Customs power of attorney Grantor: Company name: Address: Country / Zip Code / Place: Contact person: Phone / Mail: EORI-Number: VAT-ID no: C.o.C no *: Passport no. *: Regon:* *(if applicable) Grants customs power of attorney to: Porath Customs Agents GmbH Heidenkampsweg 81 20097 Hamburg Germany as well as all its subsidiaries Porath Customs Agents B.V. Vareseweg 85 3047 AT Rotterdam The Netherlands as well as all its subsidiaries Porath Customs Agents Sp. z o.o. Ul. Czechosłowacka 3 81-969 Gdynia Poland as well as all its subsidiaries The power of attorney authorizes the grantee to act as the grantor’s direct representative in the sense of art. 5 par. 2, 1st alternative, EC Customs Code in order: a. to submit customs declarations to all EC customs offices for the clearance of goods in all types of customs procedures b. to execute all applications, statements, and administrative objections necessary for customs clearance c. to sign the statement on the determination of the customs value of goods d. when necessary, to report voluntary self-disclosure as well as to execute customs reclamations. in the name and on behalf of the grantor. The grantor assumes full responsibility for the completeness and accuracy of all specifications and documents which are necessary for the execution of orders. We hereby accept the terms of contract of Porath Customs Agents (available on www.porath.com). This power of attorney is valid until revoked in writing. Place, date Stand: July 2014 Signature, company seal www.porath.com