infringements committed during, or in the course of the inter-states road transit operations he is effecting from the office of departure...............................to the office of destination.........................................in respect of the goods listed below: 2. The undersigned is bound, at the first written request of the competent authorities of the States cited in paragraph 1 to make payment of the amount demanded, with no power to defer such payment. 3. This guarantee is valid as from the date it is accepted at the office of departure. 4. For the purposes of this guarantee, the undersigned is resident at......................................... (complete address) as well as in each of the States cited in paragraph 1, at................................. State Surname and First Name Business Name and complete Address 1. 2. 3. 4. The undersigned acknowledges that all correspondences, notifying documents and in a more general manner all formalities and procedures concerning this guarantee addressed to or established in writing to one of his addresses will validly be considered as reaching him. The undersigned recognises the competence of the jurisdiction of the different places where he has residence. The undersigned undertakes to maintain the addresses of the residence and should be have cause to change one or several of them, to inform, a priori, the office of guarantee of any such changes. Done in ...................................................On........................................................... Signature The signature here appended is accepted surety for the amount of ....................... (state amount in words).............................................................................................................................. II. ACCEPTANCE AT THE OFFICE OF DEPARTURE Office of Departure................................................................................................................ Recognizance of Guarantee on .............................................................................................. to cover the Inter State Road Transit as feature in Statement registered on...................................................................number............................ Done at......................................................on........................................................................