Transcription of Import Licence Application Form - GOV.UK
1 Il1ap Dec 2020 RPA OFFICIAL USE ONLYL icence No:Issue Date: Import Licence Application FormNotesPlease complete this form in BLOCK CAPITALSI mportant:Your Licence will be issued in electronic format for Customs clearance in the ProtectionDefra is the data controller for personal data you give to us or we hold about you. We use it in line with the Data Protection Act. For more information, go to , choose Contact RPA and click on Personal information charter .Part A Agency issuing the Licence (name and address)Rural Payments AgencyLancaster HouseHampshire CourtNewcastle upon TyneNE4 7 YHPart B Applicant (Business name and address)Business nameBusiness address (inc postcode)Trader registration numberVAT numberEORI numberil1ap Dec transferred to (if required and if permitted)Business nameBusiness address (inc postcode)Trader registration numberEORI numberVAT numberPart C Country product imported fromIs it compulsory that the product is imported from this country?
2 Ye of origin of productIs it compulsory that this is the country of origin?Ye sNoPart D Security security details:Amount ( )MethodPayee trader numberil1ap Dec 2020 Part F Extra particulars (For quota/preferential licences only)SI numberOrder numberAdditional information (if required for Licence type)Part E Product of product being CN code description: (must be full exact description) code of product being imported (to 8 digits)1 quantity in quantity in wordsil1ap Dec 2020 Print nameAuthorised signatureDateContact telephone numberContact email addressPart G Send your completed form by email or post to:Email: SchemesRural Payments AgencyLancaster HouseHampshire CourtNewcastle upon TyneNE4 conditions: (Declaration, certificate number)
