1. Issuing control body or authority (name, address and code),2. Council Regulation (EC) No 834/2007 ... : - Article 33(2)  or - Article 33(3)    ...,
3. Serial number of the certificate of inspection      ,4. Exporter (name and address)      ,
5. Producer or processor of the product (name and address)      ,6. Control body or control authority (name, address and code)      ,
7. Country of origin      ,8. Country of export      ,
9. Country of clearance/Point of entry      ,10. Country of destination      ,
11. Importer (name, address and EORI number)      ,12. First consignee in the Union (name and address)      ,
13. Description of products CN code             Trade name            Number of packages            Lot number            Net weight  ,
14. Container number      ,15. Seal number,16. Total gross weight,
17. Means of transport before point of entry into the Union Mode   Identification   International transport document  ,
18. Declaration of control authority or control body issuing the certificate referred to in box 1 This is to certify that this certificate has been issued on the basis of the checks required under Article 13(4) of Regulation (EC) No 1235/2008 and that the products designated above have been obtained in accordance with rules of production and inspection of the organic production method which are considered equivalent in accordance with Regulation (EC) No 834/2007. Date   Name and signature of authorised person                               Stamp of issuing authority or body  ,
19. Customs warehousing □                              Inward processing □ Name and address of operator:   Control body or control authority (name, address and code):   Customs Declaration Reference Number for customs warehousing or inward processing:  ,
20. Verification of the consignment and endorsement by the relevant Member State’s competent authority. Authority and Member State:     Date:   Name and signature of authorised person                               Stamp  ,
21. Declaration of the first consignee. This is to certify that the reception of the products has been carried out in accordance with Article 34 of Regulation (EC) No 889/2008. Name of the company:                               Date:   Name and signature of the authorised person  ,
1. Control body or authority having issued the underlying certificate of inspection (name, address and code)      ,2. Council Regulation (EC) No 834/2007 ... : - Article 33(2)  or - Article 33(3)   ...,
3. Serial number of the underlying certificate of inspection      ,4. Operator having split the original consignment into batches (name and address),
5. Control body or control authority (name, address and code)      ,6. Importer (name, address and EORI number),
7. Country of origin      ,8. Country of export,
9. Country of clearance/Point of entry      ,10. Country of destination,
11. Consignee of the batch obtained from splitting (name and address)      ,
12. Description of products CN codes               Number of packages              Net weight of the batch and net weight of the original consignment    ,
13. Declaration of the relevant Member State’s competent authority endorsing the extract of the certificate. This extract corresponds to the batch described above and obtained by the splitting of a consignment which is covered by an original certificate of inspection with the serial number mentioned in box 3 Authority and Member State: Date:   Name and signature of authorised person Stamp  ,
14. Declaration of the consignee of the batch This is to certify that the reception of the batch has been carried out in accordance with Article 33 of Regulation (EC) No 889/2008.   Name of the company   Date:   Name and signature of the authorised person  ,