Форма дополнительного листа сертификата о происхождении товара формы СТ-3

ФОРМА ДОПОЛНИТЕЛЬНОГО ЛИСТА

СЕРТИФИКАТА О ПРОИСХОЖДЕНИИ ТОВАРА ФОРМЫ СТ-3

Additional sheet of Certificate of Origin Form CT-3 No. ___
6. Items No.	7. Number and kind of packages		8. Description of goods		9. Origin criterion		10. Quantity of goods		11. Number and date of invoice





12. Certification It is hereby certified, on the basis of control carried out, that the declaration by the applicant is correct					13. Declaration by the applicant
					The undersigned hereby declares that the above details are correct: that all goods were produced in
					_________________________________ (country)
					and that they comply with the rules of origin as provided in Chapter 6 (Rules of Origin) of the EAEU-IRAN FTA

Place	Date	Signature		Stamp	Place	Date		Signature		Stamp