EUR.1 application: completed sample

Exports to the EU, if the buyer needs a preferential duty rate. Who signs: The exporter; the certificate is endorsed by customs.

Fill in for your shipment

Where it is submitted: С 17.03.2025 EUR.1 оформляется только электронно — в модуле SICOM системы ASYCUDA World. Заявку подаёт экспортёр или брокер.

For the Ukrainian side: В торговле Молдовы с Украиной EUR.1 подтверждает преференциальное происхождение: протокол от 28.08.2021 к соглашению о свободной торговле ввёл правила PEM (trade.gov.md, Правительство Украины). Украинская таможня проверяет оригинал при ввозе. More: exporting to Ukraine

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Yellow — needs filling in, green — filled in, blue — the field you are filling in now.

1. Exportator (nume, adresă completă, țară)Exporter (name, full address, country)

CERERE PENTRU CERTIFICATUL DE CIRCULAȚIE
A MĂRFURILOR EUR.1APPLICATION FOR A MOVEMENT CERTIFICATE

Nr. / No. BV-2026-0001

2. Cerere pentru un certificat folosit în schimburile preferențiale întreApplication for a certificate to be used in preferential trade between

Republica Moldovași / and

(indicați țările, grupurile de țări sau teritoriile în cauză / insert appropriate countries, groups of countries or territories)

3. Destinatar (nume, adresă completă, țară) (mențiune facultativă)Consignee (name, full address, country) (optional)

4. Țara, grupul de țări sau teritoriul din care produsele sunt considerate originareCountry, group of countries or territory in which the products are considered as originating

5. Țara, grupul de țări sau teritoriul de destinațieCountry, group of countries or territory of destination

6. Informații referitoare la transport (mențiune facultativă)Transport details (optional)

7. ObservațiiRemarks

8. Nr. de ordine; mărci și numere; numărul și natura coletelor; descrierea mărfurilorItem number; marks and numbers; number and kind of packages; description of goods

9. Greutate brută (kg) sau altă măsură (l, m³ etc.)Gross mass (kg) or other measure (litres, m³, etc.)

10. Facturi (mențiune facultativă)Invoices (optional)

DECLARAȚIA EXPORTATORULUIDECLARATION BY THE EXPORTER

Subsemnatul, exportator al mărfurilor descrise pe verso, I, the undersigned, exporter of the goods described overleaf,

DECLAR că aceste mărfuri îndeplinesc condițiile cerute pentru eliberarea certificatului anexat; DECLARE that the goods meet the conditions required for the issue of the attached certificate;
PRECIZEZ împrejurările care au permis acestor mărfuri să îndeplinească condițiile de mai sus: SPECIFY as follows the circumstances which have enabled these goods to meet the above conditions:
PREZINT următoarele documente justificative: SUBMIT the following supporting documents:
MĂ ANGAJEZ să prezint, la cererea autorităților competente, orice dovadă suplimentară pe care acestea o consideră necesară pentru eliberarea certificatului anexat și accept, dacă este cazul, orice control al contabilității mele și al condițiilor de fabricație a mărfurilor de mai sus, efectuat de autoritățile menționate; UNDERTAKE to submit, at the request of the appropriate authorities, any supporting evidence which these authorities may require for the purpose of issuing the attached certificate, and undertake, if required, to agree to any inspection of my accounts and to any check on the processes of manufacture of the above goods, carried out by the said authorities;
SOLICIT eliberarea certificatului anexat pentru aceste mărfuri. REQUEST the issue of the attached certificate for these goods.

Locul și data / Place and date

Semnătura / Signature

prepared in Frate · frate.md

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Assemble the documents in a shipment: data from this document fills the next ones, and the check compares numbers and dates.

Assemble in a shipment

All document fields (14)

Field	What to write	Where to find it	Example
1. Consignor required	The consignor's full name, as in its registration documents.	Export — your company (the “Organization” section). Import — from the contract, the parties clause.	SRL „Câmpia Exemplu”
2. Consignor address required	Full registered address: postcode, city, street, building.	ASP register (filled in by IDNO) or the contract.	MD-3100, mun. Bălți, str. Exemplu 10
3. Consignee required	Full name of the consignee.	Contract — the “Buyer” party; for imports, your company.	Example Trading GmbH
4. Consignee address required	Consignee's full address, including the country.	Contract, details section.	Hafenstraße 5, 20457 Hamburg, Germany
5. Country of dispatch required	Country the goods are shipped from.	Contract or transport route.	Moldova
6. Country of destination required	Country of destination.	Contract.	Germany
7. Mode of transport required	Mode of transport at the border.	Transport contract.	Road
8. Description of goods required	A clear description of the goods: what they are, grade or model, packaging — enough for the broker to find the code.	Contract (subject matter) or specification.	Milling wheat, class 3, 2026 harvest, in bulk
9. Commodity code (HS / CN) optional	Commodity code (10 digits). If unsure, leave it empty — the broker will find it.	Previous declarations for the same goods, or the broker.	1001 99 00 00
10. Quantity optional	Quantity of goods in the units from the contract.	Contract or packing list.	120
11. Unit optional	Unit of measurement for the quantity.	Contract.	t
12. Gross weight, kg required	Gross weight in kilograms — with packaging. Not less than net weight.	Weighing records, CMR.	120 400
13. Invoice (number, date) optional	Number and date of the invoice on which the EUR.1 is issued.	Filled in from the shipment invoice.	INV-0148 of 24.10.2026
14. Expected dispatch date optional	Loading or dispatch date.	Loading plan, order to the carrier.	28.10.2026

The sample values are fictitious. The broker confirms the document requirements.