I, the undersigned declare that the goods described in the attachment, which are regularly supplied to Daicel Safety Systems Europe Sp. z o.o., Strefowa street 6; 58-130 Żarów, Poland, originate in the country specified in column III “Country of origin” of the attached parts list.
This declaration is valid for all further shipments of these products dispatched from 01.10.2015 to 30.09.2016.
I undertake to inform Daicel Safety Systems Europe Sp. Z o.o. immediately if this declaration is no longer valid.
I undertake to make available to the Customs Authorities any further supporting documents they require.