Приложение 6. Generalized system of preferences

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│1. Goods consigned from (exporter's │Reference No │

│business name, address, country) │ │

│ │ A 517951 │

│ │ │

│ │ GENERALIZED SYSTEM OF PREFERENCES │

│ │ │

│ │ CERTIFICATE OF ORIGIN │

│ │ (Combined declaration and │

├────────────────────────────────────┤ certificate) ─│

│2. Goods consigned to (consignee's │ │

│name, address, country) │ FORM A │

│ │ │

│ │ Issued in ....................... │

│ │ (country) │

│ │ │

│ │ See notes overleaf │

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│3. Means of transport and route (as │4. For official use │

│far as known) │ │

│ │ │

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│5. Item│6. Marks and │7. Number │8. Origin │9. Gross │10. Number │

│ num-│ numbers of│ and kind │ criteri-│ weight or│ and date │

│ ber │ packages │ of packa-│ on (see │ other │ of invoi-│

│ │ │ ges; des-│ notes │ guantity │ ces │

│ │ │ cription │ over- │ │ │

│ │ │ of goods │ leaf) │ │ │

│ │ │ │ │ │ │

│ │ │ │ │ │ │

│ │ │ │ │ │ │

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│11. Certification │12. Declaration by the exporter │

│ It is hereby certified, on the │ The undersigned hereby declares │

│ basis of control carried out, │ that the above details and │

│ that the declaration by the │ statements are correct; that all│

│ exporter is correct. │ the goods were │

│ │ │

│ │ produced in ................... │

│ │ (country) │

│ │ │

│ │ and that they comply with the │

│ │ origin reguirements specified │

│ │ for those goods in the │

│ │ generalized system of │

│ │ preferences for goods exported │

│ │ to │

│ │ .................................. │

│ │ (importing country) │

│ │ │

│ ...................................│ .................................. │

│ Place and date, signature sad stamp│ Place and date, signature of │

│ of certifying authority │ authorized signatory │

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