
|
|________________|___________|______________|_______|_____________|____________|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | | |
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
| | | | | |
|
|________________|___________|______________|_______|_____________|____________|
|8. TOTAL |
|
|___________________________________________|__________________________________|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| anexa sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
pentru|
| orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
| |
|
|
|
|
| Data ................. Stampila Numele, functia si semnatura
|
| persoanei autorizate
|
|______________________________________________________________________________|
ANEXA 26 a)
Exemplar pentru exportator
(Original for the exporter)
__________________________________________________
ROMANIA |
|
(ROMANIA) |
|
AGENTIA NATIONALA DE CONTROL|
|
AL EXPORTURILOR | CERTIFICAT DE CONTROL AL LIVRARII
|
| (DELIVERY VERIFICATION CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) | |
|
|
Palatul Parlamentului, |
|
Corp A1 | |
Calea 13 Septembrie |
|
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania | |
tel: +40.21.311.20.83 |
|
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Importator |2. Exportator
|
| (Importer) | (Exporter)
|
| |
|
|Adresa: |Adresa:
|
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax:
|
|(Phone/fax) |(Phone/fax)
|
| |
|
|Tara: |Tara:
|
|(Country) |(Country)
|
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of goods/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | | currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | | |
|___________________________|___________|___________|_____________|____________|
|8. TOTAL
|
| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul a facut dovada in fata autoritatii
|
| competente din Romania - ANCEX ca produsele/tehnologiile (It is hereby
|
| certified that the importer has produced evidence to the competent Romanian
|
| authority - ANCEX, that the above)
|
|
|
| enumerate si specificate mai sus au sosit in Romania prin Vama .............
|
| (mentioned goods/technologies has been delivered in Romania through the
|
| custom-house)
|
| la data de .................................................................
|
| (dated)
|
|
|
| conform documentelor de transport nr. .............. din data de ..........,
|
| (according to the transport documents no.) (dated)
|
|
|
| pentru care s-a intocmit Declaratia vamala de import nr. ...................
|
| (according to the custom-house clearence no.)
|
| din data de ................................................................
|
| (dated)
|
|
|
| fiind importate in conformitate cu legislatia romaneasca in vigoare.
|
| (beeing imported according to the Romanian law).
|
|______________________________________________________________________________|
| Acest Certificat de Control al Livrarii isi pierde valabilitatea daca nu
este|
| prezentat autoritatilor straine competente in decurs de 6 (sase) luni de la
|
| data emiterii lui. |
| (This Delivery Verification Certificate ceases to be valid unless presented
|
| to the competent foreign authorities within 6 (six) months from its date
|
| of issue.) |
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only) |
|
|
|
|
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized official)|
|______________________________________________________________________________|
ANEXA 26 b)
Exemplar pentru importator
(Original for the importer)
__________________________________________________
ROMANIA |
|
(ROMANIA) |
|
AGENTIA NATIONALA DE CONTROL| |
AL EXPORTURILOR | CERTIFICAT DE CONTROL AL LIVRARII
|
| (DELIVERY VERIFICATION CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) |
|
| |
Palatul Parlamentului, |
|
Corp A1 |
|
Calea 13 Septembrie | |
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania |
|
tel: +40.21.311.20.83 |
|
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Importator |2. Exportator
|
| (Importer) | (Exporter)
|
| |
|
|Adresa: |Adresa:
|
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax:
|
|(Phone/fax) |(Phone/fax) |
| |
|
|Tara: |Tara:
|
|(Country) |(Country) |
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of goods/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
|
| | | | | |
| | | | |
|
| | | | |
|
|___________________________|___________|___________|_____________|____________|
|8. TOTAL |
| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul a facut dovada in fata autoritatii
|
| competente din Romania - ANCEX ca produsele/tehnologiile (It is hereby
|
| certified that the importer has produced evidence to the competent Romanian
|
| authority - ANCEX, that the above)
|
|
|
| enumerate si specificate mai sus au sosit in Romania prin Vama .............
|
| (mentioned goods/technologies has been delivered in Romania through the
|
| custom-house)
|
| la data de ................................................................,
|
| (dated) |
|
|
| conform documentelor de transport nr. .............. din data de ..........,
|
| (according to the transport documents no.) (dated) |
|
|
| pentru care s-a intocmit Declaratia vamala de import nr. ...................
|
| (according to the custom-house clearence no.)
|
| din data de ................................................................
|
| (dated)
|
|
|
| fiind importate in conformitate cu legislatia romaneasca in vigoare.
|
| (beeing imported according to the Romanian law).
|
|______________________________________________________________________________|
| Acest Certificat de control al livrarii isi pierde valabilitatea daca nu
este|
| prezentat autoritatilor straine competente in decurs de 6 (sase) luni de la
|
| data emiterii lui.
|
| (This Delivery Verification Certificate ceases to be valid unless presented
|
| to the competent foreign authorities within 6 (six) months from its date
|
| of issue.)
