Форма сертификата о происхождении товара общей формы на английском языке

ФОРМА СЕРТИФИКАТА

О ПРОИСХОЖДЕНИИ ТОВАРА ОБЩЕЙ ФОРМЫ НА АНГЛИЙСКОМ ЯЗЫКЕ

1. Exporter (name, address, country)

ORIGINAL N

CERTIFICATE OF ORIGIN

Issued in the Russian Federation

2. Consignee (name, address, country)

3. Means of transport and route

4. For official use

5. Country of origin

6. Supplementary details

7. Item number

8. Description of goods

9. Number and king of packages

10. Gross weight or other quantity

11. Certification

It is hereby certified, the declaration by the exporter is correct

12. Declaration by the exporter

The undersigned hereby declares that the above details and statements are correct, that the goods are of origin of the country shown in box N 5: that the goods are exported to

......................................................................

(Importing country)

...............................

Place, date, signature, name and stamp of certifying authority

.......................................................................

Place, date, stamp and signature of authorized signatory