DECLARATION

I/we the undersigned _____________________, as the legal representative(s) of ___________________________ (the person(s) with authority to sign in the name of the company), under penalty of perjury hereby declare that the goods received from the company __________________ under tracking number ___________________

1.	are not subject to Government Decree No. 13/2011 (II.22) on the authorisation of the foreign trade of dual-use items;
2.	do not contain substances defined in Regulation (EC) No. 842/2006 of the European Parliament and of the Council on certain fluorinated greenhouse gases;
3.	product(s) under import invoice(s) number __________________ are not suitable for the repression, torture or degrading treatment of people;
4.	do not contain substances defined in Regulation (EC) No. 1005/2009 of the European Parliament and of the Council on substances that deplete the ozone layer;
5.	do not contain substances defined in Regulation (EC) No. 1523/2007 of the European Parliament and of the Council banning the placing on the market and the import to, or the export from the Community of dog and cat fur, and products containing such fur;
6.	are not made using parts of wild animals and plants protected under the Washington CITES Convention;
7.	are not subject to Commission Regulation (EU) No. 737/2010 of 10 August 2010 laying down detailed rules for the implementation of Regulation (EC) No. 1007/2009 of the European Parliament and of the Council on trade of seal products;
8.	are not subject to Commission Decision (EC) No. 2007/275;
9.	are goods exempted from veterinary checks in accordance with article 6(1) of Commission Decision (EC) No. 2007/275;
10.	the goods declared to customs are not subject to Government Regulation No. 52/2012. (III.28.);
11.	the goods declared to customs are not subject to Decree No. 53/2004. (VI.2.) of the Ministry of Health, Social and Family Affairs;
12.	 are not subject to decision (EU) No. 88/2014.

Date

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