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A PPLICATION FOR CERTIFICATEOF ORIGINFORM BThe undersigned, being the exporter of the goods described overleaf. DECLARES that these goods were produced in…………………………………………………………………………………………………………..(country)SPECIFIES as follows the grounds on which the goods are claimed to comply with GSP origin requirements')..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................SUBMITS the following supportingdocuments...............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................UNDERTAKES to submit, at the request of the appropriate authorities of the exporting country any additional supportingevidence which these authorities may require for the purpose of issuing a certificate of origin. and undertakes. If required toagree to any inspection of his accounts and any check on the processes of manufacture of the above goods, carried out bythe said authorities .Place anddate…………………………………………………………………………………….signature of authorized signatoryREQUEST the issue of a certificate of origin forthese goods1 ) To be completed if materials or components originating in another country have been used in the manufacture of thegoods in question. Indicate the materials or components used. their CCC Nomanclature tariff heading, their country oforigin and, where appropriate, the manufacturing process qualifying the goods as originating in the country ofmanufacture (application of list B or of the special conditions laid down in list A ), the goods produced and their CCCNomanclature tariff heading.Where the origin criteria involve a percentage value, give information enabling this percentage to be verified forexample the value of imported material s and components and those of undetermined origin and the ex-factory price ofthe exported good where applicable.2) For example, import documents, invoices. etc , relating to the materials or components usedNOTESA . Procedure for claiming preference. A declaration on the certificate of origin form must be prepared by the exporter of thegoods and submitted in duplicate, together with a GSP application form to the certifying authority of the country ofexportation which will if satisfied, certify the top copy of the certificate of origin and return 11 to the exporter fortransmission to the importer in the country of destination. The certifying authority will at the same time return to theexporter for his retention the duplicate copy of the certificate of origin. but will itself retain the GSP application form dulycompleted and signed by the exporter.B. Sanctions, Persons who furnish, or cause to be furnished, information which relates to origin or consignments and whichis untrue in a material particular are liable to legal penalties and to the suspension of facilities for their goods toobtain preference.46
3956161. Goods consigned from (Exporter's business name. Addresscountry)2. Goods consigned to (consignee's name. address. country)Reference No.GENERALIZED S YSTEM OF PREFERENCESCERTIFICATE OF ORIGIN(Combined Declaration and Certificate)Form AIssued in(country)See notes overleaf3. Means of transport and route (as far as known) 4. For official Use5. Item number 6. Marks andnumbers ofpackages7. Number and kind ofpackages: descnpt1on of goods8. Origin criterion(see Notesoverleaf)9. Gross weight orother quantity10. Number anddate of invoices11. CertificationIt is hereby certified on the basis of control carried out that thedeclaration by the exporter is correct12. Declaration by the exporterThe unders1gned hereby declares that the above detailsand statements are correct. that all the goods wereproduced in …………………………………………………………(country)and that they comply with the origin requirements specified for thosegoods in the Generalized System of Preferences for goodsexported to…………………………………………………………………………………(importing country)Place and date, signature and stamp of certifying authorityPlace and date, signature of authorized signatoryTrade Development Authority of Pakistan, Government of Pakistan47
Page 1: THE TRTA II PROGRAMME IS FUNDED BYT
Page 5 and 6: 578Safeguard Measures(Single Admini
Page 7 and 8: F0F1F21Generalized Scheme of Prefer
Page 9 and 10: 32014F9101349F0111✤F112✤F211327
Page 11 and 12: F81F71F91Tariff Classification)19A2
Page 13 and 14: F42F52A✤✤A✤A201792245493✤25
Page 15 and 16: F82F92F62F727Certificate of Origin
Page 17: F63F7337non-EUbusinesses1040 Brusse
Page 20: 14)
Page 23 and 24: F04yarn made of )206.35mmstrip cons
Page 25 and 26: F14F24F34Eco-labelInterior Textiles
Page 27: 21)
Page 30 and 31: F05F94F8497CITESConvention on Inter
Page 32 and 33: 0421mandarin4Chestnuts00Macadamia N
Page 34 and 35: F45F2552F31 5193✤✤1325320063 2
Page 36 and 37: F7561FFF9585This2003Genetically-mod
Page 38 and 39: F56F4664F12356365200766✤✤✤✤
Page 40 and 41: 622Undenatured Ethanol)2207.2062207
Page 42 and 43: F96F0710022 11I991)---)51469F233 68
Page 44 and 45: 38)
Page 46 and 47: F27II13a24549344401sugar4--63sugar4
Page 48 and 49: F87F57F67F7F4774F605732010752006767
Page 50 and 51: 22 110100anhydrous lactose991702 19
Page 54 and 55: Annexure - IGOVERNMENT OF PAKISTANM
Page 56 and 57: Annexure - IIIBank’s letter headS
Page 58: IIIB-III 326--1021-340129431B-info@

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