Законодательная база Российской Федерации

Образец бланка сертификата

1. Goods consigned from   
(exporter's business name,
address, country)         
                          
                          

Reference No               
                           
     GENERALIZED SYSTEM OF 
           preFERENCES     
                           

2. Goods consigned to
(consignee's name,   
address, country)    

     CERTIFICATE OF ORIGIN      
   (Combined declaration and    
          certificate)          
                                
             FORM A             
                                
  Issued in ___________________ 
               (country)        
                                
              See notes overleaf

3. Means of transport and
routs (as far as known)  
                         
                         
                         
                         
                         
                         
                         

4. For official use

5. Item
 number
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       

6. Marks   
   and     
   numbers 
   of      
   packages

7. Number     
   and kind   
   of         
   packages;  
   description
   of goods   
              
              
              
              
    ОБРАЗЕЦ   
              

8. Origin   
   criterion
   (see     
   notes    
   overleaf)

9. Gross   
   weight  
   or other
   quantity

10. 
Number
and 
date
of  
invoices

11. Certification               
    It is hereby certified, on  
    the basis of control carried
    out, that the declaration by
    the exporter is correct.    
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
                                
___________________________     
   Place and date, signature    
   and stamp of certifying      
   authority                    

12. Declaration by the exporter
    The undersigned hereby     
    declares that the above    
    details and statements are 
    correct; that all the goods
    were                       
                               
    produced in _______________
                   (country)   
    and that they comply with  
    the origin requirements    
    specified for those goods  
    in the generalized system  
    of preferences for goods   
    exported to                
    ___________________________
        (importing country)    
                               
    ___________________________
    Place and date, signature  
    of authorized signatory