31.1.2019 Official Journal of the European Union EN L 30/53 Explanatory notes to the form ‘Authorisation for the supply of technical assistance related to goods that could be used for capital punishment or for torture (Regulation (EU) 2019/125 of the European Parliament and of the Council (1))’. This authorisation form shall be used to authorise a supply of technical assistance in accordance with Regulation (EU) 2019/125. If the technical assistance accompanies an export for which an authorisation is granted by or in accordance with Regulation (EU) 2019/125, this form should not be used, except in the following cases: — the technical assistance relates to goods listed in Annex II to Regulation (EU) 2019/125 (see Article 3(2)); or — the technical assistance relating to goods listed in Annex III or in Annex IV to Regulation (EU) 2019/125 goes beyond what is necessary for the installation, operation, maintenance or repair of the exported goods (see Article 21(2) and, as regards goods listed in Annex IV, Part 1 of the Union General Export Authorisation EU GEA 2019/125 in Annex V to Regulation (EU) 2019/125). The issuing authority is the authority defined in point (h) of Article 2 of Regulation (EU) 2019/125. It is an authority that is included in the list of competent authorities in Annex I to that Regulation. Authorisations shall be issued on this single page form with attachments as necessary. Box 1 Applying supplier of technical Please indicate the applicant's name and full address. Supplier of assistance technical assistance is defined in point (m) of Article 2 of Regulation (EU) 2019/125. If the technical assistance accompanies an export for which an auth­ orisation is granted, please also indicate the applicant's customs num­ ber, if possible, and indicate the number of the related export author­ isation in box 14. Box 3 Authorisation No Please fill out the number and tick the appropriate box indicating the Article of Regulation (EU) 2019/125 on which the authorisation is based. Box 4 Expiry date Please state day (two digits), month (two digits) and year (four digits). The period of validity of an authorisation is from three months to twelve months. When the period of validity comes to an end, an ex­ tension can be requested, if necessary. Box 5 Activity of the natural or legal Please indicate the main activity of the person, entity or body to person, entity or body men­ which the technical assistance will be supplied. The term law en­ tioned at 2 forcement authority is defined in point (c) of Article 2 of Regulation (EU) 2019/125. If the main activity is not in the list, tick ‘None of the above’ and de­ scribe the main activity using generic words (e.g. wholesaler, retailer, hospital). Box 6 Third country or Member State Please state both the name of the country concerned and the relevant to which the technical assist­ country code taken from the codes established pursuant to Regu­ ance will be supplied lation (EC) No 471/2009 (2) of the European Parliament and of the Council. See Commission Regulation (EU) No 1106/2012 (3). Note that in box 6 a Member State should only be mentioned, if the authorisation is based on Article 4 of Regulation (EU) 2019/125. (1) Regulation (EU) 2019/125 of the European Parliament and of the Council of 16 January 2019 concerning trade in certain goods which could be used for capital punishment, torture or other cruel, inhuman or degrading treatment or punishment (OJ L 30, 31.1.2019, p. 1). (2) Regulation (EC) No 471/2009 of the European Parliament and of the Council of 6 May 2009 on Community statistics relating to external trade with non-member countries and repealing Council Regulation (EC) No 1172/95 (OJ L 152, 16.6.2009, p. 23). (3) Commission Regulation (EU) No 1106/2012 of 27 November 2012 implementing Regulation (EC) No 471/2009 of the European Parliament and of the Council on Community statistics relating to external trade with non-member countries, as regards the update of the nomenclature of countries of countries and territories (OJ L 328, 28.11.2012, p. 7).