3_zahtjev za eori broj primjer kako se popunjava

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1/4 MINISTRSTVO ZA FINANCE MINISTRY OF FINANCE CARINSKA UPRAVA REPUBLIKE SLOVENIJE CUSTOMS ADMINISTRATION OF THE REPUBLIC OF SLOVENIA REPUBLIKA SLOVENIJA REPUBLIC OF SLOVENIA APPLICATION FOR THE ASSIGNMENT OF AN EORI NUMBER This form can be used as application for an EORI number only on behalf of the below-mentioned economic operator. Letter of authorization for representation is a mandatory document to be attached to the application. Please send this application and the required documents to the authority responsible for registering and assigning an EORI number: Carinska uprava Republike Slovenije Carinski urad Jesenice Center za TARIC in kvote Spodnji Plavž 6c SI — 4270 Jesenice Slovenija Warning! Only fulfilled and complete application will be accepted by authority. NAME OF THE ECONOMIC OPERATOR Full name Short name ADDRESS OF ESTABLISHMENT Country code (ISO alpha-2 country code) Country Street and number City Postal code DATE OF ESTABLISHMENT Date (dd.mm.yyyy) TYPE OF PERSON 2 – legal person (tick the appropriate box) 3 – association of persons (tick the appropriate box)

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Page 1: 3_Zahtjev Za EORI Broj Primjer Kako Se Popunjava

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MINISTRSTVO ZA FINANCE

MINISTRY OF FINANCE

CARINSKA UPRAVA REPUBLIKE SLOVENIJE

CUSTOMS ADMINISTRATION OF THE REPUBLIC OF SLOVENIA

REPUBLIKA SLOVENIJA

REPUBLIC OF SLOVENIA

APPLICATION FOR THE ASSIGNMENT OF AN EORI NUMBER

This form can be used as application for an EORI number only on behalf of the below-mentioned economic

operator. Letter of authorization for representation is a mandatory document to be attached to the

application.

Please send this application and the required documents to the authority responsible for registering and

assigning an EORI number:

Carinska uprava Republike Slovenije

Carinski urad Jesenice

Center za TARIC in kvote

Spodnji Plavž 6c

SI — 4270 Jesenice

Slovenija

Warning! Only fulfilled and complete application will be accepted by authority.

NAME OF THE ECONOMIC OPERATOR

Full name

Short name

ADDRESS OF ESTABLISHMENT

Country code (ISO alpha-2 country code)

Country

Street and number

City

Postal code

DATE OF ESTABLISHMENT

Date (dd.mm.yyyy)

TYPE OF PERSON

2 – legal person � (tick the appropriate box)

3 – association of persons � (tick the appropriate box)

User
Typewriter
UPISATI NAZIV PREDUZECA
User
Typewriter
User
Typewriter
UPISATI NAZIV PREDUZECA
User
Typewriter
00387
User
Typewriter
Bosna i Hercegovina
User
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Ulica
User
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Grad
User
Typewriter
Postanski broj
User
Typewriter
Daum,mjesec i godina osnivanja preduzeca
User
Typewriter
User
Typewriter
x
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
Tip subjekta
User
Typewriter
User
Typewriter
pravna osoba
User
Typewriter
????
User
Typewriter
???'
User
Typewriter
User
Typewriter
????
User
Typewriter
?????
Page 2: 3_Zahtjev Za EORI Broj Primjer Kako Se Popunjava

2/4 v1.01

CONTACT INFORMATION

Surname

Name

Country code (ISO alpha-2 country code)

Country

Street and number

City

Postal code

Telephone number

Fax number

E-mail address

E-mail address or fax number where

information about the assigned EORI

number will be sent

IDENTIFICATION NUMBER(S) FOR CUSTOMS PURPOSES ASSIGNED TO THE APPLICANT IN

THIRD COUNTRIES (ISO alpha-2 country

code of third county)

Id number (code)

VAT IDENTIFICATION NUMBER(S), WHERE ASSIGNED BY MEMBER STATES

User
Typewriter
(Kontakt informacije)
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
Prezime ????
User
Typewriter
Ime ???'
User
Typewriter
00387
User
Typewriter
Bosna i Hercegovina
User
Typewriter
Ulica ????
User
Typewriter
Grad ????
User
Typewriter
Postanski broj ?????
User
Typewriter
00387 ?? ??? ???
User
Typewriter
00387 ?? ??? ???
User
Typewriter
@????
User
Typewriter
@????
User
Typewriter
00387
User
Typewriter
JIB;????
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
User
Typewriter
PDV IB:?????
User
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User
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User
Typewriter
Page 3: 3_Zahtjev Za EORI Broj Primjer Kako Se Popunjava

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Consent for data publication on the European Commission' website

I, the undersigned, declare that I have been informed that publication of EORI number, name and address is

not mandatory and that rejection of publication on the internet will in no way affect the processing of my

application or any customs formalities in which I am involved.

I authorize � / do not authorize � (tick the appropriate box) the Customs Administration of the Republic of

Slovenia to supply the European Commission with the data referred to in Annex 38d, points 1, 2 and 3 of

Regulation 2454/1993 (EORI number, name and address) for their publication on the European

Commissions' website.

Date:

Name in block letters:

Signature: Stamp:

I, the undersigned, declare that for this economic operator no application for an EORI number has been

submitted in another member state of the European Union and no EORI number has been assigned.

Date:

Name in block letters:

Signature: Stamp:

I, the undersigned, declare that information about any change of data will be sent with appropriate

documents to the authority responsible for registration of EO and assigning an EORI number as soon as

possible.

Date:

Name in block letters:

Signature: Stamp:

User
Typewriter
User
Arrow
User
Arrow
User
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User
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Saglasnost kojom se potvrđuje mogu li se ili ne objaviti informacije o EORI broju na websajtu European Commiss- ions (baza podataka).
User
Typewriter
Ja dole potpisani navodim da vise nigdje nije podnesena EORI aplikacija i zemljama EU i da broj nije dodjeljen.
User
Typewriter
User
Typewriter
Ja dole potpisani navodim da izjavljujem da cu bilo koje promjene podataka vezano za subjekt biti poslate uz odgovarajucu dokumentaciju organu zaduzenom za EORI broj sto je moguce prije.
User
Typewriter
User
Typewriter
Page 4: 3_Zahtjev Za EORI Broj Primjer Kako Se Popunjava

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Reserved for Customs Office

Assigned EORI Number: SI___________________________________________________

Date:

Official stamp and signature:

User
Typewriter
Zadnja stranica je rezervisana za carinski ured, oni popunjavaju.