S.L. 233.7 Art. 8

Signature Forofficialuse I declare that all the details provided are correct. I understand Signatureandstampofthecompetentauthority that if the information provided is incorrect or incomplete, the obligationtodeclareshallnotbedeemedfulfilledandIamliable topenaltiesaccordingtotheapplicablenationallegislation. Signature

Nameofthesignee: Date DD MM YYYY Customsdeclaration: տ Yes տNo Town Country Customsdeclarationnumber: Place տ Totalnumberofadditional Endorsedcopyrequested Yes Customsofficethatperformedthecontrol: sheetsused

*Ifapplicableoravailable.Ifnotapplicableoravailable,indicate‘N/A’. NOTESONCOMPLETION GENERALINFORMATION TheobligationtodeclarecashonenteringorleavingtheEUispartoftheEU’sstrategytopreventmoneylaunderingandtofight terrorismfinancing.ThisdeclarationformmustbecompletedwhenenteringorleavingtheEUandcarryingEUR10000ormore(or theequivalentinothercurrencies)incash(Article3ofRegulation(EU)2018/1672oftheEuropeanParliamentandoftheCouncil). Ifincorrectorincompleteinformationisprovided,orifthecashis notmadeavailableforcontrol,thecarrierisnotconsideredto havemettheirobligationandisliabletopenaltiesundertheapplicablenationallegislation. Information and personal data shall be recorded and processed by the competent authorities and shall be made available to the FinancialIntelligenceUnit(FIU)inaccordancewithArticle9ofRegulation(EU)2018/1672.InthecasesreferredtoinArticles10and 11 of that Regulation, the data will also be made available to the authorities mentioned there. The competent authorities of the Member State where the declaration is submitted act as controllers of the personal data obtained and will keep personal data collectedinlinewithArticle13ofRegulation(EU)2018/1672,bydefaultfor5years.Theprocessingofpersonaldatatakesplaceonly for the purposes of the prevention and fight against criminal activities. For complete information, including on your rights, see attachedprivacystatement/linktoMemberStatedataprotectiononlineinformation. EXPLANATIONOFUSEDTERMSINACCORDANCEWITHREGULATION(EU)2018/1672 Carrier means any natural person entering or leaving the EU carrying cash on their person, in their luggage or in their means of transport. Currencymeansbanknotesandcoinsthatareincirculationasamediumofexchangeorthathavebeenincirculationasamedium ofexchangeandcanstillbeexchangedthroughfinancialinstitutionsorcentralbanksforbanknotesandcoinsthatareincirculation asamediumofexchange. Bearer-negotiableinstrumentsmeansinstrumentsotherthancurrency,whichentitletheirholderstoclaimafinancialamountupon presentationoftheinstrumentswithouthavingtoprovetheiridentityorentitlementtothatamount.Thoseinstrumentsare: (a)traveller’scheques;[and] (b)cheques,promissorynotesormoneyordersthatareeitherinbearerform,signedbutwiththepayee’snameomitted,endorsed withoutrestriction,madeouttoafictitiouspayee,orotherwiseinsuchformthattitletheretopassesupondelivery. Commoditiesusedashighly-liquidstoresofvalue (a)coinswithagoldcontentofatleast90%; [and] (b)bullionsuchasbars,nuggetsorclumpswithagoldcontentofatleast99,5%. x All fieldsinthe formaremandatoryfieldsand mustbecompleted. Fieldsinthe formmarkedwith anasterisk(*)mustbe completed,whereapplicableoravailable. x Allpartsinwhitemustbecompletedinblockcapitallettersanddarkink. Formsmustnotcontaincrossingout,overwritten wordsorotheralterations. x Thepartsmarked‘forofficialuse’mustremainblank. x Personalidentification number (i.e. personaltax, social securityor similar uniquepersonal identification number),address, postalcode/ZIPcode,telephonenumberandemailaddressmustbefilledin,ifapplicable.Ifnotapplicable,indicate‘N/A’ instead. x Value Added Tax (VAT) number and Economic operator registration and identification Number (EORI Number -which is a uniquenumber,acrosstheEU,assignedbyacustomsauthorityinaMemberStatetoeconomicoperatorsinvolvedincustoms activities)mustbefilledinwhereavailable.Ifnotavailableindicate‘N/A’. x Whereinformationisnotknowntothecarrier,indicate‘unknown’. x TheformmustbecompletedinoneoftheofficiallanguagesoftheEUacceptedbythecompetentauthoritiesoftheMember Statewherethedeclarationismade. Section1:EnteringorleavingtheEU TicktheappropriateboxtoindicateifthecarrierisenteringorleavingtheEU. Adeclarationonenteringandonleaving,isrequired alsoiftransitingthroughtheEU. Section2:Detailsofthecarrierofthecash Thecarrier’spersonaldatamustbefilledinthissectionastheyappearontheirIDdocument. Where the carrier of the cash is not legally capable of signing the declaration, the declaration is submitted by the carrier’s legalrepresentative. Section3:Transportdetails Information on the country of first departure, the country of final destination and the means of transport must be provided. Information on the transit country or countries