Приложение 2. Форма сертификата о происхождении товара формы EAM

Приложение 2

к Положению

Форма сертификата о происхождении товара формы EAM

1.

Exporter

(business name, address and country)

4. No.

EAEU-MONGOLIA

Interim Trade Agreement

Certificate of Origin

Form EAM

2.

Importer/Consignee

(business name, address and country)

Issued in

(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 for in Annex 3 (Rules of Origin) to the EAEU-Mongolia Interim Trade Agreement

Place

Date

Signature

Stamp

Place

Date

Signature

Stamp