|
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
| |
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 26 c)
Exemplar pentru ANCEX
(Original for ANCEX)
__________________________________________________
ROMANIA |
|
(ROMANIA) | |
AGENTIA NATIONALA DE CONTROL|
|
AL EXPORTURILOR | CERTIFICAT DE CONTROL AL LIVRARII
|
| (DELIVERY VERIFICATION CERTIFICATE)
|
- ANCEX - | Nr./No. ..............
|
(NATIONAL AGENCY FOR EXPORT |
|
CONTROLS) | |
|
|
Palatul Parlamentului, |
|
Corp A1 |
|
Calea 13 Septembrie |
|
nr. 1 - 3 Sector 5, |
|
Bucuresti, Romania |
|
tel: +40.21.311.20.83 |
|
fax: +40.21.311.12.65 |
|
___________________________|__________________________________________________|
|1. Importator |2. Exportator
|
| (Importer) | (Exporter)
|
| |
|
|Adresa: |Adresa: |
|(Address) |(Address)
|
| |
|
|Tel./fax: |Tel./fax: |
|(Phone/fax) |(Phone/fax)
|
| |
|
|Tara: |Tara: |
|(Country) |(Country)
|
|___________________________|__________________________________________________|
|3. Denumirea comerciala a |4. Pozitie |5. Nr. art.|6. Cantit. si|7.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of goods/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
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|___________________________|___________|___________|_____________|____________|
|8. TOTAL
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| (TOTAL)
|
|______________________________________________________________________________|
| Se certifica faptul ca importatorul a facut dovada in fata autoritatii
|
| competente din Romania - ANCEX ca produsele/tehnologiile (It is hereby
|
| certified that the importer has produced evidence to the competent Romanian
|
| authority - ANCEX, that the above)
|
|
|
| enumerate si specificate mai sus au sosit in Romania prin Vama .............
|
| (mentioned goods/technologies has been delivered in Romania through the
|
| custom-house)
|
| la data de .................................................................
|
| (dated)
|
|
|
| conform documentelor de transport nr. .............. din data de ..........,
|
| (according to the transport documents no.) (dated)
|
|
|
| pentru care s-a intocmit Declaratia vamala de import nr. ...................
|
| (according to the custom-house clearence no.)
|
| din data de ................................................................
|
| (dated)
|
| |
| fiind importate in conformitate cu legislatia romaneasca in vigoare.
|
| (beeing imported according to the Romanian law).
|
|______________________________________________________________________________|
| Acest Certificat de control al livrarii isi pierde valabilitatea daca nu
este|
| prezentat autoritatilor straine competente in decurs de 6 (sase) luni de la
|
| data emiterii lui. |
| (This Delivery Verification Certificate ceases to be valid unless presented
|
| to the competent foreign authorities within 6 (six) months from its date
|
| of issue.) |
|______________________________________________________________________________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
| |
|
|
| Data eliberarii Stampila Numele si prenumele, functia si
|
| (Date of issue) .......... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 26 bis
ANEXA
(ANNEX)
la certificatul de control al livrarii
(of Delivery Verification Certificate)
Nr./No. .....................
______________________________________________________________________________
|1. Denumirea comerciala a |2. Pozitie |3. Nr. art.|4. Cantit. si|5.
Valoarea/|
| produselor/tehnologiilor| Tarif | conf. | UM | valuta/
|
| (Description of goods/ | vamal | liste de| (Quantity | conditia
|
| technologies) | (Customs| control | and unit | de
|
| | tariff | (Control| of | livrare
|
| | code | lists | measure) | (Value/
|
| | no.) | code | |
currency/|
| | | no.) | | Terms of
|
| | | | |
delivery)|
|___________________________|___________|___________|_____________|____________|
| | | | |
|
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|
|___________________________|___________|___________|_____________|____________|
|6. TOTAL | |
|
| (TOTAL) | |
|
|___________________________________________________|_____________|____________|
| Spatiu rezervat pentru ANCEX
|
| (For ANCEX use only)
|
| |
| CERTIFICAM ANEXA LA:
|
| (WE HEREBY CERTIFY THE ANNEX OF THE:)
|
| .....................................
|
| .....................................
|
|
|
|
|
| Data Stampila Numele si prenumele, functia si
|
| (Date) ................... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 27
DECLARATIE
privind destinatarul (utilizatorul) final si utilizarea finala a
produselor/tehnologiilor cu dubla utilizare importate
______________________________________________________________________________
|1. Nr. si data inregistrarii la|2. Nr. si data inregistrarii la ANCEX
|
| persoana care intocmeste |
|
| declaratia |
|
|_______________________________|______________________________________________|
|3. Compania/persoana: |
|
| |
|
| Adresa: |4. Compania/persoana importatoare este _
|
| | destinatar (utilizator) final |_|
|
| Tel./Fax:
|______________________________________________|
| |
|
| Persoana de contact: |5. Produsele/tehnologiile vor fi vandute _
|
| | altor destinatari (utilizatori) finali |_|
|
| Cod unic de inregistrare: |
|
|_______________________________|______________________________________________|
|6. Denumirea comerciala a |7. Pozitie|8. Nr. art.| 9. Cantitate
|
| produselor/tehnologiilor | Tarif | conf.
