I, the undersigned, declare that the goods listed on this invoice … [1] were produced in … [2] and incorporate the following components or materials which do not have ACP, OCT or Union origin for preferential trade:
Déanaimse, a bhfuil m'ainm leis seo thíos, a dhearbhú gur táirgeadh na hearraí atá liostaithe ar an sonrasc seo … [1] i … [2] agus go bhfuil na comhábhair nó na hábhair seo a leanas iontu nach de thionscnamh an Aontais ná ACC ná TCTL iad le haghaidh trádáil fhabhrach: