10. ANNEX 1 - TEXT OF THE STATEMENT ON ORIGIN FOR THE GSP
Statement on origin
To be made out on any commercial documents showing the name and full address of the exporter and
consignee as well as a description of the products and the date of issue ( 1 ).
French version
L’exportateur … (Numéro d’exportateur enregistré ( 2 ), ( 3 ), ( 4 )) des produits couverts par le présent
document déclare que, sauf indication claire du contraire, ces produits ont l’origine préférentielle … ( 5 ) au
sens des règles d’origine du Système des préférences tarifaires généralisées de l’Union européenne et que le
critère d’origine satisfait est … … ( 6 )
English version
The exporter … (Number of Registered Exporter ( 2 ), ( 3 ), ( 4 )) of the products covered by this document
declares that, except where otherwise clearly indicated, these products are of … preferential origin ( 5 )
according to rules of origin of the Generalised System of Preferences of the European Union and that the origin
criterion met is … … ( 6 ).
Spanish version
El exportador … (Número de exportador registrado ( 2 ), ( 3 ), ( 4 )) de los productos
incluidos en el presente documento declara que, salvo indicación en sentido contrario,
estos productos gozan de un origen preferencial … ( 5 )) en el sentido de las normas de
origen del Sistema de preferencias generalizado de la Unión europea y que el criterio de
origen satisfecho es … … ( 6 ).
(1) Where the statement on origin replaces another statement in accordance with Article
101(2) and (3) of Implementing Regulation (EU) 2015/2447 laying down detailed rules for
implementing certain provisions of Regulation (EU) No 952/2013 (See page 558 of this
Official Journal.), the replacement statement on origin shall bear the mention ‘Replacement
statement’ or ‘Attestation de remplacement’ or ‘Comunicación de sustitución’. The
replacement shall also indicate the date of issue of the initial statement and all other
necessary data according to Article 82(6) of Implementing Regulation (EU) 2015/2447.
(2) Where the statement on origin replaces another statement in accordance with sub-
paragraph 1 of Article 101(2) and paragraph (3) of Article 101, both of Implementing
Regulation (EU) 2015/2447, the re-consignor of the goods making out such a statement shall
indicate his name and full address followed by his number of registered exporter.
(3) Where the statement on origin replaces another statement in accordance with sub-
paragraph 2 of Article 101(2) of Implementing Regulation (EU) 2015/2447, the re-consignor
of the goods making out such a statement shall indicate his name and full address followed
by the mention (French version) ‘agissant sur la base de l’attestation d’origine établie par
[nom et adresse complète de l’exportateur dans le pays bénéficiaire], enregistré sous le
numéro suivant [Numéro d’exportateur enregistré dans le pays bénéficiaire]’, (English
version) ‘acting on the basis of the statement on origin made out by [name and complete
address of the exporter in the beneficiary country], registered under the following number
[Number of Registered Exporter of the exporter in the beneficiary country]’, (Spanish
version) ‘actuando sobre la base de la comunicación extendida por [nombre y dirección
completa del exportador en el país beneficiario], registrado con el número siguiente [Número
de exportador registrado del exportador en el país beneficiario]’.
(4) Where the statement on origin replaces another statement in accordance with Article
101(2) of Implementing Regulation (EU) 2015/2447, the re-consignor of the goods shall