GSP 원산지 증명서
GSP 원 산 지 증 명 서 ═════════════════════ (APPLICATION FOR CERTIFICATE OF ORIGIN) Form B | |
The undersigned, being the exporter of the goods described overleaf, DECLARES that goods were produced in REPUBLIC OF KOREA(country) SPECIFIES as follows the grounds on which the goods are claimed to comply with GSP origin requirements 1/
FOB : SUBMITS the following supporting documents 2/
UNDERTAKES to submit, at the request of the appropriate authorities of the exporting country, any additional supporting evidence which these authorities may require for the purpose of issuing a certificate of origin, and undertakes, if required, to agree to any inspection of his accounts and any check on the processes of manufacture of the above goods, carried out by the said authorities. REQUESTS the issue of a certificate of origin for these goods.
Place and date ..........................................................................................
................................... (signature of authorized signatory)
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1/
| To be completed if materials or components originating in another country have been used in the manufacture of the goods in question. Indicate the materials or components used, appropriate, the manufacturing processes qualifying the goods as originating in the country of manufacture(application of the list of working or processing operations), the goods produced and their CCC Nomenclature (Harmonized System) heading. Where the origin criteria involve a percentage value, give information enabling this percentage to be verified-for example the value of imported materials and components and those of undetermined origin and the ex-factory price of the exported goods, where applicable. |
2/
| For example, import documents, invoices, etc., relating to the materials or components used. |
GSP 원 산 지 증 명 서 ═════════════════════ | ||||||||
1. Goods consigned from(exporter's business name, address, country) | Reference No. GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM A issued in .................................................................... (country)
See notes overleaf | |||||||
2. Goods consigned to(Consignee's name, address, country) | ||||||||
3. Means of transport and route(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
| 8. Origin criterion(see notes overleaf) | 8. Gross weight or other quantity
| 10. Number and date of invoices
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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
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