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Trade Helper Trade Forms International Trade Contracts International Trade Rules Claim, Unpaid Cases Ex-Import Procedure(to Way of Payment) L/C Abbreviation International Factoring Trade Forms Home > Helper > Trade Forms Certificate of Origin (Form A) Seller COPY CERTIFICATE OF ORIGIN issued by THE KOREA CHAMBER OF COMMERCE &INDUSTRY xxxx, Republic of xxxx Consignee Buyer (if other than consignee) Particulars of Transport (where required) Country of Origin Invoice Number and Date Shipping Marks Number and Kind of Packages: Description of Goods Gross Weight Other Quantity Other Information he xxxxx Chamber of Commerce & Industry hereby certifies, on the basis of relevant invoice other document that the above mentioned goods original in the country shown in column 5. THE XXXXX CHAMBER OF COMMERCE & INDUSTRY 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 XXXX XXXXX Goods consigned to (consignee's name, address, country) Means of transport and route(as far as known) For official use Irem num- be Marks and numbers of packages Number and kind of packages; description of goods Origin criterion(see notes overleaf) Gross weight or other quantity Number and date of invoices Certification It is hereby certified, on the basis of control carried out that the declaration by the exporter is correct. 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 and sump of certifying authority Place and date, signature of authorized signatory

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