Форма сертификата о происхождении товара формы СТ-2 на английском языке

ФОРМА СЕРТИФИКАТА

О ПРОИСХОЖДЕНИИ ТОВАРА ФОРМЫ СТ-2 НА АНГЛИЙСКОМ ЯЗЫКЕ

1. Consignor/exporter (name and address)

4. No. ______

Certificate of Origin

Form CT-2

Issued in

2. Consignee/importer (name and address)

__________________________________

(country)

For submission to

__________________________________

(country)

3. Means of transport and route (as far as known)

5. For official use

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 or underwent sufficient processing in

_________________________________

(country)

and that they comply with the origin requirements specified for these goods

Place

Date

Signature

Stamp

Place

Date

Signature

Stamp