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Приложение 2. Форма сертификата о происхождении товара формы СТ-3 и дополнительного листа к нему

Приложение 2

к Положению о порядке выдачи

сертификатов о происхождении

товара формы СТ-3 на товары,

вывозимые из Российской Федерации

в Исламскую Республику Иран

ФОРМА СЕРТИФИКАТА

О ПРОИСХОЖДЕНИИ ТОВАРА ФОРМЫ СТ-3 И ДОПОЛНИТЕЛЬНОГО

ЛИСТА К НЕМУ

1. Exporter (business name, address and country)

4. No. ________

EAEU-IRAN FTA

Certificate of Origin

Form CT-3

Issued in

___________________________________

(country)

2. Importer/Consignee (business name, address and 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 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