MINISTRY OF ECONOMY OF THE SLOVAK REPUBLIC
END USE OF SPECIFIC PRODUCTS CERTIFICATE

The field 'End user certificate' is selected, when you are submitting the End user certificate.

The field 'Certificate number' is left blank.

The field 'International import certificate' is selected, when you are submitting the International import certificate.

The field 'License number' is left blank.

3. Applicant

Please, select a value of the field 'Business name' from the list.

Domicile

Please, select the value of the field 'Country' from the list.

Please, enter the value of the field 'Country'.

Please, select the value of the field 'Region' from the list.

Please, enter the value of the field 'Region'.

Please, select a value of the field 'District' from the list.

Please, enter the value of the field 'District'.

Please, select the value of the field 'City (municipality)' from the list.

Please, enter the value of the field 'City (municipality)'.

Please, enter the value of the field 'ZIP'. Please, enter a zip code (for Slovakia it consists of 5 digits).

Please, enter the value of the field 'Street'.

Please, enter the registration number of the house.

4. Name and Address of Exporter

Please, enter the value of the field 'Business name'.

Domicile

Please, select the value of the field 'Country' from the list.

Please, enter the value of the field 'Country'.

Please, select the value of the field 'Region' from the list.

Please, enter the value of the field 'Region'.

Please, select a value of the field 'District' from the list.

Please, enter the value of the field 'District'.

Please, select the value of the field 'City (municipality)' from the list.

Please, enter the value of the field 'City (municipality)'.

Please, enter the value of the field 'ZIP'. Please, enter a zip code (for Slovakia it consists of 5 digits).

Please, enter the value of the field 'Street'.

Please, enter the registration number of the house.

5. Name and address of End User

Please, enter the value of the field 'Business name'.

Domicile

Please, select the value of the field 'Country' from the list.

Please, enter the value of the field 'Country'.

Please, select the value of the field 'Region' from the list.

Please, enter the value of the field 'Region'.

Please, select a value of the field 'District' from the list.

Please, enter the value of the field 'District'.

Please, select the value of the field 'City (municipality)' from the list.

Please, enter the value of the field 'City (municipality)'.

Please, enter the value of the field 'ZIP'. Please, enter a zip code (for Slovakia it consists of 5 digits).

Please, enter the value of the field 'Street'.

Please, enter the registration number of the house.

6. Purpose of a import

Please, select a value of the field 'Purpose of a import'.

7. Description of the Good *
8. Custom Tariff No. *
9. Quantity *
Unit of measure *
10. Value in euros *

Please, enter the value of the field 'Description of the Good'.

Please, enter the value of the field 'Custom Tariff No.'.

Please, enter a value of the field 'Quantity'. Please, provide a non-negative number with decimal places.

Please, select a value of the field 'Unit of measure' from the list.

Please, enter the value of the field 'Unit of measure'.

Transfer value is given in euros.

Add Remove

Total value in euros.

1. The undersigned hereby represents that he has undertaken to import into the Slovak Republic the goods in quantities and for declared purpose and not to reexport them to another destination except with the authorisation of the competent Slovak authority
Name, Position and Signature of the applicant *

Please, enter the value of the field 'Name and function of an Applicant'.

Date *

Please, select a value of the field 'Date' from the calendar. Enter the date in the form DD.MM.YYYY (e.g.: 01.10.2000).

Seal of Importer
1. It is hereby certified that the importer has undertaken to import into the Slovak Republic the above mentioned goods in item 7 for declared purpose, and not to reexport them to another destination except with the authorisation of the competent Slovak authority.
2. This document is not valid unless it is submitted to the competent foreign authorities within six months of its date of issue.
Name and Position of Authorized Official *

Please, enter the value of the field 'Name and Position of Authorized Official'.

Date *

Please, select a value of the field 'Date' from the calendar. Enter the date in the form DD.MM.YYYY (e.g.: 01.10.2000).

Seal of Competent Authority

The consent to data processing

Submitting this form, you hereby consent to the processing of your personal information as described in the following Statement.

The Ministry of Economy of the Slovak Republic is the operator of "The integrated information system for ensuring the provision of electronic services to Ministry of economy of the SR" (hereinafter referred to as "IIS MH SR").
The operator of IIS MH SR in accordance with law No 122/2013 Coll. on protection of personal data and on amendments to certain laws, as amended by later regulations, processes personal data of users of the IIS MH SR.
As a user of IIS that I give the operator the IIS MH SR, as well as its representatives and intermediaries, my explicit and voluntary consent to the processing of my personal data for the purposes of the operation of IIS MH SR, with their management, conservation, with determination of their purpose as well as the supply to the processing within the meaning of that act.
This consent to the processing of personal data I grant for an indefinite period. I note that the operator IIS MH SR is entitled to request from my identity document for the purpose of identity verification. *
Items markt by asterisk (*) are required.
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