through which the carrier transfers cash and the transport company must be specified,ifapplicable. -Tickbox‘Air’ifenteringorleavingtheEUbyaircraft. Thetypeofaircraft(commercialflight,privatejet,other)mustbe provided. Theflightnumberoraircraftregistrationnumber(incaseofaprivatejet)mustbeprovidedinfield‘Reference number’. - Tickbox‘Sea/Fluvial’ifenteringorleavingtheEUbyseaorriver. Thetypeofvessel(commercialvessel,yachtorother) must be provided. The vessel’s name must be provided in field “Reference number” and shipping line details must be providedunder“Transportcompany”. - theEU Tickbox‘Road’ifenteringorleaving byanykindofmotorisedroadvehicle. Thetypeofroadtransport(truck,car, bus,other)mustbeprovided. Thecountrycodeandlicenceplateofthevehiclemustbeprovidedinthefield‘Reference number’. - Tickbox‘Rail’ifenteringorleaving theEUbytrain. Thetrainnumbermustbeprovidedinthefield‘Referencenumber’ andthetraincompany mustbeprovidedunder’Transportcompany’. -Tick box ‘Other’ if none of the other transport modes is used and specify the type of transport (e.g. pedestrian traffic, bicycle). Section4:Detailsofthecash Thetotalamountofcashcarriedbythecarriermustbefilledinthissection.‘Cash’isdefinedunder‘GeneralInformation’.Atleast oneoftheoptions[(i)currency;(ii)bearer-negotiableinstrumentsor(iii)commoditiesusedashighly-liquidstoresofvalue]mustbe filledin. If there is insufficient space on the declaration form, the additional sheets must be used to provide the details of the cash. All informationprovidedconstitutesasingledeclarationandalladditionalsheetsmustbenumberedandsigned. Section5:Economicprovenanceandintendeduseofthecash Subsection5.Amustalwaysbefilledinifthecarrierisasoleownerorifthereisonlyoneownertoindicatetherelevanteconomic provenance. Subsection5.Bmustalwaysbefilledinifthecarrierisalsothesoleownerandthesoleintendedrecipientorwherethereisonly onerecipienttoindicatetheintendeduseofthecash. ItispossibletoselectmorethanoneoptionineachSubsection.Ifnooptionisapplicable,tickbox‘other’andspecifythedetails. Ifthereismorethanoneownerormorethanoneintendedrecipient,therelevantinformationabouttheeconomicprovenanceand intendeduseofthecashfortheownersand/orintendedrecipientsmustbefilledinonadditionalsheetsasmentionedbelow. In thiscase,tickbox‘other’andspecify‘additionalsheets’. Section6:Ownerofthecash Oneowneronly Ifthecarrieristhesoleownerofthecash,ticktheappropriateboxandcontinuetoSection7. Ifthecarrierisnot the soleowner,specifywhetherthe soleowner isanothernatural person or alegalperson andtickthe appropriate box. The details must be filled in Subsection 6.A (for a natural person) or Subsection 6.B (for a legal person) and continuetoSection7. Ifthecarrierisanaturalperson,thepersonaldetailsmustbefilledinastheyappearontheirIDdocument. Morethanoneowner If there is more than one owner, the total number of owners must be filled in the appropriate box. For each additional owner separate additional sheets must be filled in giving their details, the amount of cash owned and its economic provenance and its intendeduse. Ifthecarrierisoneoftheowners,anadditionalsheetmustbefilledinforthemaswell,withtheamountofcash ownedbythecarrieranditseconomicprovenanceanditsintendeduse.Allinformationprovidedconstitutesasingledeclaration andalladditionalsheetsmustbenumberedandsigned. Section7:Intendedrecipientofthecash Oneintendedrecipientonly Indicatewhetherthecarrieristhesoleintendedrecipientofthecash.Ifthatisthecase,ticktheappropriateboxandcontinueto Section8. Ifthecarrierisnotthesoleintendedrecipient,ticktheappropriateboxtospecifyifthesoleintendedrecipientisanothernatural person or a legal person. The information must be filled in Subsection 7.A (for a natural person) or Subsection 7.B (for a legal person) and continue to Section 8. In case of natural person, the personal data must be filled in as they appear on their ID document. Morethanoneintendedrecipient Ifthereismorethanoneintendedrecipient,thetotalnumberofintendedrecipientsmustbefilledintheappropriatebox.Foreach intendedrecipientseparateadditionalsheetsmustbefilledingivingthedetailsofeachintendedrecipient,theamountofcashto bereceivedanditsintendeduse. Ifthecarrierisoneoftheintendedrecipientanadditionalsheetmustbefilledinforthemaswell, includingtheamountofcashreceivedbythecarrieranditsintendeduse. Allinformationprovidedconstitutesasingledeclaration andalladditionalsheetsmustbenumberedandsigned. Section8:Signature Enterthedate,placeandnameandsignthedeclarationform. Indicatethetotalnumberofadditionalsheetsused.Ifnonehasbeen used,indicatezero(0).Thecarriercanticktheappropriateboxtorequestanendorsedcopyofthedeclaration. Cash Declaration Form Intra – Community (Regulation 3)

CASH DECLARATION SUBSIDIARYLEGISLATION233.07 Forofficialuse Referencenumber