|_______________________|
| | vamal | liste de|Cod UM/ |Cod UM supl./
|
| | | control |tone, kg|cantit. supl.
|
|_______________________________|__________|___________|________|______________|
| | | | |
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|_______________________________|__________|___________|________|______________|
|10. TOTAL | |
|
| (TOTAL) | |
|
|______________________________________________________|________|______________|
| 11. DECLARATIE |
| ...................................................... reprezentant legal al
|
| (Numele si prenumele; functia)
|
| ............................................................................
|
| (denumirea completa a companiei/persoanei)
|
| - declar ca produsele/tehnologiile cu dubla utilizare enumerate si descrise
|
| mai sus, provin din tara ........., fiind originare din tara ............;
|
| - declar ca produsele/tehnologiile au sosit in Vama ..................... in
|
| data de .......................................;
|
| conform documentelor de transport nr. .......... din data de ............,
|
| pentru care s-a intocmit Declaratia vamala de import nr. .................
|
| din data de ...................;
|
| - declar ca adresa destinatiei produselor/tehnologiilor este urmatoarea
|
| .........................................................................;
|
| Anexez in sprijinul declaratiei mele dovezile justificative enumerate mai
|
| jos:
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
|
|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| declaratie sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
|
| pentru orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
| |
|
|
| Data .................. Stampila Numele si prenumele, functia si
|
| semnatura persoanei autorizate
|
|______________________________________________________________________________|
ANEXA 27 bis
ANEXA
la Declaratia privind destinatarul (utilizatorul) final si utilizarea finala a
produselor/tehnologiilor cu dubla utilizare importate
______________________________________________________________________________
|1. Nr. si data inreg. la |2. Nr. si data inregistrarii la ANCEX
|
| persoana care intocmeste | |
| declaratia |
|
|_______________________________|______________________________________________|
|3. Denumirea comerciala a |4. Pozitie|5. Nr. art.| 6. Cantitate
|
| produselor/tehnologiilor | Tarif | conf.
|_______________________|
| | vamal | liste de|Cod UM/ |Cod UM supl./
|
| | | control |tone, kg|cantit. supl.
|
|_______________________________|__________|___________|________|______________|
| | | | |
|
| | | | | |
| | | | |
|
| | | | |
|
| | | | |
|
| | | | |
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| | | | |
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| | | | |
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| | | | |
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| | | | |
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| | | | |
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| | | | |
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| | | | |
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| | | | |
|
|_______________________________|__________|___________|________|______________|
|7. TOTAL | |
|
| (TOTAL) | |
|
|______________________________________________________|________|______________|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| anexa sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
pentru|
| orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
|
|
|
|
| Data Stampila Numele si prenumele, functia si
|
| (Date) ................... (Stamp) semnatura persoanei autorizate
|
| (Family name, first name title and
|
| signature of the authorized
official)|
|______________________________________________________________________________|
ANEXA 28
NOTIFICARE
privind activitatile de dezvoltare si/sau producere a produselor si
tehnologiilor cu dubla utilizare
______________________________________________________________________________
|1. Nr. si data inregistrarii la persoana|2. Nr. si data inregistrarii la
ANCEX|
| care intocmeste declaratia |
|
|________________________________________|_____________________________________|
|3. Compania/persoana: | _
|
| |4. Activitate de dezvoltare |_|
|
| Adresa: |
|
| | Data inceperii: .................
|
| Tel./Fax: |_____________________________________|
| | _
|
| Persoana de contact: |5. Activitate de producere |_|
|
| | |
| Cod unic de inregistrare: | Data inceperii: .................
|
|________________________________________|_____________________________________|
| 6. Denumirea comerciala a produselor/tehnologiilor |7. Nr. art. conf.
|
| | liste de
control|
|__________________________________________________________|___________________|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|__________________________________________________________|___________________|
| - Scopul activitatii de dezvoltare:
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
| - Destinatia produselor (daca se cunoaste):
|
| ............................................................................
|
| ............................................................................
|
| ............................................................................
|
|
|
| Certific pe propria raspundere ca datele si informatiile inscrise in
prezenta|
| notificare sunt exacte si au fost mentionate cu buna-credinta, cunoscand ca
|
| pentru orice declaratie falsa sau omisiune facuta cu intentie ma voi expune
|
| sanctiunilor prevazute de reglementarile in vigoare.
|
|
|
|
|
| Data .................. Stampila Numele si prenumele, functia si
|
| semnatura persoanei autorizate
|
|______________________________________________________________________________|