Приложение 4. Форма сертификата о происхождении товара формы EAV и дополнительного листа к нему

Приложение 4

к Положению о порядке выдачи

сертификатов о происхождении

товара формы EAV на товары,

вывозимые из Российской

Федерации в Социалистическую

Республику Вьетнам

ФОРМА СЕРТИФИКАТА

О ПРОИСХОЖДЕНИИ ТОВАРА ФОРМЫ EAV И ДОПОЛНИТЕЛЬНОГО ЛИСТА

К НЕМУ

1. Exporter (business name, address and country)						4. No. _____
						EAEU-VN FTA Certificate of Origin Form EAV
2. Importer/Consignee (business name, address ar country)						Issued in __________________________________ (country)
						For submission to __________________________________ (country)
3. Means of transport and route (as far as known)						5. For official use
6. Item 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						13. Declaration by the applicant
It is hereby certified, on the basis of control carried out, that the declaration by the applicant is correct.						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 for in Chapter 4 (Rules of Origin) of the EAEU-VN FTA
Place	Date		Signature		Stamp	Place	Date		Signature		Stamp
Additional Sheet of Certificate of Origin (Form EAV) No. __
6. Item 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						13. Declaration by the applicant
It is hereby certified, on the basis of control carried out, that the declaration by the applicant is correct.						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 for in Chapter 4 (Rules of Origin) of the EAEU-VN FTA
Place	Date		Signature		Stamp	Place	Date		Signature		Stamp

Приложение 3. Форма заявления о выдаче сертификата о происхождении товара формы EAV