к Правилам определения
происхождения товаров из
развивающихся и наименее
развитых стран
ФОРМА
сертификата о происхождении товара
1. Форма сертификата о происхождении товара на английском языке
1. Goods consigned from (Exporter's business name, address, country) | Reference № | ||||||||||
| GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate)
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2. Goods consigned to (Consignee's name, | FORM A | ||||||||||
address, country) | Issued in |
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3. Means of transport and route (as far as known)
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5. Item number | 6. Marks and numbers of packages | 7. Number and kind of packages; description of goods | 8. Origin criterion (see notes overleaf) | 9. Gross weight or other quantity | 10. Number and date of invoices | ||||||
11. Certification
| 12. Declaration by the exporter | ||||||||||
It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. | The undersigned hereby declares that the above details and statements are correct; that all the goods were | ||||||||||
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| and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to
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| Place and date, signature and stamp of certifying authority |
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| Place and date, signature of authorized signatory |
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2. Форма сертификата о происхождении товара на французском языке