sample certificate of origin pdf formate for export documents

Certificate Of Origin

Exporter

Consignee

Method of Dispatch

Type of Shipment

Vessel / Aircraft

Voyage No

Port of Loading

Date of Departure

Export Invoice Number & Date

Letter Of Credit No

Port of Discharge

Final Destination

Buyer (If not Consignee)

Marks & Numbers

Kind & No of Packages

Description of Goods

Tarif Code

Gross Weight (kg)

Declaration By The Chamber The undersigned certifies on the basis of information provided by the exporter that to the best of it’s knowledge and belief, the goods are of designated origin, production or manufacture.

Declaration By The Exporter I, the undersigned, being duly authorized by the Consignor, and having made the necessary enquiries hereby certify that based on the rules of origin of the country of destination, all the goods listed originate in the country and place of designated. I further declare that I will furnish to the Customs authorities of the importing or their nominee, for inspection at any time, such as evidence as may be required for the purpose of verifying this certificate. The goods where produced/manufactured at :

Place and Date of Issue

Signatory Company

Name of Authorized Signatory

Signature